Program Auditor III

State of Mississippi; Jackson (MS); On-site; USD 47,000 - 67,000; Full time

Job summary

State of Mississippi is seeking a third-level program auditor for the Medicaid division. The role involves complex audits of services billed by providers, preparing reports, and testifying as needed in legal settings.

Candidates should bring a bachelor’s degree with 3–6 years of investigative experience, ideally in healthcare fraud, and proficiency with Microsoft Office, including Excel, Word, and PowerPoint.

Qualifications

• Bachelor’s degree and 3-6 years of experience.
• Prior investigative experience, preferably in healthcare fraud.
• Proficient with Microsoft Office Suite (Outlook, Excel, Word, and PowerPoint).

Responsibilities

• Perform complex desk and field audits to verify Medicaid billing.
• Prepare reports and maintain accurate findings records; testify in hearings.
• Train new auditors in desk and field investigations; apply auditing methods.

Skills

Investigative experience

Healthcare fraud knowledge

Education

Bachelor’s degree

Tools

Microsoft Office

Excel

Outlook

Word

PowerPoint

Job description

State of Mississippi

$47,425.15 - $66,677.39 Annually

Location

25 - HINDS COUNTY, MS

Full-Time

About the Agency

The Mississippi Division of Medicaid responsibly provides access to quality health coverage for vulnerable Mississippians. Medicaid provides health coverage for eligible, low-income populations in Mississippi. These populations include children, low-income families, pregnant women, the aged, and disabled.

This is third-level professional program audit work. Work involves performing considerably complex desk and field audits to verify services billed by Medicaid providers and ascertain facts regarding agency programs. Incumbents prepare reports of activities, maintain accurate records of findings, and testify in court or administrative hearings as necessary. The work requires frequent contact with other governmental agencies, professional associations, medical professionals, and the public.Incumbents use expertise to train new auditors in desk and field investigations.This position is responsible for applying auditing, coding, and social science research methods to evaluate and identify any suspicious billing practices.

What you'll need to be Successful

Incumbents are required to exercise considerable independent judgment, manage multiple on-going investigations, and demonstrate strong time-management skills. This position requires the utilization of intuition, logic, analytical ability, technical knowledge, and both written and oral communication skills.

Preferred Qualifications

Typically requires a Bachelor’s degree and 3-6 years of experience. — Additional Hiring Agency Qualifications:The applicant must have prior investigative experience, preferably in healthcare fraud, and should be proficient with Microsoft Office Suite (Outlook, Excel, Word, and PowerPoint).

See MSPB Careers for information regarding this classifications

Agency Minimum Salary

$47,425.15

$66,677.39

Employer State of Mississippi

Address 210 East Capitol Street
Suite 800
Jackson, Mississippi, 39201