Auditor (Medicare Part C)

This position is located in the Department of Health and Human Services, Office of Inspector General, Office of Audit Services. PRINCIPALES MISSIONS : This position is established as a senior auditor in a division office (Centers for Medicare and Medicaid Audit Division (CMSAD), Office of Audit Services (OAS), Office of the Inspector General (OIG), Health and Human Services (HHS). The senior auditor will provide audit services to CMSAD which conducts and oversees audits of the Medicare and Medicaid programs. The senior auditor in CMSAD serves as a subject matter expert for Medicare, Medicaid, and Children's Health Insurance programs which are extremely large (approximately $1.5 trillion in annual spending) Federal healthcare programs with very complex rules and regulations. The senior auditor assists in directing CMSAD audits that focus on applicable OIG priority outcomes. The senior auditor receives assignments to serve as a member of an audit team and independent work assignments for an audit segment or study project. The incumbent studies pertinent laws, legislative history, regulations, contracts, and management controls to ascertain the purpose, scope, and objectives of the organization or function; the manner in which the organization or function is conducted and financed; and the nature and extent of management authority and responsibility for the organization or function. Plans and contributes to comprehensive audits for a wide range of health and human services programs, grantees and contractors, and others receiving funds from programs administered by the Department. Develops or modifies auditing methods and techniques to resolve a variety of complex auditing problems. Conducts detailed presurvey analysis, including correlation of findings and conclusions resulting from pre-survey analysis and evaluation to ascertain probable scope and depth of audit and to identify problems. Provides advance notification and develops and disseminates guidelines on probable areas of emphasis, approaches which may be expected, pre-survey readiness actions, development of audit response plan. The senior auditor will provide expert advice and direction for the program content of medical review contracts. The senior auditor will coordinate with the Division Director and regional staff to ensure that medical review is performed when needed. The senior auditor will assist in the monitoring of the contractors' adherence to program requirements and interact, if necessary, report any deficiencies to the Division Director. QUALIFICATIONS REQUISES : Applicants must meet all the qualification requirements, including education, and any selective placement factors described below within 30 days of the closing date of this announcement. Education used as part of an application package will only be considered if complete transcripts are submitted and must be from an accredited institution as recognized by the U.S. Department of Education. To see if your institution is accredited, please follow this link: Database of Accredited Postsecondary Institutions and Programs. Positive Education Requirement: This position has a position education requirement, as indicated below. A complete transcript showing relevant coursework and degrees must be submitted with your application package. A list of completed courses or incomplete transcripts will not be accepted. Individual Occupational Requirements: Applicants must have a bachelor's degree in accounting; or a degree in a related field such as business administration, finance, or public administration that included or was supplemented by 24 semester hours in accounting. The 24 hours may include up to 6 hours of credit in business law. OR Applicants must have a combination of education and experience at least 4 years of experience in accounting; or an equivalent combination of accounting experience, college-level education, and training that provided professional accounting knowledge. The applicant's backgrou

Salaire : $106,437 – $172,980/Per Year | Avantages : https://help.usajobs.gov/working-in-government/benefits

The Health and Human Services Office of Inspector General has been at the forefront of the nation's efforts to fight waste, fraud and abuse and to improving the efficiency of more than 100 U.S. Department of Health and Human Services (HHS) programs. Our vision is to drive positive change in HHS programs and in the lives of the people served by these programs. The Office of Inspector General (OIG) for HHS fights fraud, waste and abuse in HHS programs including Medicare, Medicaid, Healthcare Marketplaces, NIH, FDA, CDC and more. OIG HHS is the largest Federal inspector general's office, employing a nationwide network of auditors, investigators, attorneys, and evaluators to provide program recommendations to decision-makers, distribute educational resources to the industry and public, and investigate cases to root out fraud. OIG is ranked as the #1 agency in HHS in the Partnership for Public Service's "Best Places to Work in the Federal Government" 2024 ratings and has held this top posit