What are the responsibilities and job description for the Senior Audit Manager position at illinois?
Agency: Department of Healthcare and Family Services
Job Posting ID: IG45420
BPIS: 00556
Class Title: SENIOR PUBLIC SERVICE ADMINISTR - 40070
Skill Option: General Administration/Business Marketing/Labor/Personnel
Bilingual Option: None
Start Date: 03/24/2025
Closing Date/Time: 04/07/2025
Salary: $10,500 - $12,500/month (Anticipated starting salary dependent upon experience)
Job Type: Salaried
Category: Full Time
County: Cook
Number of Vacancies: 1
Plan/BU: None
****************A RESUME IS REQUIRED FOR THIS JOB POSTING****************
Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document that is not a Resume or CV.
Why Work for Illinois?
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.
No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Job Posting Details:
The Department of Healthcare and Family Services, Office of the Inspector General (OIG), Bureau of Medicaid Integrity is seeking to hire a highly professional Senior Audit Manager who will be responsible for leading and conducting key activities for OIG’s compliance oversight of the Department’s healthcare programs. The Senior Audit Manager will oversee the Audit Unit, which includes developing complex audit protocols, policies, and procedures, reporting audit results, establishing or refining existing audit plans, assessing the regulatory compliance needs of healthcare programs, and establishing training modules for staff operations utilizing various audit applications. The Senior Audit Manager will be expected to work independently and oversee multiple projects throughout their life cycle to completion. The Senior Audit Manager will also analyze statistical data and reports to identify and determine the compliance and regulatory issues related the healthcare regulations and guidelines. This position will require adherence to deadlines and the ability to multitask.
The ideal candidate will exhibit strong communication skills necessary to establish effective working relationships with a diverse staff, contractors, and internal and external government points of contact. The ideal candidate will demonstrate the ability to exercise sound judgment in the identification of priorities, to work collaboratively with internal and external partners and proactively address issues, and to ensure timely completion of all work. The candidate will exhibit strong leadership skills to achieve set goals while demonstrating independent initiative.
HFS values employees with different backgrounds, life experiences, and talents.
Join us in shaping the future of healthcare and family services through the power of training and development.
Employees receive a robust benefit package including:
• Monday-Friday work schedule
• Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
• Health, Life, Vision, and Dental Insurance
• Pension Plan
• Paid Parental Leave
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• Employees earn (12) paid Sick Days annually
• New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually
• Employees earn (3) paid Personal Days annually
• (13-14) paid holidays annually (based on start date)
If you are seeking a new opportunity, and this position appeals to you, please apply today!
At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
- Subject to management approval, serves as the Senior Audit Manager by planning, organizing, directing, and evaluating the activities of the Audit Section of the Bureau of Medicaid Integrity (BMI) in the Office of Inspector General (OIG) for the Illinois Department of Healthcare and Family Services (HFS)
- Serves as a full line supervisor
- Implements, directs, and controls existing program procedures
- Directs and reviews the progress of referrals through administrative review process
- Serves as a liaison to various agencies and external stakeholders, including, Bureau of Professional and Ancillary Services (BPAS), RAC medical and long-term care units, Dental Contractor, and any other internal and external stakeholders
- Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
- Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college, preferably with courses in business, or public administration
- Requires prior experience equivalent to four (4) years of progressively responsible administrative experience in a public or business organization
Preferred Qualifications
- Four (4) years of experience conducting or overseeing audits that require a more in-depth analysis of financial and/or medical records and experience with development, implementation, and monitoring of audits
- Two (2) years professional experience working in one or more of the following areas: utilization review, claims or billing, pharmacy operations, long-term care operations, healthcare, or compliance regulations
- Two (2) years professional experience working with compliance programs and/or regulations
- One (1) year professional experience utilizing certified medical coding program guidelines from a national organization such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA)
- Two (2) years of professional experience drafting audit reports, programs, recommendations, or workpapers/white papers
- One (1) year of professional supervisory experience working within a government, public, or private organization
- Two (2) years of experience with Microsoft applications such as Word, Excel, and PowerPoint
- One (1) year of professional experience working with data analysis of compliance-related data and indicators
- One (1) year of experience with medical terminology
Conditions of Employment
- Requires completion of a background check and self-disclosure of criminal history
- Requires ability to travel in the performance of duties, with overnight stays as appropriate
- Overtime is a condition of employment, and you may be requested or required/mandated to work overtime including scheduled, unscheduled, or last-minute overtime. This may require the ability to work evenings and weekends
- Requires the ability to utilize and maintain a state issued equipment such as a laptop
- This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with the Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings
- The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours: 8:30 a.m. - 5:00 p.m. Monday - Friday
Work Location: 401 S Clinton St, Chicago, Illinois, 60607
Agency Contact: HFS.OIGApps@illinois.gov
Posting Group: Leadership & Management
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
- donotreply@SIL-P1.ns2cloud.com
- systems@SIL-P1.ns2cloud.com
Salary : $10,500 - $12,500
