Audit and Review Analyst I/II

Workplace Alaska - Anchorage, AK

Full-time | Part-time
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This position is open to Alaska Residents only.
Please check our residency definition to determine if you qualify.

This position is flexibly staffed. This position will be filled at either the I or II level dependent on the applicant's qualifications and job experience.
It is recommended that you apply for all levels if you qualify.

The Department of Health & Social Services, Division of Health Care Services is recruiting for two (2) Audit & Review Analyst I/II's.

The Office of Rate Review develops, monitors, and sets Medicaid rates for a wide variety of health care providers throughout the state of Alaska. Rates are set using national models and modeled methodologies. Staff members interact with representatives from hospitals, physician offices, tribal health organizations and nursing facilities throughout each day. The rate setting process also includes audit of submitted cost report and financial statement information, as well as critical analysis of provider billing patterns. In addition to setting rates, the office also oversees the state Certificate of Need program, and reviews payment strategies used by various payers in the state, including other state agencies.

The Audit and Review Analyst I (ARA I – Range 19) is an entry-level professional auditor position who will be trained and assisted in the performance of their assignments through a combination of on-the-job training, computer-based training, self-initiated training, and mentored-based training. The incumbent maintains and supports the Department's Medicaid auditing, rate determination and rate setting programs for payments to health providers in compliance with applicable federal and state statutes and regulations while adhering to Generally Accepted Accounting Principles and Generally Accepted Auditing Standards.

ARA I Key responsibilities with limited independence, but are not limited to:
Maintaining and supports the Department´s Medicaid auditing, rate determination and rate setting programs.
Determining whether accounting or agency procedures and actions comply with established State and federal rules and regulations.
Developing an understanding of and learning how to perform rate calculations and determinations.
Developing an understanding of and learning how to critically analyze cost reports, budgets, financial statements, and other available facility information and communicate findings with health care providers and facilities in an easily understood fashion.
Providing assistance with rate analysis and participates in rate discussions with providers and facilities as assigned.
Developing responses to queries related to audits, cost reports, federal reporting, or rate determination system
Assisting in conducting independent studies of such subject areas as allowable costs, cost allocation, projected services, utilization trends, and federal and industry direction for impact on the Alaska and Tribal health care delivery systems and the rate determination process.
Assisting senior auditors when Federal representatives perform their reviews of cost reporting, rate setting actions and legal actions involving the Department.

The Audit and Review Analyst II (ARA II – Range 21) is a lead auditor position who works independently and provides assistance and training to lower level auditors. The incumbent maintains the Department's Medicaid auditing, rate determination and rate setting programs for payments to health providers including Tribal organizations in compliance with applicable federal and state statutes and regulations while adhering to Generally Accepted Accounting Principles and Generally Accepted Auditing Standards.

ARA II Key Responsibilities include, but are not limited to independently:
Maintaining and supports the Department´s Medicaid auditing, rate determination and rate setting programs.
Analyzing cost reports, budgets, financial statements, and other available facility information and clearly and concisely discuss findings with health care providers and facilities.
Analyzing rates and clearly and concisely discusses rate decisions with providers and facilities.
Conducts independent studies pertaining to allowable costs, cost allocation, projected services, and utilization trends.
Performing audits, rate calculations, and determinations.
Performing periodic specialized technical calculations relating to the overall healthcare provider or facility cost reporting and rate setting systems.
Preparing audit work papers in accordance with Medicare auditing requirements.
Responding to queries related to audits, cost reports, federal reporting or rate determination system.
Monitoring facility compliance with applicable state and federal statutes and regulations.
Serving as project leader on varied rate projects.
Providing training assistance and mentoring to lower level auditors as applicable.

Our successful candidate will possess some or all of the following Knowledge, Skills, and Abilities:

Accounting and Auditing Skills
Working knowledge of accounting theories, concepts, principles and methods.
Working knowledge of professional audit standards and techniques.
Ability to analyze complex financial information either in a health care facility or other commercial setting.
Ability to review, analyze, and summarize data, cost reports, budgets, financial statements, and other available information.
Ability to determine or learn appropriate audit approach based on audit type.

Oral and Written Communication
Ability to communicate technical financial information professionally and accurately, both orally and in writing to a broad variety of individuals sometimes under adverse or stressful situations, and effectively tailoring the communication style to its intended audience.
Proficient in MS Office Suite, including but not limited to: Word, Excel, and Outlook.

Subject-Matter Background
Working knowledge of Medicaid policies, procedures and standards.
Ability to interpret or learn and apply state and federal regulations and statutes pertinent to the agency.

Professionalism/Interpersonal Relationships
Ability to interact professionally with providers, federal and state agency staff or team members, contractors, co-workers, and the public.
Ability to work independently and as an integral member of a team.

Organization
Excellent organizational skills with the ability to prioritize and productively manage time to meet deadlines.
Ability to manage multiple priorities and work effectively under pressure and with continual interruptions.
Ability to manipulate data with accuracy and has strong attention to detail.

To view the general description and example of duties for an Audit and Review Analyst I or II, please go to the following link: https://www.governmentjobs.com/careers/Alaska/classspecs

MINIMUM QUALIFICATIONS:Audit and Review Analyst I:
A bachelor's degree from an accredited college in accounting, public administration, business administration or a closely related field, including or supplemented by 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing.
AND
One year of professional-level accounting, budgeting, or financial management experience. The required experience includes such work as analysis, preparation, or evaluation of financial records and reports; cash management; financial auditing; financial planning; tax planning and preparation; or accounting systems administration.

Substitutions:
Four years of any combination of post-secondary education from an accredited college (3 semester/4 quarter hours equal one month) and/or paraprofessional or professional accounting experience will substitute for the required bachelor's degree if it includes 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing.

A Master's degree from an accredited college in auditing, accounting, finance, or a closely related field will substitute for the required year of professional experience.

Possession of a Certified Public Accountant Certificate will substitute for the required degree and experience.

Audit and Review Analyst II:
A bachelor's degree from an accredited college in accounting, public administration, business administration or a closely related field, including or supplemented by 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing.
AND
Two years of experience performing independent audits of limited scope, auditing small functions or agencies with no severe complications, to assure fiscal compliance with contractual or grant terms, or performing less complex management analyses and/or operational audits. This experience includes such work as the Audit and Review Analyst I with the State of Alaska or the equivalent with another employer.

Substitutions:
Four years of any combination of post-secondary education from an accredited college (3 semester/4 quarter hours equal one month) and/or paraprofessional or professional accounting experience will substitute for the required bachelor's degree if it includes 16 semester hours/24 quarter hours in accounting and three semester hours/four quarter hours in auditing.

A Master's degree from an accredited college in auditing, accounting, finance, or a closely related field will substitute for one year of the required professional experience.

Possession of a Certified Public Accountant Certificate will substitute for the required degree and up to one year of required experience.

ADDITIONAL REQUIRED INFORMATION:At time of interview applicant must submit:
A copy of academic transcripts, to verify post-secondary education used to meet the minimum qualifications. (Unofficial are okay, please ensure that the institution/URL name is listed on the transcripts).
List of three (3) professional references including current daytime phone numbers.
Copies of two (2) most recent performance evaluations or two (2) letters of professional reference, one of which must be from a former employer.
A resume with complete job history, including the names and current telephone numbers of previous employers.
Current writing sample not to exceed two pages and must be in standard business format.

FLEXIBLY STAFFED
This position is flexibly staffed. This vacancy may be filled at either the I or II level, depending on the applicant's training and/or experience. The full range of salaries is listed above. Starting salary will be determined by the level of the position. If filled at the Level I, promotion to the Level II will only occur upon successful completion of the probationary period and required training, as well as the applicant meeting the minimum qualifications of the higher job class and final approval by supervisor. It is recommended that you apply for all levels if you qualify.

SUPPLEMENTAL QUESTIONS
You're Knowledge, Skills and Abilities narrative will be considered a writing sample and will be used to determine which applicants will advance to the interview phase of the recruitment process. Please use complete sentences and proof-read your submissions when answering the supplemental questions.

EDUCATION
To verify education being used to meet the required minimum qualifications, you must fill in the Education section of the application. If you have not obtained a degree, please indicate the number of units completed. Copies of transcripts are required to verify educational credentials being used to meet the minimum qualifications for a position and are required with each application. (Unofficial are okay, please ensure that the institution/URL name is listed on the transcripts). Transcripts must be attached at the time of application or faxed or emailed to the contact below.

SPECIAL INSTRUCTIONS FOR FOREIGN EDUCATION
Education completed in foreign colleges or universities may be used to meet the above requirements, if applicable. If utilizing this education you must show that the education credentials have been submitted to a private organization that specializes in interpretation of foreign educational credentials and that such education has been deemed to be at least equivalent to that gained in conventional U.S. education programs; or an accredited U.S. state university reports the other institution as one whose transcript is given full value, or full value is given in subject areas applicable to the curricula at the state university. It is your responsibility to provide such evidence when applying. Omission of required documentation listed will result in an incomplete application and you will not receive further consideration.

WORK EXPERIENCE
When using work experience not already documented in your application, please provide the employer name, your job title, dates of employment, and whether full-or part-time. Applications will be reviewed to determine if the responses are supported and minimum qualifications are clearly met. Work experience needed to meet the minimum qualifications must be documented in the application. If the application does not support minimum qualifications, the applicant may not advance to the interview and selection phase of the recruitment. A resume will not be used to determine that minimum qualifications have been met for the position in which you are applying.

If you are currently or previously been appointed to a flexibly staffed position please ensure your work experience within a flexibly staffed position indicates the actual dates employed at each level. Ensure your time and any subsequent flex promotion(s) are documented as a separate position. This is required as there are minimum qualifications that require experience at a particular level in which the lower level may not be considered. If this information is not accurately reflected in your application this may cause the processing of your application for consideration to be delayed.

NOTE: Attaching a resume or curriculum vitae is not an alternative to filling out the application in its entirety. Noting "see resume or CV" or any similar response on any portion of your application may lead to a determination your application is incomplete and removal from consideration for this job posting.

The State of Alaska does not provide VISA Employer sponsorships.

RECRUITMENT SCOPE
This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify.

MULTIPLE VACANCIES
This recruitment will be used for more than one (1) vacancy. The applicant pool acquired during this recruitment may be used for future vacancies for up to ninety (90) days after this recruitment closes. Interested applicants are encouraged to apply to each recruitment notice to ensure consideration for all vacancies.

APPLICATION NOTICE
You can ONLY apply for this position through the Workplace Alaska website or via hardcopy application. If you accessed this recruitment bulletin through a job search portal such as ALEXsys or any other database, you MUST use a Workplace Alaska online or hardcopy application to successfully apply. Instructions on how to apply with Workplace Alaska may be found on the Workplace Alaska "How to Apply" webpage, found here: http://doa.alaska.gov/dop/workplace/howtoapply/

NOTICE
Questions regarding the application process can be directed to the Workplace Alaska hotline at 800-587-0430 (toll free) or (907) 465- 4095. If you choose to be contacted by email, please ensure your email address is correct on your application and that the spam filter will permit email from the 'govermentjobs.com' domains. For information on allowing emails from the 'governmentjobs.com' domains, visit the Lost Password Help page located at https://www.governmentjobs.com/js_lostpswd.cfm&topheader=alaska.

EEO STATEMENT
The State of Alaska complies with Title I of the Americans with Disabilities Act (ADA).Individuals with disabilities, who require accommodation, auxiliary aides or services, or alternative communication formats, please call 1-800-587-4095 in Juneau or TTY: Alaska Relay 711 or 1-800-770-8973 or correspond with the Division of Personnel & Labor Relations at: P. O. Box 110201, Juneau, AK 99811-0201. The State of Alaska is an equal opportunity employer.

CONTACT INFORMATION:
WORKPLACE ALASKA APPLICATION QUESTIONS & ASSISTANCE
Questions regarding application submission or system operation errors should be directed to the Workplace Alaska hotline at 1-800-587-0430 (toll free) or (907) 465-4095 if you are located in the Juneau area. Requests for information may also be emailed to recruitment.services@alaska.gov.

For applicant password assistance please visit: https://www.governmentjobs.com/js_lostpswd.cfm?&topheader=alaska

For specific information in reference to the position please contact the hiring manager at:

Name/Title: Lisa Myers/Administrative Officer II
Mailing Address: P.O. Box 110660 Juneau Alaska 998011-0660
Phone Number: 907-465-5827
Fax Number: 907-465-2204
E-Mail: lisa.myers@alaska.gov