Program Integrity Audit Supervisor

Medical Services - Remote in North Dakota - Program Integrity Audit SupervisorAs a Program Integrity (PI) Audit Supervisor, you will lead the Medicaid Program Integrity audit team, ensuring compliance with federal, state, and local regulations. You will serve as a subject matter expert in Medicaid programs, medical billing, and claims, while driving process improvements and overseeing the delegation of duties. You will also lead meetings with stakeholders, provide updates on Medicaid regulations, and ensure transparency in PI audit activities. Additionally, you will guide Medicaid program administrators, manage the Payment Error Rate Measurement (PERM) process, and develop training programs. You will collaborate with agencies on fraud prevention and build strong relationships with providers and state staff to uphold program integrity.To thrive in this role, you must have strong leadership skills to motivate and guide your team while fostering a collaborative environment. You will drive process improvements with a focus on detail, analyzing complex data, policies, and regulations. You should be adaptable, managing multiple priorities and deadlines while maintaining clarity in communication with both internal and external stakeholders. Your ability to build relationships and lead with confidence will ensure the success of the team and the integrity of the program.To be considered for the Program Integrity Audit Supervisor position, you must have a bachelor's degree with a major in business administration, general business, health management/administration, or a closely related field, AND three years of work experience that involves leading a team, project management and process improvement responsibilities OR a combination of education, training, and experience which demonstrates equivalent knowledge, skills, and abilities. Professional work experience with Medicaid or Medicare, provider auditing or processing claims is preferred.About HHS: ND HHS strives to make North Dakota the healthiest state in the nation by reinforcing the foundations of well-being: physical, economic, and behavioral. Those services are to be delivered as close to home as possible with a focus on dignity and respect. The keys to delivery of those services are the 2,800 committed, compassionate ND HHS team members and more than $6 billion in funding from nearly 200 different federal, state, and special sources.Location:ND HHS utilizes a blended workplace model. This position may work from home anywhere in North Dakota with the ability and willingness to work during regular business hours.

About Team ND

"Far and away the best prize life offers is the chance to work hard at work worth doing." - Theodore RooseveltMore than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.

Application Procedures

Your resume should include information to demonstrate how you meet the minimum qualifications as posted. If the Department's Human Resource Division is unable to determine that you meet the minimum qualifications credit will not be given. All application material must be received on or before the closing date by 11:59 pm.Applicants must be legally authorized to work in the United States. The Department of Health & Human Services does not offer or provide sponsorships.This employer participates in E-Verify. Please visit the following website for additional information: https://www.hhs.nd.gov/careers/e-verifyA copy of your qualifying degrees transcript and any applicable certifications or licensures must be provided at the time of an interview.For more information about the position or if you need an accommodation, please contact Jennifer Larson at larsonjennifer@nd.gov or at 701.328.1150.Employing Unit: ND HHS - Medical ServicesTTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice)If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact recruiter@nd.gov or (701)328-3290.

Equal Employment Opportunity

The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. Sect. 23-12-10.