Forensic Accountant

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Office of Inspector General (OIG)

Job Location:

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Grade: 23

FLSA Status:
Exempt

Job Summary:

The position is responsible for conducting complex financial analysis and documenting findings. Will manage caseloads and assist all OIG operational units as needed. The position is expected to conduct interviews and provide expert, fact, and summary testimony as needed. This position will be responsible for conducting various investigations as assigned by supervisor.

Major duties and responsibilities include but are not limited to:

• Conduct analysis of complex financial and business records to support investigations and/or prosecutions;
  Review and analyze financial transactions and other evidence in order to accurately identify all parties involved in criminal activity. Use financial analytical skill sets to audit, investigate, and analyze all components of a financial infrastructure.
• Perform complex performance, operational and financial reviews or audits as assigned by executive leadership.
• Prepare letters and documents for investigators and management of analytical and audit results; and any identified financial, operational, and administrative vulnerabilities related to the investigation.
• Interpret complex laws, rules, and regulations regarding program integrity audits as well as conduct operational and financial risk assessments.
• Provide staff support to reconcile internal controls, perform internal control reviews, program integrity audits, and other investigations to support OIG programs.
• Draft internal letters which are substantiated with documented findings and may participate and/or direct activities during sensitive internal control reviews and investigations.

Knowledge:

• Generally Accepted Government Auditing Standards (GAGAS)
• Performance and operational auditing guidelines in health care
• Program integrity rules, regulations, guidelines and standards within Medicaid
• Organization’s operations including contracted public/private service providers and related financial systems and records
• Medical claim billing systems
• Financial accounting practices and systems
• Internal control principles or internal audit standards
• Generally Accepted Accounting Practices
• Government accounting practices, performance and operational auditing, and financial reporting
• Federal and State regulations, statutes, and Agency policies and procedures regarding Medicaid and Medicare
• Technical, computer systems and related software
• Effective interpersonal communications, oral, and written
• Logical, sequential, analytical reasoning
• Database and spreadsheet applications such as Microsoft, Access, Excel, Google (or comparable software program)

Skills:

• Research and analysis
• Problem solving - Critical Thinking
• Financial Reconciliation processes - Oral and written communication
• Organization and time management
• Analyzing difficult situations and developing a clear plan to address unique…