Job Description

AHCCCS

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

The Arizona Health Care Cost Containment System (AHCCCS) Arizonas 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.

Forensic Accountant

Office of Inspector General (OIG)

Job Location:

Address:150 North 18th Avenue Phoenix Arizona 85007

All AHCCCS Employees mustresidewithin the state of Arizona.

Posting Details:

Salary: $60000 - $68000

Grade: 23

FLSA Status: Exempt

This position will remain openuntilfilled.

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.
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 it may participate and/or direct activities during sensitive internal control reviews and investigations.

Knowledge Skills & Abilities (KSAs):

Knowledge:
Generally Accepted Government Auditing Standards (GAGAS)
Performance and operational auditing guidelines in health care
Program integrity rules regulations guidelines and standards within Medicaid
Organizations 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 situations
Applying and interpreting Federal and State laws rules and regulations
Applying auditing and accounting methods and techniques
Analyzing interpreting and communicating financial data

Abilities:
Able to determine compliance with applicable Medicaid statutes regulations policies and procedures for auditing purposes
Conduct Financial Analytical accounting and audit functions with an understanding of accounting principles as well as administrative functions
Accept and respond to direction and feedback
Perform strong research skills as well as communicate effectively both written and orally
Synthesize complex audit and accounting findings
Conduct and reconcile internal audits such as forfeiture funds
Perform accurate and timely work with minimal supervision
Interpret and explain financial forensic and administrative accounting information
Work in a team based environment and take initiative
Plan summarize and analyze large amount of complex accounting information and data and be able to present information in a clear and concise fashion
Successfully function in a virtual environment
Operate a State owned motor vehicle
Must be available and willing to attend in person interviews and work assignments as needed

Qualifications:

Arizona Drivers License.

Minimum:
Bachelors Degree in accounting or closely related field plus two years experience as an Auditor or equivalent.

Preferred:
Certified Fraud Examiner Certification (CFE) or Certified Public Accountant (CPA).

Pre-Employment Requirements:

Successfully pass fingerprint background check prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys ability to reasonably accommodate any restrictions.

Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R.12.)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business then the following requirements apply: Drivers License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona there are:
10 paid holidays per year
Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
Other Leaves - Bereavement civic duty and military.
A top-ranked retirement program with lifetime pension benefits
A robust and affordable insurance plan including medical dental life and disability insurance
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
RideShare and Public Transit Subsidy
A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule employees enjoy improved work/life balance report higher job satisfaction and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona please visit our benefits page

Retirement :

Lifetime Pension Benefit Program
Administered through the Arizona State Retirement System (ASRS)
Defined benefit plan that provides for life-long income upon retirement.
Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
Voluntary participation.
Program administered through Nationwide.
Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing .

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Job Tags

Full time, Part time, Internship, Work at office, Remote work, Flexible hours

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