AHCCCS

Address: 150 North 18th Avenue Phoenix, Arizona 85007

All AHCCCS Employees must reside within the state of Arizona.

Salary: $95,000 - $110,000

Grade: 25

Position will remain open until filled.

The purpose of this position is to develop and maintain a forensic accounting program for the OIG. In addition to supervising the activity and development of professional level staff, the position is responsible for conducting complex financial analysis and documenting findings. The position will manage caseloads and assist all OIG operational units as needed. The incumbent is expected to conduct interviews and provide expert, fact, and summary testimony as needed. In addition, the incumbent will conduct independent reviews of OIG programs and provide guidance and training to the OIG as needed.

Major duties and responsibilities include but are not limited to:
• Conduct complex financial analysis and document findings on assigned cases and in support of all OIG operational units as needed.
• Supervise the activity and professional development of Direct Reports.
• Liaison with other federal, State, and Local law enforcement and regulatory agencies to further the mission of the OIG.
• Assist, lead, and document interviews of witnesses, victims and subjects.
• Provide fact, expert, and summary testimony in legal proceedings.
• Conduct independent audits and reviews of OIG operational units as needed.
• Provider investigative and forensic accounting guidance and training to the OIG as needed.

Knowledge:
• Medical health care operations and rules, to include eligibility, concerning the proper handling and accounting of patient trust accounts
• Regulations that apply to the various providers who contract with AHCCCS
• Rules of evidence
• Basic financial and accounting principles
• Criminal, civil, and administrative law; Federal Medicaid/Medicare statutes, rules and regulations as they relate to Title19; United States Code and Arizona Revised Statutes; Title 13 and 36
• Preparation of detailed computerized spreadsheets
• Computerized AHCCCS and Arizona Department of Economic Security (DES) mainframe systems to effectively extract relevant information
• Various types of eligibility programs including but not limited to: Social Security Disability, Long Term Care program, Supplemental Security Income, Temporary Assistance to Needy Families (TANF) program, and the Sixth Omnibus Budget Reconciliation Act (SOBRA); Specific knowledge including the income and resource requirements for each of these varied programs
• Proper methods of interviewing suspects, witnesses and victims, and of the rules regarding the admissibility of statements, admissions, and confessions
• State Personnel Rules, EEO and ADA familiarity
• Governmental accounting and auditing principles

Skills:
• Computing, summarizing, and aggregating qualitative and quantitative data in an accurate and timely manner
• Developing and using spreadsheets and other software tools
• Microsoft Office
• Interpreting and applying federal and state laws, rules, regulations, and procedures
• Organizing, documenting and preparing investigative reports
• Working with Metrics and understanding LEAN process
• Written and verbal communications
• Interpersonal abilities and liaisonship
• Support IG with the OIG's Annual Strategic Plan
• Conduction investigation and audit data analysis

Abilities:
• Motivate people and work within a team environment
• Clearly state what is expected so that there will be no misunderstandings among employees
• Function effectively in an orderly and purposeful manner in situations of stress or tension
• Think analytically, research and analyze data
• Deal with multiple tasks at one time; See/listen to multiple sides of an issue
• Understand interview and investigative methodology
• Team build. Aptitude to positively affect morale and create a cohesive team
• Honesty, forward looking, competent and enable others to act appropriately
• Speak publicly and testify
• Assist, advise, support, and move forward the IG's vision, goals, and objectives
• Collaborate and coordinate with peers related to working with the IG and supporting the strategic direction of the IG
• Learn AMS process; LEAN metrics; Leader Standards; Gemba Walks; and Huddle Boards
• Travel when needed for training and investigations

Arizona Driver's License.

Minimum:
• Two (2) years experience as an Auditor Supervisor or Manager in a closely related field.
• Four (4) years experience as an Auditor or Investigator in a closely related field.

Preferred:
• Certified Public Accountant (CPA), Certified Fraud Examiner (CFE) or related licenses or certificates; experience with governmental accounting and experience as a forensic accountant, CFE, or AZ licensed CPA.
• Bachelor's degree with a major in accounting, auditing, finance or a related field or at least 4 years of performance auditing, investigating fraud or financial crimes, financial auditing, internal auditing or related experience.

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s 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 R2-10-207.12.)

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: Driver’s License Requirements.

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

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 pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

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.

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

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.