"Alerted.org

Financial Integrity Oversight Officer

Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4955894)

Apply



Financial Integrity Oversight Officer

Salary

$67,350.40 - $104,187.20 Annually

Location

Des Moines - 50319 - Polk County, IA

Job Type

Full-time

Job Number

25-03280

Agency

400 Health & Human Services - Medicaid

Opening Date

05/29/2025

Closing Date

6/13/2025 11:59 PM Central

LinkedIn Tag

#LI-POST

Point of Contact

Jennifer Steenblock - [email protected]

+ Description

+ Benefits

+ Questions

Job Description

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Program Integrity and Compliance is seeking a Financial Integrity Oversight Officer to join our team!

Medicaid is a state-federal funded program that is administered by the Iowa Department of Health and Human Services and is the second largest insurance program in the State of Iowa. This position is responsible to ensure the Iowa Medicaid program is actively preventing improper payments by overseeing the collection, accounting and reconciliation of all related overpayment recoveries made by Iowa Medicaid.

As the Division lead on financial integrity, this position will provide oversight of proper system coding and edits, oversee and manage recoveries of credit balances, Medicaid Fraud Control Unit (MFCU) recoveries, and other outstanding overpayment's for medical assistance program related recoveries. Responsible to maintain liaison with the Iowa Attorney General's (AG) staff and confer on cases, audits or management activities referred for compliance or enforcement action. This position will serve as the operational and policy subject matter expert (SME) on payment integrity.

This key position will analyze, report, and monitor the overpayment recovery results to review trends in agency's accountability efforts. Collaborate with Iowa Medicaid teams to develop and execute audit procedures and audit plan to verify risk of areas in need of mitigation. Oversee the fiscal accountability portion of Medicaid vendor contracts and work with vendor units to streamline processes to recover on credit balances and overpayments. Confer with AG and advise state Medicaid and Vendor teams on state and federal compliance and legality of procedures. Establish and maintain systems and processes to identify overpayments made to providers are accurately identified, tracked, and recovered in accordance with established agency standards.

Successful candidates will:

+ Build tools and reports to monitor and track program compliance.

+ Analyze a variety of information to identify areas of non-compliance or at risk of non-compliance.

+ Develop and administer quality assurance programs.

+ Evaluate areas of risk and identify recommended changes.

+ Understand and interpret federal and state requirements and how those apply to state compliance.

+ Prioritize work assignments to effectively meet deadlines.

+ Communicate effectively to inform and foster productive relationships.

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a

comprehensive benefits package designed to support your well-being and professional growth:

+ Health, Dental, and Vision Coverage:Health and dental insurance packages to keep you and

your family healthy at a low cost with outstanding coverage!

+ Paid Time Off:Take time to recharge with paid time off, including vacation (96 hours/year to

begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9

days/year).

+ Retirement Plans:Participate in retirement plans such as IPERS (employees contribute 6.29%

and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC),

Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to

$75/month).

+ Flexible Spending Accounts:Take advantage of flexible spending accounts for medical and

dependent care expenses.

+ Insurance Coverage:Benefit from life insurance and free long-term disability insurance for added peace of mind.

+ Employee Assistance Program:Access resources and support through our Employee

Assistance Program for personal and professional challenges.

+ Employee Discount Programs:Enjoy discounts on a variety of goods and services through our

employee discount programs.

For additional information on benefits click here.

Click hereto see how we compare with other employers or offers by using our Total Compensation Calculator.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Minimum Qualification Requirements

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

1)Graduation from an accredited four-year college or university with a degree in any field, and experience equal to five years of full-time work in investigative or closely related work which involved: preparing interpretative or administrative orders, rules, or regulations which have the effect of law; or interpreting and enforcing federal or state laws governing health care administration; or quality assurance review to determine, through internal audit or analysis, the level of compliance with program requirements; or drafting, negotiating, or examining contracts or related documents required for organizational operations.

2) Graduation from an accredited four-year college or university with a degree in any field, and experience equal to five years of full-time, professional-level work involving the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review as determined through internal audit or analysis of the level of compliance to program requirements.

3) Graduation from accredited school of law and experience equal to two years of full-time work as described in number one or two or in the practice of law.

4) A total of nine years of education and/or full-time experience (as described in number one, two, or three), where thirty semester hours of accredited college or university coursework in any field equals one year of full-time experience.

5) Current, continuous experience in the state executive branch that includes experience equal to two years of full-time management/supervisory work in the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review.

6) Current, continuous experience in the state executive branch that includes experience equal to eighteen months of full-time work as a Compliance Officer 1.

For additional information, please click on thislink to view the job description. (https://das.iowa.gov/sites/default/files/hr/documents/class\_and\_pay/JobClassDescriptions/ComplianceOfficer2-00641.pdf)

Why Choose the State of Iowa?

At the heart of our commitment to excellence is a dedication to our most valuable asset – our employees. Discover the outstanding benefits that set us apart as an employer of choice.

Our Robust Benefits Package Includes:

Competitive Compensation:

Enjoy a competitive salary that reflects directly on your skills and expertise.

Keep in mind, your wage is just one part of your total compensation. Unlock the complete value of your employment with the State of Iowa by using our user-friendlyTotal Compensation Calculator (https://das.iowa.gov/media/3773/download?inline) .Gain insights into your comprehensive annual compensation, including salary and State-provided benefits.

Health and Wellness:

Prioritize your well-being with our comprehensive health plans, including medical, dental, and vision coverage. Enjoy the peace of mind knowing that the State of Iowa covers 90% of the premiums, providing you and your loved ones with excellent coverage at a remarkably low cost.

Retirement Planning:

We are proud to offer the Iowa Public Employees Retirement System (IPERS). A defined benefit plan, IPERS benefits are guaranteed for life, meaning once you retire, you will receive the same monthly benefit for the remainder of your life (once vested). We invest in your long-term financial well-being, so you can retire with peace of mind.Click here to learn more about IPERS (https://ipers.org/members) .

Paid Time Off:

Life is unpredictable, and at the State of Iowa, we understand the importance of work-life balance. Our leave policies, including paid holidays, vacation, and sick leave with unlimited accrual, ensure you have the flexibility you need for personal and family matters.

Professional Development:

Elevate your career with continuous learning opportunities. We support your growth through training programs, workshops, and tuition reimbursement.

Employee Assistance Program (EAP):

We care about your well-being beyond the workplace. Access confidential counseling, resources, and support through our Employee Assistance Program.

Diversity and Inclusion:

Be part of a diverse and inclusive workplace that embraces all backgrounds and perspectives. We believe diversity is a strength that drives innovation.

Join Us - Elevate Your Career:

Ready to elevate your career with the State of Iowa?Click here (https://iowa.attract.neogov.com/recruitment/p/benefits) to explore more about our unparalleled benefits and discover what makes us unique. Your success is our priority!

01

Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely.Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded. If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question.Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa.

+ Yes - I understand and agree.

+ No

02

PLEASE READ CAREFULLY

Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq?

+ No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

+ Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

03

Have you graduated from an accredited four-year college or university?IF YES -How many years of experience do you have of full-time investigative or closely related work which involved: Preparing interpretative or administrative orders, rules, or regulations which have the effect of law;ORInterpreting and enforcing federal or state laws governing health care administration;ORQuality assurance review to determine, through internal audit or analysis, the level of compliance with program requirements;ORDrafting, negotiating, or examining contracts or related documents required for organizational operations?

+ I have not graduated from an accredited four-year college or university

+ I have graduated from an accredited four-year college or university and have less than five years of the experience identified

+ I have graduated from an accredited four-year college or university AND have five years or more of the experience identified

04

Have you graduated from an accredited four year college/university? IF YES - How many years of experience do you have of full-time professional-level work involving the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review as determined through internal audit or analysis of the level of compliance to program requirements?

+ I have not graduated from an accredited four-year college or university

+ I have graduated from an accredited four-year college or university and have less than five years of the experience identified

+ I have graduated from an accredited four-year college or university and have five years or more of the experience identified

05

Have you graduated from an accredited school of law? IF YES - How many years do you have of full-time work in the practice of law or in full-time investigative or closely related work which involved: preparing interpretative or administrative orders, rules, or regulations which have the effect of law; or interpreting and enforcing federal or state laws governing health care administration; or quality assurance review to determine, through internal audit or analysis, the level of compliance with program requirements; or drafting, negotiating, or examining contracts or related documents required for organizational operations; or full-time, professional-level work involving the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review as determined through internal audit or analysis of the level of compliance to program requirements?

+ I have not graduated from an accredited school of law

+ Less than two years of the experience identified

+ Two years or more of the experience identified

06

How many years do you have of a combination of post high school education and/or full-time investigative or closely related work which involved: preparing interpretative or administrative orders, rules, or regulations which have the effect of law;ORInterpreting and enforcing federal or state laws governing health care administrationORQuality assurance review to determine, through internal audit or analysis, the level of compliance with program requirementsORDrafting, negotiating, or examining contracts or related documents required for organizational operationsORfull-time, professional-level work involving the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review as determined through internal audit or analysis of the level of compliance to program requirements? Note: 30 semester hours equals one year of experience.

+ I do not have any of the combined education and/or experience

+ Less than five years of the combined education and/or experience

+ Five years to less than nine years of the combined education and/or experience

+ Nine years or more of the combined education and/or experience

07

Are you a current State of Iowa employee - executive branch? IF YES - How many months of experience do you have in the classification of Compliance Officer 1 for the State of Iowa?

+ I am not a current State of Iowa employee

+ I have no experience in the classification of Compliance Officer 1 for the State of Iowa

+ Less than 18 months of experience in the classification of Compliance Officer 1 for the State of Iowa

+ 18 months or more of experience in the classification of Compliance Officer 1 for the State of Iowa

08

Are you a current permanent State of Iowa employee? IF YES - How many years do you have in the state executive branch (IOWA) of full-time management/supervisory work in the interpretation and enforcement of federal and state laws or department policies and procedures or quality assurance review?

+ I am not a current state of Iowa employee

+ I am a permanent State of Iowa employee and have less than two years of the required experience

+ I am a permanent State of Iowa employee and have two years or more of the required experience

Required Question

Employer

State of Iowa

Website

hhs.iowa.gov

Apply

Please verify your email addressVerify Email