Health Program Auditor I
1 month ago
The Department of Health Care Services (DHCS) is seeking a highly skilled Health Program Auditor I to join our team. As a Health Program Auditor I, you will be responsible for conducting reviews, fair hearings, and administrative appeals involving financial assessments and disputes between health programs administered by various State departments and contract providers of services.
Key Responsibilities:- Conduct complex administrative appeals, including matters related to cost report audits, Medi-Cal provider enrollment, and direct care service hours per patient day audits.
- Develop, implement, and perform appeal procedures for new types of appeals.
- Work with internal and external parties to interpret arguments and make decisions.
- Write sound decisions that are grammatically correct and consistent with laws and regulations.
- Review internal controls, organizational policies, and procedures, and make suggestions for improvement.
- Minimum qualifications of both the Staff Management Auditor and Health Program Audit Manager I classifications.
- Ability to work with complex information, substantial amounts of funds, and interpretation of complex laws, regulations, and departmental policies.
The Department of Health Care Services offers a competitive salary and benefits package, including health, dental, and vision insurance, retirement plan, and paid time off.
How to Apply:Interested candidates should submit their application package with all required documents and take the Staff Management Auditor exam.
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Health Program Auditor I
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Sacramento, California, United States Department of Health Care Services Full timeAbout this Role:The Department of Health Care Services (DHCS) is seeking a highly skilled Health Program Auditor I to join our team. As a key member of our team, you will be responsible for conducting administrative appeals, ensuring the fairness and efficiency of the process, and making sound decisions based on complex laws, regulations, and departmental...
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Health Program Audit Manager I
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Health Program Specialist I
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