Job Overview
JOB DETAILS
The minimum qualifications required for this vacancy. Minimum Qualifications Non-Competitive: bachelor’s degree and three years of experience of IT auditing experience*, an associate degree and five years of the experience listed, or seven years of the experience listed.*IT auditing experience must have been gained in any one or combination of the following: – An information system or audit professional with responsibility for designing, developing, and evaluating mainframe and server-based audit systems.- An information system or audit professional with responsibility for designing and programming tests to perform audits of physical and logical access controls of mainframe and server-based systems.- An information system or audit professional with responsibility for data extraction, manipulation and analysis using information from diverse sources, including preparation and presentation of written reports of findings suitable for non-technical audience.- An information system or audit professional with responsibility for supporting an audit group, including developing and maintaining audit systems and identifying and providing data in support of audit activity.Preferred Qualifications: • Demonstrated experience working in a Medicaid program or other health insurance related program.• Demonstrated experience managing or supporting health and/or IT system audits, including identifying and providing data in support of audit activity, as well as preparing and presenting written reports of findings suitable for a non-technical audience.• Demonstrated experience working with or knowledge of CMS IT system requirements and streamlined modular certification process.• Demonstrated experience in information technology and CMS requirements for enhanced funding.• Demonstrated experience with HIPAA and privacy regulations.• Strong written, verbal, and interpersonal skills..
The duties that the incumbent of the vacancy will be expected to perform. Duties Description • Perform and support formal requests for enhanced funding from CMS via APDs;• Maintain knowledge of existing and emerging guidance from CMS to ensure IT systems maintain compliance for enhanced funding;• Work with project teams on a monthly basis to develop, review and present status reports as required by CMS;• Develop and maintain project plans for annual updates to APDs;• Assist in governance process to ensure new requests for enhanced funding meet all state and federal guidelines; • Support the development, management and tracking of all Medicaid data sharing agreements, forms and supporting documents;• Participate in continuous process improvement sessions to ensure best practices are used for funding requests and compliance procedures;• Work collaboratively with business stakeholders, technology stakeholders and external entities to facilitate the development, implementation, monitoring and enforcement of CMS guidelines; • Support and maintain relationships with the Centers for Medicare and Medicaid Services (CMS), Office of Information Technology Services (ITS), Office of Health Insurance Programs (OHIP) vendors and other federal and state entities;• Ensure appropriate use of state resources by monitoring vendor invoices for accuracy to ensure the appropriate level of Federal Financial Participation (FFP) funding is received;• Compile progress reports that describe project status including technical, fiscal, and staffing issues;• Work collaboratively with staff and management on annual internal controls reporting as needed;• Work both independently and directly with senior staff on organizational and operational improvement opportunities, identifying root causes, and providing recommendations; • Oversee and monitor activities performed by contractors and consultants; • Participate in projects and special assignments to ensure that audit, security, privacy, and compliance knowledge is contributed and to help ensure those projects follow all audit, security, privacy and compliance policies and procedures; and• Other duties as assigned.
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