State of Illinois

Compensation

Full Description

Job Requisition ID: 53528  Starting Date:Closing Date: 03/10/2026​Agency: Department of Healthcare and Family Services BPIS: 90488, 09355, 10527, 13252Class Title: PROGRAM INTEGRITY AUDITOR I - 34631 Skill Option: None Bilingual Option: NoneSalary: Anticipated start salary $5,384/monthly; Full Salary Range $5,384 - $7,631/monthlyJob Type: SalariedCategory: Full Time County: CookNumber of Vacancies: 4Bargaining Unit Code: RC062 Technical Employees, AFSCMEMerit Comp Code:    This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.   All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal. Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.     Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home. No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.   Position Overview: The Department of Healthcare and Family Services (HFS), Office of Inspector General (OIG), Bureau of Medicaid Integrity, is seeking to hire an Auditor Trainee. Under direct supervision of the Senior Auditor and Audit Supervisor, the successful candidate will conduct external audits of simple areas as well as segments of complex areas. The candidate must complete an agency-sponsored program integrity auditor training program. This includes financial and compliance reviews in Medicaid programs and provider post payments. The Auditor Trainee will utilize various agency software programs and networks to retrieve, analyze, and conduct specialized reviews of complex data for OIG to non-compliance patterns by Medicaid providers. Additional duties include routinely requesting and reviewing billing, financial, contractual, and other types of records from pharmacies and/or laboratories. The ideal candidate will possess knowledge of Medicaid policies, rules, and regulations, and HFS medical programs. The candidate must have the ability to multitask and work with complex spreadsheets, data reports, while accurately tracking this information. It will be important to be highly organized, demonstrate the ability to exercise sound judgment in the identification of priorities, work collaboratively with internal and external partners and proactively address issues, and to ensure timely completion of all work. Knowledge of medical terminology is preferred. HFS values employees with different backgrounds, life experiences, and talents.   Employees receive a robust benefit package including: Monday-Friday work schedule Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.) Health, Life, Vision, and Dental Insurance Pension Plan Paid Parental Leave Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare) Employees earn (12) paid Sick Days annually. New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually. Employees earn (3) paid Personal Days annually. (13-14) paid holidays annually (based on start date)   If you are seeking a new opportunity, and this position appeals to you, please apply today! At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained. HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion.  We welcome and value employees with different backgrounds, life experiences, and talents.  It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement.  In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.Essential Functions Serves as an Assistant Auditor by assisting senior auditors in conducting on-site fiscal analysis and proceduralaudits of medical providers Gathers information requested by senior auditors for comprehensive audit reports that contain audit findings,calculations of discrepancies, computations, and recommendations Provides assistance with supplying detailed and highly sophisticated testimony utilized for administrative hearings regarding the analysis methodology used and the professional principles, concepts, and procedures involved in the conduct of reviews and review findings that result in the termination or suspension of providers from the Medical Assistance Program, or the recovery of overpayments made to such providers Contacts providers to be audited by senior auditors Confers with supervisor and senior auditor in revising audit scope Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above Minimum Qualifications Requires knowledge, skill, and mental development equivalent to a bachelor’s degree, preferably with major course work in accounting or business administration Requires satisfactory completion of an agency-sponsored program integrity auditor training program Preferred Qualifications One (1) year of experience working with program integrity review theory and procedures One (1) year of experience drafting written audit reports One (1) year of experience auditing in a Medical Assistance Program One (1) year of experience utilizing computer software relating to audit programs One (1) year of experience utilizing medical terminology to conduct audits Conditions of Employment Requires the ability to pass a background check and self-disclosure of criminal history Requires the ability to travel in the performance of duties, with overnight stays as appropriate Requires the ability to utilize and maintain state issued equipment such as a laptop The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description Work Hours: Monday - Friday 8:00 am to 5:00 pmHeadquarter Location: 401 S Clinton St, Chicago, Illinois, 60607Work County: CookEmail: HFS.DPASApps@illinois.govPosting Group: Legal, Audit & Compliance   This position DOES NOT contain “Specialized Skills” (as that term is used in CBAs).   APPLICATION INSTRUCTIONS Use the “Apply” button at the top right or bottom right of this posting to begin the application process. If you are not already signed in, you will be prompted to do so.  State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.  Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon.  If you have never before signed in, you will be prompted to create an account. If you have questions about how to apply, please see the following resources: State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.   The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses: donotreply@SIL-P1.ns2cloud.com systems@SIL-P1.ns2cloud.com