Medicaid Audits & Investigations Compliance Officer

Salary : $70,075.20 - $108,388.80 Annually
Location : Des Moines - 50319 - Polk County, IA
Job Type: Full-time
Job Number: 27-01186
Agency: 400 Health & Human Services - Medicaid
Opening Date: 11/06/2026
Closing Date: 11/22/2026 11:59 PM Central
LinkedIn Tag: #LI-POST
Point of Contact:

Job Description
The Medicaid Audits & Investigations Compliance Officer, under the supervision of the Program Integrity & Compliance Bureau Chief, is responsible to provide oversight of the Iowa Medicaid Program Integrity (PI) Audits and Investigations enforcement activities. Ensures the operations of the PI Audits and Investigations are compliant with federal and state laws, rules, guidelines and program requirements. Maintains liaison with the Iowa Attorney General's (AG) staff, confers 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 audits and investigations for the Division.

This key position will assess state and vendor PI audits and investigations procedures and processes that may present potential risks and vulnerabilities to the Iowa Medicaid program. Establish a quality assurance program that promotes operational and financial integrity of the Iowa Medicaid program's internal operations. Confer with AG staff and advise state Medicaid and vendor teams on state and federal compliance and legality of procedures. Lead and coordinate Iowa Medicaid state, vendor and managed care entity teams audits and investigations. This position will lead and coordinate external entity federal and state audits of the Iowa Medicaid program.

Successful candidates will:

• Analyze reports and interprets data results to identify focus areas for conducting compliance or program integrity audits.
• Recommend actions based on review of relevant facts, data, policies and information available.
• Applies critical thinking, using logic and reasoning to identify strengths and weaknesses of alternative solutions or approaches to problems.
• Evaluate areas of risk and identify recommended changes.
• Understand and interpret federal and state requirements and how those apply to state compliance.
• 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

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Background Checks

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

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 this
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 administration ORQuality assurance review to determine, through internal audit or analysis, the level of