Program Integrity and Compliance Unit Supervisor

State of Wisconsin Division of Personnel Management

$84K — $92K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Experience conducting audits, quality reviews, or compliance reviews
  • Experience developing or implementing audits or quality/compliance procedures
  • Leadership or supervisory experience, including team project management
  • Experience conducting Medicaid or healthcare audits
  • Experience analyzing Medicaid or healthcare data
  • Familiarity with managed care or long-term care programs

Responsibilities

  • Supervise audit staff and oversee program integrity and compliance activities
  • Review and evaluate complex compliance and financial audit reports
  • Guide development and implementation of team data analysis and work plans
  • Direct team members' work and ensure timely completion of tasks
  • Conduct pre-reviews of documents and reports for compliance with relevant regulations
  • Evaluate project ROI and make recommendations on project continuance or modification
  • Provide technical assistance to staff and partners regarding compliance and audits

Benefits

  • Excellent benefits package
  • Flexible remote working options
  • Professional development opportunities
  • Supportive work environment with internal and external collaborations
  • Potential for mentorship in leadership roles
Full Job Description
Position Summary

As the PICS Unit Supervisor, you will supervise audit staff and review program integrity and compliance activities. You will also be responsible for reviewing and evaluating complex program compliance and financial audit reports; applying principles of management in the supervision of personnel; and be the project manager of two provider-type focused teams and as a result will matrix-manage Data and Research Analysts from the Business Intelligence Section (BIS).

Additionally, you will:
  • guide the development and implementation of the provider-type focused teams' data analysis, charters, work plans, all associated deliverables, and all subsequent work product.
  • be responsible for directing team members' work and ensuring timely completion of tasks on the teams' work plans.
  • ensure the quality of all work products through a pre-review of all routed documents and audit reports for compliance with federal and state Medicaid rules, regulations, and policies.
  • evaluate the return on investment on teams' projects and determine whether to continue, modify, or discontinue planned projects.
Other responsibilities include the provision of technical assistance to direct reports and matrix-managed staff, internal and external partners, and Medicaid providers. This position also evaluates complaints and makes recommendations on actions to take, and will also work with team members to identify, investigate, report, and mitigate allegations of fraud, waste, and abuse.

Salary Information

The starting pay is between $40.50 and $44.66 per hour (approximately between $84,200 and $92,900 per year), depending on qualifications, plus excellent benefits. A 12-month probationary period is required.

Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction. This position is classified as a Financial Program Supervisor and is in pay schedule and range 81/03.

Job Details

  • All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.
  • For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice.
  • Employees must have access to secure high-speed internet for remote work option. Mileage reimbursement to the employee's headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process.
  • DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire. DHS is not an E-Verify employer nor a STEM-OPT eligible employer.

Qualifications

Minimally qualified applicants will have all of the following:
  • Experience conducting audits, quality reviews, record reviews, or compliance reviews.
  • Experience developing or implementing new types of audits or quality/compliance reviews.
  • Experience in a leadership or supervisory role (e.g., delegating and assigning work, mentoring and training, leading team projects or workgroups, etc.).
Well-qualified applicants will also have one or more of the following:
  • Experience conducting Medicaid or other healthcare audits.
  • Experience analyzing Medicaid or other healthcare data.
  • Experience evaluating deliverables and providing feedback.
  • Experience working with managed care or long-term care programs or pharmacies.
The letter of qualifications is limited to two (2) pages. For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here .

How To Apply

Applying is easy! Click "Apply for Job" to start your application process. Sign in to your account or create an account before applying for the job. Follow the steps outlined in the application process and submit your application.

Helpful Information:
  • Once your application is submitted, no changes are allowed. Click "Save" to allow changes to your application as needed before submitting by the deadline.
  • You may want to save a copy of the job posting for referencing after the deadline.
  • Submitted materials will be evaluated by a panel of job experts according to the qualifications above.
  • Please monitor your email for communications related to this position.
  • Current or former permanent, classified, state employees must complete the online application process to be considered.
  • If viewing through an external site, please apply directly at Wisc.Jobs .
  • For technical assistance and general information, please see Frequently Asked Questions . For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact Jacque Strook in Human Resources at [redacted] .

Deadline to Apply

The deadline to apply is September 8th, by 11:59 pm.

Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7:45 am - 4:30 pm. Late or incomplete applications will not be accepted.

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