The Executive Office of Health and Human Services (EOHHS) Office of the General Counsel is seeking a dynamic individual to assist the Office's Audit Response and Fraud Enforcement Unit. The Audit Response and Fraud Enforcement Coordinator will report to the Director of Audit Response and Fraud Enforcement.Primary responsibilities include the coordination and tracking of external audits of the MassHealth program that are conducted by various federal and state oversight entities including the federal Centers for Medicare and Medicaid services (CMS), the federal Office of the Inspector General (Fed-OIG), the Office of the State Auditor (OSA), the State Office of the Inspector General (State-OIG), and the Office of State Comptroller (OSC). The position will also support MassHealth program integrity initiatives conducted through the Audit Response and Fraud Enforcement Unit. This may include assisting with monitoring agency implementation of corrective action plans, implementation and development of policies and procedures and other activities. In addition, the position will assist with coordinating and tracking requests from various law enforcement agencies-including the Medicaid Fraud Division of the Attorney General's Office and the Office of the Inspector General's Bureau of Investigations regarding investigations of MassHealth provider and member fraud, including the referral, monitoring and tracking of cases and provider recoveries.For the assigned tasks, the Audit Response and Fraud Enforcement Coordinator will perform project management functions, including but not limited to, the collection and review of internal documentation, and coordination of internal and external communications.// Smart, dedicated, self-motivated individuals skilled in effective communication, coordination, organization, and collaboration, and preferably having prior exposure to project management, general audit functions, and government are encouraged to apply. /Please note: while this position works with lawyers, the role itself is not a lawyer./ Duties and Responsibilities (these duties are a general summary and not all-inclusive): · Maintain databases and spreadsheets to provide current and accurate tracking of referrals to law enforcement agencies and the tracking and monitoring of settlement recoveries. · Develop and maintain productive relationships with stakeholders and partners, both internal and external, to support and ensure effective and timely communication on fraud enforcement and audit response activities. · Direct and facilitate certain inquiries made by external entities appropriately. · Coordinate responses to questions from law enforcement and audit agencies among the different MassHealth program teams · Assist with the coordination and implementation of Corrective Action Plans in response to an auditor's findings. · Draft analytical memos, presentations and other documents as needed. · Participate in agency and interagency workgroups, organize meetings, take notes and handle follow up tasks as needed. · Coordinate and schedule meetings. · Perform special projects and other related duties as requested. Required Qualifications: · Ability to write clearly and concisely, and to communicate effectively. · Ability to work independently and collaboratively, including establishing and maintaining effective working relationships. · Excellent organizational skills, including ability to manage time, set priorities and work under time constraints. · Experience presenting information in Microsoft Word, Power Point and Excel. · Ability to prepare general reports, use charts, graphs and tables. Preferred Qualifications: · Ability to understand, assess the impact of, and communicate effectively using data. · Passion for public service. About the Executive Office of Health and Human Services: The Executive Office of Health and Human Services (EOHHS) oversees expenditures of over $22 billion annually. As the largest secretariat, has approximately 24,000 employees and services almost 2 million people, one in three residents of the Commonwealth. The mission of EOHHS is to provide effective leadership and management in the development and provision of health and human services that promote health and safety, independence, and quality of life for individuals and families, and communities throughout the Commonwealth of Massachusetts. To know more about EOHHS please visit: https://www.mass.gov/orgs/executive-office-of-health-and-human-services __ Pre-Offer Process: A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website. If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 Ext. #4. First consideration will be given to those applicants that apply within the first 14 days. MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) three years of full time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, or (B) any equivalent combination of the required experience and the substitutions below. Substitutions: I. A Bachelor's degree with a major in business administration, business management or public administration may be substituted for a maximum of two years of the-required experience. II. A Graduate degree with a major in business administration, business management or public administration may be substituted for the required experience. III. A Bachelor's or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required experience. Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed. Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: Administrative Services Organization: Exec Office Of Health and Human Services Title: Audit Response and Fraud Enforcement Coordinator Location: Massachusetts-Boston-1 Ashburton Place Requisition ID: 250003RW
