Sr. Compliance Review Analyst at North Carolina Dept of Environmental Quality

, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jun, 26

Salary

117465.0

Posted On

07 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance Review, Internal Control Reviews, Risk Management, Regulatory Compliance, Fraud Detection, Waste Prevention, Abuse Prevention, Mitigating Strategies, Corrective Action Plans, Audit Methodologies, Internal Control Frameworks, Risk Assessment, Process Improvement, Medicaid Regulations, CMS Guidance, Reporting

Industry

Government Administration

Description

Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Business Systems Analyst II (NS) Position Number 65029283 Grade NC19 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The Compliance Office at NC Medicaid has primary responsibility for ensuring NC Medicaid has an effective overall risk management and compliance program and conducts activities to detect and prevent fraud, waste, and abuse of Medicaid dollars. Additionally, the Compliance Office works within the Division to assist in the identification and mitigation of business and operational risks to the program. The Senior Compliance Review Analyst (CRA) is a seasoned professional responsible for conducting internal control reviews across the Medicaid agency. This role ensures operational integrity by assessing compliance with state and federal regulations, identifying control gaps, and collaborating with leadership to design and implement mitigating strategies. The CRA will serve as a trusted advisor to program leaders, providing actionable insights that strengthen compliance and reduce risk. The CRA also monitors progress of remediation and corrective action plans to ensure risks are mitigated in a timely manner. This role plays a crucial part in fostering a culture of compliance within NC Medicaid. Job Specific Responsibilities • Assist in designing compliance review procedures based upon review objectives • Conduct compliance review activities ensuring adequate documentation of adherence to policies, procedures, regulatory requirements and best practices. • Consult with business functions to develop efficient and effective processes and procedures implementing mitigating controls and process improvements. • Draft compliance status memorandums to NC Medicaid leadership, presenting findings in clear, actionable terms. • Prepare detailed review reports, including findings, risk assessments, and recommendations. • Track outstanding compliance issues • Facilitate discussions to prioritize remediation efforts and monitor progress. • Maintain accurate records of reviews and follow-up actions • Stay current on Medicaid regulations, CMS guidance, and internal audit best practices. • Contribute to the development of compliance frameworks and training materials. Knowledge Skills and Abilities/Management Preferences Salary Grade Range $67,122 - $117,465 Recruitment Range $67,122 - $80,000 **Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours** *Position is Time-Limited Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: Thorough knowledge of audit methodologies and compliance review techniques. Considerable knowledge of internal control frameworks (e.g., COSO) and risk management principles. Considerable knowledge of current federal, state and local government programs. Working knowledge of healthcare operations, provider billing, and claims processes. Strong analytical skills for evaluating processes and identifying control gaps. Posting closes at 11:59 p.m. the night before the closing date Position is funded in part through federal funds About the NC Division of Health Benefits: The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries. Compensation & Benefits: The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits Supplemental and Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/. DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor’s Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers. If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 11:59 PM the night BEFORE the closing date. Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members. Degree/College Credit Verification Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations and cover letters may be uploaded with your application. Veterans’ and National Guard Preference Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application. ADA Accommodations Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person Substance Abuse Professional Practice Board, etc.) indicated below. CONTACT INFORMATION: If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Bachelor’s degree from appropriately accredited institution in a discipline related to the area of assignment with three years of programmatic experience related to the area of assignment; or an equivalent combination of training and experience. EEO Statement The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Tandrea Lanae Jones Email: talentacquisition@dhhs.nc.gov North Carolina State Government is one of the state’s largest employers, with over 76,000 employees all working toward a common goal: a safer and stronger North Carolina. We are a large organization comprised of various agencies, offices, and universities, each providing important public services. Eligible state employees are entitled to comprehensive benefits, including a variety of leave options, professional development opportunities, insurance, and more. To learn more about the benefits of being a North Carolina state employee, visit the N.C. Office of State Human Resources' website. Permanent, temporary, and time-limited state government jobs can be found from the mountains to the coast. Find your next opportunity today! State Application Resources/Frequently Asked Questions Valuing Education and Experience The State of North Carolina values the knowledge and experience of our jobseekers and current state employees. Approximately 91 percent of state job classifications allow experience to be substituted for education or do not require a post-secondary degree. Learn more about how you may qualify for a position through education or directly related experience, or a combination of both, with the Education and Experience Equivalency Guide. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. If you are already a state employee, please search for jobs by clicking here.

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Responsibilities

The Senior Compliance Review Analyst is responsible for conducting internal control reviews across the Medicaid agency to ensure operational integrity by assessing compliance with state and federal regulations and identifying control gaps. This role involves collaborating with leadership to design and implement mitigating strategies, serving as an advisor, and monitoring the progress of remediation efforts.