Make a Difference with DHSS
Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.
We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.
For more information, please visit https://dhss.delaware.gov/dhss/ today!
The incumbent in this position is responsible for performing onsite and desk audits of the Medicaid providers’ practices, and audits of Medicaid recipients’ utilization of services, in an effort to identify fraud, waste and abuse in the Medicaid program.
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
- Reviews records of agency units, contractors, subcontractors, municipalities, suppliers and vendors to assure compliance with federal/state guidelines, agreements, contracts, grants and appropriate billing and maintenance of accounting records.
- Identifies program adequacy/efficiency through comprehensive, in depth analysis of operational and administrative functions, accounting practices, policies, procedures and management controls.
- Interviews staff and management; gathers pertinent data, information, records, and documentation to support audit research, analysis, and subsequent reports.
- Applies professional auditing standards, methods and procedures to analyze and make recommendations concerning the accuracy of accounting systems, management controls and operating procedures.
- Attends professional auditing training as a means of remaining current in the latest auditing methods, principles and practices.
- Meets with agency personnel and outside interested parties to discuss audit scope and nature (Entrance Conference) and again at the conclusion of the audit to review observations and findings (Exit Conference).
- Writes clear, complete, and concise audit reports, which include audit observations, findings and recommendations for corrective action.
- Reviews and interprets applicable federal and state laws, rules, regulations, policies and procedures; recommends changes to department management, Federal government, contractors and subcontractors.
JOB REQUIREMENTS for Internal Auditor III
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
- At least three years experience auditing in accordance with Generally Accepted Auditing Standards including the assessment of internal and external controls.
- Three years experience in accounting using Generally Accepted Accounting Principles (GAAP).
- Three years experience in auditing financial records and documents in accordance with Generally Accepted Auditing Standards, including assessment of internal and external controls.
- Three years experience in computer assisted auditing which includes using computer programs to analyze data, select, manipulate and sort data, perform calculations, select audit samples and print reports.
- Six months experience in interviewing which includes using structured or unstructured interview techniques to obtain facts, explore issues and identify courses of action.
- Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.
- Six months experience in narrative report writing.
Additional Posting Information
Due to a new requirement from the Centers for Medicare & Medicaid Services (CMS) the following mandate is effective January 27, 2022: As a condition of employment, employees providing health care services and/or support services in covered facilities must show proof that they have received the dose of a single J&J dose or the 1st dose of Moderna/Pfizer two-dose vaccine effective date January 27, 2022, and proof of the single J&J dose or the 2nd dose of Moderna/Pfizer two-dose vaccine by February. 28, 2022. Employees may not provide any care, treatment, or other services until proof is provided. Based on CMS guidance, the date for compliance may extend into March due to the health care facilities high vaccination rate of staff. If you accept a position with the facility, your Human Resources representative can provide more guidance. The only exception to these requirements is for those employees granted medical or religious exemptions from the COVID-19 vaccine as recommended by the Centers for Disease Control and Prevention, which may require weekly COVID-19 testing. This will be in effect until further notice. More information can be found here
Conditions of Hire
Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources.
DHSS does not provide employment-based sponsorship.
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.
Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at Delaware State Jobs.
Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.