Division of TennCare
Minimum Starting Salary: $3,365.00 Monthly (dependent on education and experience)
Closing Date: 04/13/2022
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.6 million Tennesseans and operates with an annual budget of approximately $12 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and work collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.
The purpose of TennCare’s Office of Audit & Investigations is to provide independent, objective assurance and consulting services designed to add value and improve TennCare operations. Our internal auditors:
- Perform audits of TennCare’s business processes, fiscal transactions, and external partners to ensure compliance with state and federal law, identify potential risks, and recommend solutions to ultimately better the overall organization.
- Participate in peer reviews of other State Agencies to ensure compliance with established auditing standards (i.e., Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Red Book) or Government Auditing Standards (Yellow Book).
- Facilitate the enterprise-wide risk assessment for all TennCare business units in accordance with Tennessee’s Financial Integrity Act, TCA 9-18-101, and the Standards for Internal Control in the Federal Government (Green Book).
Under general supervision, the employee will be responsible for professional auditing work of average difficulty and is expected to exercise judgment and initiative in handling work assignments.
Work activities and responsibilities include:
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- Conduct/assist in compliance audits and audits of business processes, fiscal transactions, and external partners within the established time budget and by any deadlines established by management or any regulatory deadlines. Examples of compliance reviews include, but are not limited to, Managed Care Contractors¿ compliance with Section 6032 of the Deficit Reduction Act, Employee Education About False Claims Recovery, and Subrecipient monitoring reviews which are performed to determine if the subrecipient is using the award for authorized purposes in compliance with 2 CFR, Part 200 - Office of Management and Budget (OMB) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Award, and the terms and conditions of the contract.
- Conduct research and interpret the meaning of federal/state policies, procedures, rules, and regulations in preparation for assigned audits.
- Determine methodology and attributes to be tested for assigned audits.
- Evaluate the accuracy and relevance of information provided by the auditee to ensure audit objectives are addressed.
- Identify potential problems/issues for the area being reviewed and provide alternative solutions for recommendations.
- Document workpapers clearly and concisely, demonstrating the work performed and the outcomes reached.
- Prepare draft reports to clearly communicate audit results.
To learn more or to apply, follow the link below and search Job ID 28690: