Audit Lead - Edmonton, Canada - Government of Alberta

Government of Alberta

Verified Company

Edmonton, Canada

5 days ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Job Information:

Job Requisition ID: 36533

Ministry:
Health

Location:
Edmonton

Full or Part-Time:
Full Time

Hours of Work:
36.25 hours per week

Regular/Temporary:
Regular

Scope:
Open Competition

Closing Date:
January 5, 2023

Classification:
Finance 4

About Us:

The Ministry of Health leads work in the areas of Alberta health insurance and benefits, doctors, hospitals and facilities, and other health care supports and information.

For more information on the work Alberta Health does, visit this link:

Alberta Health administers the Alberta Health Care Insurance Plan (Plan), and has the authority to assess submitted claims for benefits under section 4(2) of the Alberta Health Care Insurance Act (AHCIA) and reassess paid claims for benefits under section 18 of the AHCIA.

The Audit and Compliance Unit (ACAU), of the Health Protection Branch, conducts risk analyses of claims for benefits, compliance reviews, and audits.

The ACAU also promotes best billing practices among practitioners and monitors practitioners' overall adherence to legislation.

A practitioner compliance review, which may include a claims reassessment, is an interactive process between the ACAU and the practitioner.

To ensure administrative fairness, the ACAU notifies the practitioner of the review, requests pertinent documents, and maintains communications with the practitioner/practitioner's legal counsel throughout the review.

Alberta Health has the authority to examine practitioner records under section 39 of the AHCIA and subsection a) of the Health Information Act (HIA).

Pursuant to section 5 of the Claims for Benefits Regulation, the practitioner is responsible to provide any information requested respecting the claims submitted to the Plan.

Role:

Reporting to the Manager, Audit and Compliance Review Services, the Audit Lead is part of a team responsible for the completion of practitioner compliance reviews, audits and other projects.

Compliance review and audit work can originate through risk assessments, audit plans, data analysis, specific events, public tips or complaints, political request or emerging issues of a high priority.

The Audit Lead also coordinates risk-based scoping, process mapping, documentation, process evaluation, quality assurance, and non-compliance remediation processes, as needed, to support compliance to and enforcement of the Plan and related legislation.

This role is also responsible for contributing to internal process improvements within the ACAU and other duties, as required.

Qualifications:

Accounting or Audit designation and three (3) years related experience is required.

Requirements include:

Supervisory experience,
Experience working with audit and risk assessment methodologies, and
Project management experience.

Preferences will be given to those with:

Experience with Alberta Health Care Insurance Act, Schedule of Medical Benefits, and Health Information Act.

The following are considered assets:

Experience with FOIP processes and procedures.

Equivalencies may be considered:

University degree in a related field plus four (4) years related experience.
Related diploma plus seven (7) years related experience.

APS Competencies:

Competencies are behaviors that are essential to reach our goals in serving Albertans.

We encourage you to have an in-depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.

This link will assist you with understanding competencies:
Develop networks
Agility
Building Collaborative Environments
Creative problem solving

Salary:

$2,899.08 to $3,807.57 bi-weekly ($75,665 - $99,377 / year)

Notes:

One full-time, permanent position available located in downtown Edmonton.

Hours of Work:
hours per week (full time)

Other information:

A cover letter outlining how your experience relates to the qualifications of this role is recommended.

Links and information on what the GoA has to offer to prospective employees.

Working for the Alberta Public Service
Pension plans:
Public Service Pension Plan (PSPP)
Leadership and mentorship programs
Professional learning and development
Positive workplace culture and worklife balance
Opportunity to participate in flexible work arrangements such as working from home up to two days per week and modified work schedule agreements
Research Alberta Public Service Careers tool
How To Apply:

Applicants are advised to provide information that clearly and concisely demonstrates how their qualifications meet the advertised requirements, including education, experience and relevant examples of required competencies.

Resources for applicants:

Understanding the Alberta Public Service Hiring Process:
ALIS:

It is recommended that applicants who have obtained educational credentials from outside of Canada and have not had them previously assessed, obtain an evaluation