City of Seattle, WA - Seattle, WA
posted 2 days ago
About the position
The Quality Assurance Analyst, Federal Medicaid (Senior Accountant) will serve as the lead for fiscal compliance monitoring for all Aging and Disability Services (ADS) division contracts including the Medicaid AAA (Area Agency on Aging) contracting work. Acts as a subject matter expert on Medicaid and Federal Uniform Guidance compliance principles. Assists division program specialists with on-site annual contract monitoring by leading and conducting fiscal review of selected ADS contracts in accordance with Federal uniform guidance, state guidelines, generally accepted accounting principles (GAAP), Governmental Accounting Standards Board (GASB), Financial Accounting Standards Board (FASB) and HSD/ADS standards. Performs annual fiscal Risk Assessments for all AAA/ADS Providers (City contracts and DSHS/Medicaid contracts (approx. 170 contracts). Independently lead and conduct fiscal review of HSD Medicaid passthrough contracts in accordance with Federal uniform guidance, AAA/Aging and Long-Term Support Administration (ALTSA) state guidelines, generally accepted accounting principles (GAAP) and HSD/ADS standards. Acts as a subject matter expert on all ALTSA guidelines and AAA Medicaid requirements relating to ADS contracts for the division and QAT, documenting all management bulletin updates and regulatory changes that may impact ADS contracts. Conducts annual fiscal monitoring schedule as prioritized by the ADS Contracts Unit team members. Provides technical assistance as appropriate to ADS program specialists monitoring implementation of fiscal corrective actions. Completes written reporting of fiscal monitoring visits within 90 days. Coordinates and completes site visits of ADS fiscal monitoring with HSD audit team as appropriate. Monitor Medicaid home-based care provider audits and for overpayments of non-union agency worker health insurance (AWHI) and communicate excess payments to divisions to coordinate recovery to the state. Monitors subrecipients corrective action plans ensuring the subrecipient takes appropriate and timely corrective actions. Notify ALTSA of findings and the steps to be taken to satisfactorily resolve the issues. Support monitoring protocols and processes in collaboration with ADS contracts team to ensure monitoring controls are in place for disbursements. Monitors ADS prioritized sub-contracted agencies' financial data (budgets and invoices) for compliance with federal, state, local regulations including accounting standards and contractual obligations. Makes and tracks recommendations in collaboration with the contract team to ensure agencies meet fiscal standards. Participates in new Medicaid provider applications process by reviewing financial audits, financial statement reports and policies. Provides complex fiscal risk assessment to provide feedback on new provider financial health and viability to manage city funds. Assist in the development of training materials for conducting financial reviews, analysis, monitoring, and internal control assessments.
Responsibilities
- Perform annual fiscal Risk Assessments for all AAA/ADS Providers.
- Independently lead and conduct fiscal review of HSD Medicaid passthrough contracts.
- Act as a subject matter expert on all ALTSA guidelines and AAA Medicaid requirements.
- Conduct annual fiscal monitoring schedule as prioritized by the ADS Contracts Unit team members.
- Provide technical assistance to ADS program specialists monitoring implementation of fiscal corrective actions.
- Complete written reporting of fiscal monitoring visits within 90 days.
- Coordinate and complete site visits of ADS fiscal monitoring with HSD audit team.
- Monitor Medicaid home-based care provider audits and communicate excess payments to divisions.
- Monitor subrecipients corrective action plans.
- Support monitoring protocols and processes in collaboration with ADS contracts team.
- Monitor ADS prioritized sub-contracted agencies' financial data for compliance.
- Participate in new Medicaid provider applications process by reviewing financial audits.
- Assist in the development of training materials for conducting financial reviews.
Requirements
- Bachelor's degree in accounting or related field.
- Minimum of three (3) years professional experience in general or governmental accounting.
Nice-to-haves
- Four (4) years' experience in fiscal compliance monitoring, audits or grant accounting.
- Knowledge of the Uniform Guidance for Federal Awards.
- Experience working with ALTSA, Federal Medicaid-funded and Older Americans Act (OAA) aging programs.
- Experience contract and/or grant monitoring for compliance with fiscal and programmatic standards.
- Experience in project management, preferably in contract compliance, monitoring, auditing or fiscal controls.
- Experience in providing technical assistance to strengthen compliance with contract terms.
Benefits
- Vacation leave
- Holiday leave
- Sick leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Long-term disability insurance
