Medicaid Audit Director

The Office of the State Auditor (OSA) is looking for an Audit Director to lead our Medicaid Audit Division. The Medicaid Audit Division conducts audits and examinations that provide an independent and objective evaluation of North Carolina’s Medicaid program operations, including the Division of Health Benefits (DHB), Prepaid Health Plans (PHPs), county Departments of Social Services, Medicaid service providers, contractors, and the Medicaid Enterprise System (MES).

OSA is the state’s Fiscal Watchdog. We hold state government and entities that receive public money accountable, working on behalf of North Carolinians to eliminate waste, fraud, and abuse.

As part of our team, you will get to:

• Execute office wide strategic plans related to Medicaid oversight
• Staff, train, develop, and conduct performance management for the Medicaid Audit Division
• Oversee the planning, organization, and execution of the Medicaid audit portfolio
• Direct the preparation of high-quality Medicaid audit reports that meet GAGAS and the Office of the State Auditor standards
• Manage audit budgets, resources allocation, and timelines for all Medicaid Audit Division related engagements

Knowledge,

Skills and Abilities

/Competencies

• Extensive knowledge of GAGAS, federal and state Medicaid laws, CMS regulations (42 CFR), State Plan requirements, waivers, and managed care rules
• Ability to brief the State Auditor, legislators, DHB leadership, CMS, and other officials on complex Medicaid issues
• Knowledge of Medicaid data systems including T‑MSIS, MMIS/MES, PHP encounter submissions, and rate‑setting data
• Strong written and verbal communication skills tailored to Medicaid policy, operations, and financial oversight

Minimum Education and Experience

A bachelor’s degree with twelve semester hours in accounting from an appropriately accredited institution and six years of experience in auditing/accounting or program evaluation, including three years serving in a role as an audit lead or supervisor

OR

An equivalent combination of education and experience

AND

The Assistant State Audit Director classification requires a Certified Public Accountant license issued by the State of North Carolina or eight years of auditing under the Government Auditing Standards (Yellow Book)