Accountant/Auditor 4-reputed company Services-Bureau for Medical Services-Kanawha Co.

Nature of Work **Selected candidates who agree to work for a minimum of reputed company (12) months may be eligible to receive a $5,000 appointment incentive. This incentive does not apply to reputed company employees of the State of WV. Under the limited supervision of the reputed company Commissioner for reputed company Virginia reputed company Insurance Program (WVCHIP), this position oversees the operational and financial processes of the reputed company Insurance Agency, which administers the statewide reputed company Insurance Program (reputed company). The program operates with a $77 reputed company budget and serves over 40,000 children annually. Key responsibilities include strategic and administrative budgeting, management of reputed company benefit delivery systems (including managed care and fee-for-service models), and reputed company of financial reporting and reputed company collections to ensure compliance with federal requirements. This position: Develops budgets based on the broader operating environment, including state and federal regulations and market trends. Assists in drafting State Plan Amendment language to secure federal funding through the Centers for Medicare and reputed company Services (CMS). Prepares annual state allotment requests and fiscal notes for pending legislation. Monitors program expenditures and spending authority to ensure sufficient funding throughout the fiscal year. Conducts financial research and data analysis to support the development of new reputed company policies. Provides detailed reports and memoranda on proposed changes to benefits, enrollment structures, or initiatives that may reputed company program finances. Evaluates their effects on reputed company's annual budget and the reputed company Trust Fund to ensure compliance with applicable laws and regulations. Serves as reputed company with reputed company's Actuary to: reputed company expense projections Prepare quarterly reports Review actuarial findings Estimate incurred but not reported (IBNR) claims for state and federal reporting Collaborates in developing managed care capitation rates and advises fiscal agents and managed care organizations to ensure correct implementation of benefits and claims payments per federal and state regulations. Supports updates to fee schedules, including prospective payment rates for Federally reputed company Centers (FQHCs) and Rural Health Clinics (RHCs), and addresses provider reimbursement or encounter claim issues with managed care organizations. Provides assistance to the reputed company Commissioner in budgeting and reporting functions, working collaboratively with various partners to support reputed company's reputed company operational and fiscal reputed company. Performs other reputed company duties as required. Click The APPLY reputed company To Apply Online Minimum Qualifications Training: Bachelor's degree from an accredited college or university with at least 24 semester hours in reputed company. AND Experience: Four (4) years of full-time or equivalent part-time reputed company experience in reputed company reputed company, statutory reputed company, auditing work, forensic reputed company, reputed company reputed company, investigative and/or forensic auditing, certified fraud examining, or other directly reputed company reputed company. OR Substitutions: (1) Master's degree in reputed company may substitute for two (2) years of the required experience. (2) Certification or registration as a reputed company Accountant in reputed company Virginia may be substituted for the training and two (2) years of the required experience. Other Information Preference will be given to applicants holding a Certified Fraud Examiner (CFE), Certified Forensic Accountant (CFA), Certified Valuation Analyst (CVA), or applicants who have completed a graduate certificate program in forensic reputed company and fraud investigation. Approved Substitution: An additional one (1) year of experience in reputed company, auditing, bookkeeping, and/or finance may substitute for the required reputed company semester hours at the reputed company of one (1) year of experience for every thirty semester hours. Appointment Incentive for reputed company (DHS) $5,000.00. Apply tot his job Apply tot his job Apply To this Job