Audit Resolution Consultant
Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Human Services Program Consultant I (NS) Position Number 60042904 Grade NC14
About Us
The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The Audit Resolution Consultant supports North Carolina Medicaid by computing erroneous payments of state and federal shares resulting from eligibility errors made by county departments of social services. The position examines county eligibility error findings across state and federal audits to accurately determine county overpayment amounts and reviews claims data using NCTracks to verify service codes, amounts, and eligibility histories. It coordinates with the Local Government Commission, local Certified Public Accountants, and the Office of the State Auditor to establish functional audit requirements and strengthen audit processes. The Audit Resolution Consultant operates within the Office of Compliance & Program Integrity and ensures financial accountability by applying statutory requirements under N.C. General Statute 108A