Trust Fund Auditor - Part Time - Arizona - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

This is a part time, 20 hour per week, position. Travel throughout Arizona is required 50% of the time, and the remaining time will be spent telecommuting.

Primary Responsibilities:

• Manage and perform multiple on-site compliance trust fund account audits of member trust accounts at nursing facilities throughout the state and provide accurate timely reporting to the Director of Operations


• Determine account accuracy and adequacy of compliance with state and federal laws and regulations and UHC contract


• Create a strong relationship with providers and maintain detailed documentation and reporting in support of audits


• Investigate complaints and potential issues of fraud and abuse allegations


• Establish annual schedule for onsite audits and maintain a calendar


• Requires written correspondence with the facility identifying records to be reviewed


• Must be able to review bank account reconciliations, deposit and withdrawal documentation, authorization letters, surety bond, facility policies and procedures to cover resident/member personal accounts, and petty cash withdrawals


• Use designated trust fund account audit tool to determine the effectiveness of controls over the management of member trust funds in the facility


• Identify account balances over or close to the financial resource limit that may jeopardize the resident's eligibility


• Conduct exit interview with the facility on audit findings


• Provide training and recommendations for improvement when appropriate to facility.  Keep current on state and federal trust regulations and be flexible for business travel to meet the needs of the customer


• When necessary submit AHCCCS Referral for Preliminary Investigation to the state for pursuit of civil or criminal actions


• Submit monthly management reports

Required Qualifications:

• 3 + years of experience working in a health care environment


• Must be self-motivated, able to work independently


• Strong communication, writing, organization, and people skills


• Intermediate skills using MS Word and Excel applications


• Must be able to travel 50% of the time within Arizona (Phoenix Metro, Northern and Southern)

Preferred Qualifications:

• Experience with Medicaid (ALTCS preferred)


• Experience working with Nursing Home Providers


• Audit experience


• Ability to understand state and federal laws and regulations


• Understanding of general personal accounting to determine accuracy and compliance


• Case Management experience 

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Auditor, Accountant, Case Manager, Trust Fund, Phoenix, Arizona, AZ