Introduction
The Department of Health Services (DHS) Division of Quality Assurance (DQA), Office of Caregiver Quality (OCQ) is recruiting to fill an Auditor position.
The Office of Caregiver Quality promotes integrity and accountability across Wisconsin's healthcare system. In this role, you'll contribute to protecting the public, improving program transparency, and ensuring equitable access to care. DHS offers a collaborative, mission-driven environment with opportunities for professional growth and meaningful public service.
This position :
- will work full-time, daytime hours, Monday through Friday
- will have the option to work remotely up to 5 days per week. this schedule may vary depending on training or operational needs
- is headquartered in the 201 E. Washington Ave. office in downtown Madison.
- must have access to both a private workspace and secure high-speed internet to work remotely.
As an employee of the State of Wisconsin, you'll also have access to an amazing benefits package , including :
3.5 weeks of vacation, 9 paid holidays and ample sick time; limitations may apply for leave time usage in the first six months.Top rated health plan options starting at $45 / month for single plans and $111 / month for family plans, after 2 months of state service.Exceptional pension plan with a 7.2% employer match in 2026 with lifetime retirement payment. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package!Several flex spending accounts : medical, dependent care, commuter, parking and High-Deductible Health Savings.Well Wisconsin Wellness Program.A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.Public Service Loan Forgiveness Program employer.Position Summary
This position leads and performs complex fiscal and eligibility audits of healthcare entities, including nursing homes and related programs regulated under DHS 132.14 . Key responsibilities include :
Conducting financial analyses to determine eligibility and compliance with fit and qualified regulations.Designing and implementing audit programs, impact matrices, and process maps to guide eligibility review decision-making.Preparing written determinations, policy briefs, and fiscal reports for approval panels and legal review.Coordinating with the Division of Quality Assurance, Department of Health Services, and other agencies on cross-program eligibility and compliance initiatives.Leading and documenting comparative benchmarking, process standardization, and rulemaking participation related to eligibility criteria and program integrity.Serving as a liaison to internal and external stakeholders, including provider associations, legal entities, and licensing bodies.Utilizing data systems and dashboards to monitor review activity, turnaround times, and compliance trends.Salary Information
The starting pay is between $33.00 and $40.00 per hour (approximately between $68,600 and $83,200 per year), depending on qualifications, plus excellent benefits. A 12-month probationary period is required.
Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction. This position is classified as an Auditor Senior and is in pay schedule and range 07 / 03.
Job Details
All applicants who may be appointed will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice.DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire. DHS is not an E-Verify employer nor a STEM-OPT eligible employer.You must meet the requirements of the State of Wisconsin Fleet Vehicle Policy which requires a valid driver's license, minimum two years of driving experience and must be 18 years of age or older. Additionally, the driving record must not reflect the following conditions : three or more moving violations and / or at fault accidents in the past two years, an OWI or DUI violation within the past 12 months, or suspension or revocation of the driver's license.All appointees may be subject to DHS' flu-shot policy.Qualifications
Minimally qualified applicants will have all of the following :
Experience conducting financial or program audits, eligibility determinations, or regulatory reviews in a healthcare or government setting.Experience interpreting and applying complex statutes, administrative rules, or program regulations.Experience preparing formal written analyses, reports, or audit findings.Well-qualified applicants will also have one or more of the following :
Experience working with regulatory frameworks for DQA-regulated providers.Experience using analytical and quantitative skills for program evaluation and compliance assessment.Experience creating data visualizations using programs (e.g. Excel, Tableau, Power BI, etc.) or experience using common data query coding languages (e.g. SQL, SAS, Python, etc.).Experience working with healthcare reimbursement systems and fiscal forecasting.Your letter of qualifications is limited to 2 pages and your resume is limited to 2 pages. For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here .
How To Apply
Applying is easy! Click "Apply for Job" to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.
Helpful Information :
Once your application is submitted, no changes are allowed. Click "Save" to allow changes to your application as needed before submitting by the deadline.You may want to save a copy of the job posting for referencing after the deadline.Submitted materials will be evaluated by a panel of job experts according to the qualifications above.Please monitor your email for communications related to this position.Current or former permanent, classified, state employees must complete the online application process to be considered.If viewing through an external site, please apply directly at Wisc.Jobs .For technical assistance and general information, please see Frequently Asked Questions . For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact Mike Sansom in Human Resources at MichaelJ.Sansom@DHS.Wisconsin.gov .DHS is an Equal Opportunity and Affirmative Action employer. Veterans are encouraged to apply. For complete information on Veterans' hiring programs with the WI Department of Veteran's Affairs, click here .
Deadline to Apply
The deadline to apply is December 1st by 11 : 59 pm.
Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7 : 45 am - 4 : 30 pm. Late or incomplete applications will not be accepted.