Certified Public Accountant ( CPA )

2026-11-03

The CPA contract worker will provide advanced accounting , analytical , and reconciliation services to support the financial integrity of DOM ’ s managed care and related programs . The CPA contract worker will perform the following duties , including but not limited to : Managed Care Oversight & Financial Review  Review and analysis of required financial report filings submitted by Managed Care Organizations ( MCOs )  Prepare detailed written summaries of findings , risk assessments , compliance concerns , and recommendations for supervisory review  Assist with reconciling and validating Medical Loss Ratio ( MLR ) calculations quarterly , ensuring compliance with contractual and regulatory requirements  Identify discrepancies , anomalies , trends , and material variances requiring further investigation  Assist with the development and refinement of financial oversight procedures and internal controls Audit Coordination & Regulatory Compliance  Assist in the oversight of third - party MLR audits  Review audit workpapers , findings , and draft reports and coordinate communications among DOM , fiscal agents , actuaries , third - party CPA firms , and other external parties  Support corrective action monitoring and financial recoveries where applicable  Ensure documentation supports federal and state compliance requirements State Directed Payments & QIPP  Assist in preparing and reviewing state - directed payments to the MCOs  Prepare and reconcile accounts receivable related to state - directed payments on a monthly basis  Review and analyze Quality Incentive Payment Program ( QIPP ) reports  Assist in preparation of annual QIPP presentations and supporting financial schedules  Respond to provider inquiries related to QIPP and state - directed payments  Prepare supplemental financial analyses as needed to support program integrity Financial Reporting & Analysis  Prepare annual reports detailing managed care expenditures  Prepare and review reconciliations related to financial transactions and payment streams  Analyze monthly agency expenditures and provide variance explanations for material changes  Prepare financial schedules , summaries , and technical memoranda  Draft formal correspondence related to financial determinations Data Analytics & System Support  Utilize advanced Microsoft Excel functional and financial modeling techniques to evaluate financial trends  Extract , analyze , and validate large financial datasets  Assist in improving financial reporting tools and automation where feasible Advisory & Training Support  Assist in development of internal policies and documentation  Participate in special projects and financial initiatives as needed

Mississippi

2026-04-29