Job Listing
|
|
| Job ID: 14048394 |
|
| |
| Job Location: |
|
| |
|
|
| |
| How to Apply: | To see employer contact information, log in or register. |
| |
| Job Title: | Supervisor Provider Audit |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
| |
| Salary Offered: | Unspecified |
| Benefits: | Unspecified. |
| |
| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | Bachelor's Degree |
| |
| Experience Required: | Unspecified |
| |
| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
|
| |
| |
| |
|
| Job Description: |
Description
* Position is eligible for Remote / Work from Home opportunity *
Department: Provider Audit
Telecommuting Eligible: Yes
Job Grade: E13
Notice of Collection & Privacy Policy for Applicants Residing in California:
Job Title
Supervisor Provider Audit
Job Summary
The Supervisor Provider Audit is responsible for leading and development the Centers for Medicare & Medicaid Services (CMS) provider audit and reimbursement employees to ensure the team is administering the organization's contract with the best possible service while maintaining contract expectations and performance metrics within the budget and time constraints.
Essential Functions
Key Duties/Responsibilities/Accountabilities
Meets contractual obligations and performance standards, while ensuring quality performance through the performance management of staff and implementing internal controls
Prioritizes and delegates workload for direct reports, ensuring workflow is monitored and adjusted as needed to ensure workloads are completed in a timely manner based on internal and external standards
Coaches and develops staff by encouraging growth to ensure staff are meeting expectations
Initiates disciplinary action when performance does not meet expectations and documents and follows up with disciplinary plans, conversations, and decisions appropriately
Provides ideas and initiates innovation in areas of process improvements and technology enhancements
Leads by example by promoting teamwork, recognition, and leadership while demonstrating company values
Responds to and implements change in a flexible, positive manner
Participates as the area Subject Matter Expert (SME) and resources for internal and external customers, which may include CMS, government officials, provider representatives, and other various contractors
Serves as a resource point for internal and external customers including CMS and various contractors
Participates in budget process for area
Provides analytical and broad-based view of systems by acquiring and maintaining a thorough knowledge of all systems and subsystems used to administer the Medicare program and other lines of business
May conduct reviews of all departmental activities, including in-depth analysis of complex reimbursement structures identified in the Medicare cost report which are in accordance with CMS and the Code of Federal Regulations
Non-Essential Duties and Functions
Other duties as assigned
Minimum Qualifications
Bachelor's degree in Accounting, Business, Finance, OR equivalent work experience
5 years' Medicare auditing experience
Advanced knowledge of Medicare reimbursement principles and regulations and Medicare Cost Report
Advanced knowledge of accounting theory and practices
Proficient in Medicare/Medicaid regulations, healthcare terminology, and various software packages and applications
Demonstrated an understanding of industry and enterprise objectives
Strong verbal and written communication skills
Ability to build effective interpersonal relationships within the workplace
Ability to motivate and manage a large group of people
Ability to direct and maintain a productive and dynamic working environment
Ability to coordinate activities among team
Ability to problem solve and develop problem solving skills within staff
Preferred Qualifications
Above requirements and the following:
3 years' experience in leadership
Expertise in working with the STAR database
Ability to create and conduct presentations
Strong PC skills, including advanced knowledge in Microsoft Office applications (Work, Excel, Outlook, PowerPoint etc.)
Excellent organization skills
Strong analytical skills and attention to detail
Experience in technical or medical applications
Experience in large scale project management
Environment and Cognitive/Physical Demands
Office Environment
Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
Requires prolonged sitting and telephone use
Requires the use of office equipment such as computer terminals, telephones, copiers, and printers
Infrequent lifting to 15 pounds
Infrequent stooping
Travel up to 25%
Segregation of Duties
Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.
Statement of Other Duties
This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total Rewards Package:
Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
CMS Access Compliance and Regulation Contingency Statement
Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian' prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal Employment Opportunity
Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities as well as Sexual Orientation or Gender Identity.
Below is the salary range for potential new hires.
Salary Range: $68,928.86 - $113,369.53
Other Compensation: Self-Managed PTO (if applicable), Incentive Plan
Lifestyle Benefit: $50/month
This job will be closed 05/06/2024 at 8:00AM CST. No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
Refer to ID 79202234 when applying |
|