Sr Auditor, Compliance (Job ID: 831)

Posted: 05/26/17 | SHARE:

Description:

JOB TITLE: Sr Auditor, Compliance (Job ID: 831)

LOCATION: Schenectady or Rochester, NY

JOB SUMMARY:

Position primarily responsible for performing independent auditing and monitoring of the Company to ensure compliance with all applicable laws, regulations and policies/procedures.  Independent auditing and monitoring includes: conducting audits and monitoring, analyzing results, recommending corrective actions, creating reports and educating and following up with business areas to ensure the implementation of corrective actions. This position holds primary responsibility for performing audits that are focused on Medicare operations. Compliance auditing of other MVP products and/or topics is required at the discretion of MVP’s Director of Compliance/Corporate Compliance Officer.

Performs routine auditing and monitoring of business areas/operations to determine compliance with CMS and other regulatory requirements. Communicates the results of audits and monitoring via professionally written reports.  Ensures findings and/or recommendations are addressed by working cooperatively with the responsible departments. Designs and implements risk assessments to identify risk areas as required by CMS. Analyzes and interprets compliance data to identify areas for future audits and monitoring.

Qualifications:

Minimum Education:
Bachelor’s degree required.


Minimum Experience:
Minimum of three years of auditing experience required in managed care compliance auditing or in health insurance compliance auditing.
Demonstrated understanding and experience in auditing CMS operational standards required.

Required Skills:
• Strong auditing expertise.
• Superior verbal, written and interpersonal communication skills.
• Strong analytical and root cause analysis skills.
• Strong organizational skills with ability to handle multiple tasks and meet competing deadlines.
• Highly capable at working both independently or in a team environment and possesses a strong sense of accountability and urgency in completing assignments.
• Experience with MS Office (Outlook, Access, Word, Excel, and Power Point – intermediate skill level) and the management of data and reports.


Preferred Skills:
• Experience with FACETS and MACESS preferred.
• Experience with Business Objects or Cognos preferred.
• One of the following certifications preferred: Certified Internal Audit (CIA) or Certified in Healthcare Compliance (CHC).

 

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