Supervisor Audit - 300177

* Position is eligible for remote/work from home opportunity.

Job Summary

The Supervisor Audit is responsible for leading and developing 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.

Key Performance Indicators

• Meets or exceeds contract metrics
• Provides leadership and direction to staff
• Strong communication skills

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.
• Coaches and develops staff by encouraging growth to ensure staff are meeting expectations.
• Initiates disciplinary action when performance does not meet expectations and follows up with disciplinary plans. Documents conversations and decisions appropriately.
• Provides ideas and initiates innovation in areas of process improvements and technology enhancements.
• Leads by example by promoting team work, recognition, and leadership while demonstrating company values.
• Responds to and implements change in a flexible, positive manner.
• Participates as the area subject-matter expert and resource for internal and external customers, which may include CMS.
• Serves as a resource point for internal and external customers including CMS.
• 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 both large and small auditing engagements and reviews of audit files completed by the CMS auditors.

Non-Essential Duties and Functions

• Other duties as assigned.

Requirements

Qualifications

Minimum Qualifications:

• Bachelor's degree in Accounting, Business, or 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, health care terminology, and various software
• packages and applications
• Demonstrated understanding of industry and enterprise objectives
• Strong written and verbal communications 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:

• 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 programs
• Excellent organization skills
• Strong analytical skills and attention to detail
• Experience and/or knowledge 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 usage
• Requires the use of office equipment such as computer terminals, telephones, copiers and printers
• Infrequent lifting up 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 by management.

CMS Access Compliance and Regulation Contingency Statement

Some positions require compliance with (i) federal and agency-specific regulations and related clauses included in NHS's prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.

Other Information

Job Posting Policy 6.05

New employees with Noridian Healthcare Solutions will be eligible to apply for positions within their assigned department after successfully completing a 90-day review. For positions outside your department, you must attain a minimum of six months of service before you can apply.

Equal Employment Opportunity

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@noridian.com.

This job posting will be closed 2/19/2019 at 8:00AM CST. No further applications will be considered.