Noridian Healthcare Solutions, LLC
Job Summary The Manager Provider Audit provides guidance, leadership, planning and reporting to the appropriate individuals. This position oversees team leaders and frontline staff to ensure the business unit is administering the organization\u2019s contracts with the best possible service while maintaining contract expectations and within budget constraints while optimizing staffing levels. This position provides staff with technical guidance regarding Medicare Cost Reporting and related activities. Key Performance Indicators Knowledge of auditing concepts and procedures Understanding of Medicare cost reporting Attention to detail Essential Functions Key Duties\/Responsibilities\/Accountabilities Coaches and develops team leaders and frontline staff by encouraging growth and ensuring staff are meeting performance expectations. Ensures the organization meets all contractual expectations. Manages budgets and works to meet requirements with available funding. Ensures responsiveness to audit findings and implements timely changes as appropriate. Ensures strong internal controls and compliance programs within responsible operations. Initiates process improvements and technology implementation. Leads by example by promoting teamwork, recognition, and leadership while demonstrating the company values. Assists in organizational and corporate growth opportunities. Responds to and implements changes in a flexible, positive manner. Participates as the area subject-matter expert during business development activities as needed. Non-Essential Duties and Functions Other duties as assigned. Qualifications Minimum Qualifications: Bachelor\u2019s degree and\/or 4 years\u2019 experience managing staff Knowledge of management theories and practices Understands computer information systems Basic accounting practices 5 years\u2019 Medicare Cost Reporting or related experience Preferred Qualifications: Bachelor\u2019s Degree with at least 24 Credit Hours in Accounting 5 years\u2019 experience managing staff Strong written and oral communication skills Ability to motivate and manage a large group of people Ability to direct and maintain a productive and conducive working environment Ability to coordinate activities among co-workers Ability to develop problem solving skills within staff and oneself Strong analytical skills 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.
Noridian Healthcare Solutions, LLC
Website : http://noridiansolutions.com/
Noridian Healthcare Solutions has award-winning services that solve some of health care's biggest challenges—administrative inefficiencies, suboptimal health care and fraud and abuse. We've been partnering with government agencies since 1966 and private payers over 70 years to improve program efficiency and enhance the quality and care to millions of beneficiaries each year.