Manager Provider Audit - 300119

Profile

Requisition Number

18-0434

Post Date

4/13/2018

Title

Manager Provider Audit - 300119

City

Baltimore

State

MD

Description

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's 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.

Requirements

Qualifications

Minimum Qualifications:

Bachelor's degree and/or 4 years' experience managing staff

Knowledge of management theories and practices

Understands computer information systems

Basic accounting practices

5 years' Medicare Cost Reporting or related experience

Preferred Qualifications:

Bachelor's Degree with at least 24 Credit Hours in Accounting

5 years' 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.

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 .

This job posting will be closed 04/20/2018 at 8:00AM CST. No further applications will be considered.

Company Profile
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.