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Posted : Sunday, October 01, 2023 12:22 PM
* 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: California Applicant Privacy Policy | Noridian (noridiansolutions.
com) 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)
com) 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)
• Phone : NA
• Location : 901 40th Street South, Fargo, ND
• Post ID: 9154291435
