Manager Provider Audit

ManagerManagerFull TimeRemoteLead

Location

United States

Posted

5 days ago

Salary

$79.3K - $130.4K / year

Seniority

Lead

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Manager Provider Audit provides people leadership and process management, while directing performance of operational and financial expectations and strategies, guidance, coaching, leadership, planning and reporting for the departmental staff, as well as various internal/external stakeholders, subcontractors, and the customer/consumer. This position leads supervisors and frontline staff to ensure the business unit is administering the organization’s contracts with the best possible service, while maintaining contract expectations, seeking efficiencies to remain within budget constraints while optimizing staffing levels. This position provides staff with technical guidance regarding government cost accounting standards, principles, contractual expectations, and related activities.

  • Hires, coaches, and develops staff by encouraging growth, providing adequate resources such as training and technologies, and ensuring staff are meeting performance expectations.
  • Ensures the organization meets all contractual expectations including key performance indicators/metrics, quality, and profitability strategies by setting and holding to expectations for the team.
  • Creates, contributes, and manages the contract(s) and corporate budgets for the department and effectively manages the available funding seeking to maximize and drive efficiencies.
  • Develops, coordinates, and monitors audit plans/performance, departmental goals, and strategic plans and reporting outcomes to upper management including senior leadership within the department and organization.
  • Communicates the objectives of contract objectives and projects to key stakeholders and collaborates with staff to define scope, outcomes, and visionary guidance regarding the overall contract strategic plan.
  • Provides consulting/advisory on special projects as a proactive role in the identification of risks and controls.
  • Monitors and coordinates communication of deliverables to internal and external customers in a timely manner.
  • Understands and prepares defined updates to our customers based on contractual requirements tied to government, state, commercial, or private healthcare deliverables.
  • Ensures responsiveness to internal and external audit findings and implements timely changes as appropriate.
  • Investigates and communicates high profile inquiries to internal and external customers, coordinating with legal counsel and government officials as necessary.
  • Represents Noridian through attendance, participation, and/or presentation at healthcare industry conferences and meetings.
  • Monitors activities of subcontractors to ensure they are performing within expectations of subcontracts.
  • Ensures strong internal controls and compliance programs within responsible operations.
  • Leads by example by promoting the Noridian Culture and teamwork and initiates process improvements and technology implementation.
  • Participates as the area subject matter expert to assist with business development activities for growth opportunities as needed.

Qualifications

  • Bachelor’s degree in Accounting, Business, or related field OR equivalent work experience.
  • 5 years’ government cost accounting reimbursement regulations, policies, or related experience.
  • Knowledge of management theories and practices.
  • Understands computer information systems.
  • Basic accounting practices.
  • Demonstrated success/ability to innovate and drive continuous process improvement.
  • Direct or indirect leadership experience.
  • Demonstrated ability to facilitate resolution of complicated and controversial matters.

Requirements

  • Bachelor's degree with at least 24 Credit Hours in Accounting (preferred).
  • 5 years' experience managing staff (preferred).
  • Strong written and oral communication skills (preferred).
  • Ability to motivate and manage a large group of people (preferred).
  • Ability to direct and maintain a productive and conducive working environment (preferred).
  • Ability to coordinate activities among co-workers (preferred).
  • Ability to develop problem solving skills within staff and oneself (preferred).
  • Strong analytical skills (preferred).

Benefits

  • 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.
  • Online Learning System.

Job Requirements

  • Bachelor’s degree in Accounting, Business, or related field OR equivalent work experience.
  • 5 years’ government cost accounting reimbursement regulations, policies, or related experience.
  • Knowledge of management theories and practices.
  • Understands computer information systems.
  • Basic accounting practices.
  • Demonstrated success/ability to innovate and drive continuous process improvement.
  • Direct or indirect leadership experience.
  • Demonstrated ability to facilitate resolution of complicated and controversial matters.
  • Bachelor's degree with at least 24 Credit Hours in Accounting (preferred).
  • 5 years' experience managing staff (preferred).
  • Strong written and oral communication skills (preferred).
  • Ability to motivate and manage a large group of people (preferred).
  • Ability to direct and maintain a productive and conducive working environment (preferred).
  • Ability to coordinate activities among co-workers (preferred).
  • Ability to develop problem solving skills within staff and oneself (preferred).
  • Strong analytical skills (preferred).

Benefits

  • 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.
  • Online Learning System.

Related Job Pages

More Manager Jobs

Sherpa logo

Software Release Manager – Secret Clearance Required

Sherpa

Award-winning, strategic, global, 100% channel agency

Manager5 days ago
Full TimeRemoteTeam 11-50H1B Sponsor

Software Release Manager coordinating release processes for DoD systems

Massachusetts
$115K - $145K / year
EWOR GmbH logo

Logistics Co-Founder / Head of Sales (100 % remote) (m/f/d)

EWOR GmbH

The EWOR Fellowship backs the top tech founders globally with up to €500k and bespoke mentorship by unicorn founders (Adjust, ProGlove, SumUp).

Manager5 days ago
Full TimeRemoteTeam 201-500

The primary responsibility is to own, build, and run a new startup in the Logistics field, aiming to scale it to over $100M in revenues. This involves extensive personal development, receiving coaching, iterating the product to achieve product-market fit, and building out the necessary sales or marketing infrastructure.

United States
Full TimeRemoteTeam 501-1,000

This role is responsible for designing, implementing, and maintaining comprehensive training programs to ensure pharmacy and operational teams effectively use critical technology platforms supporting specialty pharmacy operations. Key duties include partnering with cross-functional teams to create training strategies for deployments, developing end-user materials, leading implementation training, and ensuring staff competency in regulated environments.

United States
$64K - $78K / year
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Responsible for providing leadership and direction of all Provider/Supplier Enrollment appeal (CAPs/reconsiderations) and rebuttal operations for the NPEast contract, utilizing analytical skills and regulatory knowledge to ensure timely and compliant adherence with all Provider E...

United States