Audit Manager

🕒 Setembro 18

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 34%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 55 dias.
• As vagas desta empresa costumam ser preenchidas em 26 dias.
• Repostada uma vez.
• Sem salário divulgado.

Candidatar-se

Encontrar Vagas Remotas Similares

TrueScripts Management Services

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2014

🏥 Saúde

💼 Consultoria

⚕️ Seguro de Saúde

Healthcare • Consulting • Healthcare Insurance

A TrueScripts Management Services dedica-se a fornecer serviços excepcionais de gestão de benefícios de prescrição. Com foco em oferecer economia máxima e atendimento incrível, a TrueScripts trabalha em estreita colaboração com membros, clientes, corretores e prescritores para oferecer soluções personalizadas e sob medida. A empresa se orgulha de sua transparência e eficiência, oferecendo um tempo de resposta de 24 a 48 horas para solicitações de autorização prévia e um compromisso com o atendimento ao cliente, garantindo que pessoas reais estejam disponíveis para ajudar em mais de 99% das vezes.

Descrição

• Lead and manage TrueScripts’ comprehensive audit program • Establish and maintain an annual audit calendar covering regulatory, client, vendor, internal, and other required audits • Coordinate audits from initiation through final resolution • Develop audit plans, timelines, evidence requests, testing approaches, and deliverables • Maintain centralized documentation of audit requirements, evidence, findings, responses, and remediation activities • Monitor audit deadlines and identify risks to successful completion • Coordinate regulatory and healthcare-related audits, including Market Conduct Audits and state and federal examinations • Partner with Compliance and Legal to interpret audit requirements and prepare organizational responses • Coordinate client audits and information requests • Evaluate controls and execute internal audits based on organizational risk and regulatory requirements • Track audit findings and corrective action plans, establish root causes and corrective actions, and monitor remediation • Support audits involving claims configuration, adjudication, pricing, eligibility, benefits, reporting, prior authorization, and pharmacy networks • Develop audit-readiness checklists and documentation standards • Improve and automate evidence collection, testing, reporting, and audit tracking workflows • Lead and develop audit team members as the function grows • Build relationships with business leaders and serve as a trusted audit advisor

🎯 Requisitos

• Bachelor’s degree or equivalent demonstrable experience in Accounting, Finance, Business, Healthcare Administration, Compliance, or related field • 5+ years of experience in auditing, compliance, healthcare operations, PBM, insurance, or related field • Experience managing audits from planning through final resolution • Experience with regulatory and client audits, preferably within the healthcare field • Strong understanding of audit methodologies, internal controls, risk assessment, and corrective action processes specific to audits within the healthcare sphere • Demonstrated ability to analyze complex operational processes and identify risks and control gaps • Strong project management and organizational skills • Excellent written and verbal communication skills • Ability to manage multiple audits, competing priorities, and tight deadlines • Ability to understand and adhere to Confidentiality and Personal Health Information (PHI) Guidelines • Flexible 8–5 workweek of 40 to 45 hours

🏖️ Benefícios

• A wide range of health insurance options including medical, dental and vision • A strong salary and bonus program • A robust 401k and company match • Employee Stock Ownership Plan (ESOP) with annual stock allocations • Wellness program including financial incentives, chiropractic and massage services, and fitness stipends • A cohesive, family-based culture • Charitable contributions and volunteer time • Lots of celebrations

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo