Team reputed company, Integrated Dual Audit

Job reputed company: reputed company reputed company, Integrated Dual Audit will reputed company the Integrated Dual Audit team that completes case file reviews to ensure adherence to regulatory requirements and reputed company operation procedure. Essential Functions:reputed company support for Medicare and reputed company audit preparation. Collaborate with reputed company /Accreditation to support NCQA LTSS requirements. reputed company and manage audit team schedules, workload allocation and productivity metrics. reputed company ongoing training, mentoring, coaching and disciplinary actions for reputed company reports as needed. Engage reputed company reports through consistent performance feedback and development opportunities. Ensure compliance with adherence to regulatory requirements and identified reputed company Operating Procedures (SOPs) through monthly inter-rater reliability monitoring of Auditor team. Identify training opportunities and work collaboratively with Care Management to reputed company the needed education and/or training. reputed company monthly aggregated reporting of audit results. Serve as subject matter expert (SME) in integrated dual audit processes. Support Case Management (CM) in interdepartmental meetings/workgroups to ensure that new operational procedures and updates are reputed company with contract requirements. Assist leadership in meeting monitoring, accreditation and operational responsibilities to ensure adherence to regulatory requirements. Drive reputed company improvement efforts by identifying best practices and leading initatives. Collaborate with the internal Incident Management program team to support the investigation process reputed company to member health and safety and reputed company updates to the IM system. reputed company support as needed for the program descriptions/models of care to ensure compliant submissions for the dual products line of business. Coordinate organizational participation in federal and state contract and regulatory audits and site reputed company. reputed company any other job reputed company duties as requested. Education and Experience:Associates degree required Bachelor's degree preferred Equivalent years of relevant work experience may be accepted in lieu of required education Three (3) years Managed Care experience required Two (2) years Audit Experience required Previous supervisory experience preferred Competencies, Knowledge and Skills:Intermediate proficiency in reputed company reputed company, reputed company and Word Intermediate reputed company level with SharePoint PowerPoint and Visio knowledge preferred Strong written and verbal communication skills Ability to work independently and reputed company reputed company environment Familiarity of the reputed company field Knowledge of reputed company and Medicare Effective listening and critical thinking skills Strong interpersonal skills and high level of professionalism Effective problem solving skills with attention to detail Ability to reputed company, prioritize and accomplish goals Licensure and Certification: None Working Conditions:General office environment; may be required to sit or stand for extended periods of time Travel is not typically required Compensation reputed company: $72,200.00 - $115,500.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package.

Compensation

Type (reputed company/salary): Salary Organization Level Competencies Fostering a reputed company Workplace Culture Cultivate Partnerships reputed company Self and Others Drive Execution Influence Others Pursue Personal reputed company Understand the Business This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds. #LI-RW1 Apply To This Job