ElginRecruiter Since 2001
the smart solution for Elgin jobs

Compliance Audit Manager

Company: Hyrandes
Location: Elgin
Posted on: March 22, 2020

Job Description:

Reporting to the Director, Compliance & Privacy, the Compliance Audit Manager is responsible for auditing and analyzing the clinical and operational work processes, policies and procedures to ensure compliance with all laws, regulations and guidelines with Federal and State programs. Develops and executes monitoring and auditing projects, to include standard, repeatable processes identifying, documenting and presenting any errors, irregularities or findings. Manages audit activity to include gathering documents and data, determining and writing reports of audit findings, identification and completion of necessary corrective action. Partners with functional leaders and field teams to coordinate audit and monitoring activities from initiation through completion of corrective action. Serves as the auditor-in-charge when necessary. Serves as a resource both internally and externally regarding compliance-related issues, including the coordination of payer, regulatory or other audits. Job Description Develops and executes internal monitoring and auditing activities in response to company risks in partnership with team members and leaders in other functional departments and geographic locations across the company; to include process documents, roll-out training and communications to launch audits, status updates to audit participants and relevant leaders, written report and presentation of findings, development and execution of corrective action plans and progress reports on responsive measures, and other associated activities as needed to successfully conclude audit and monitoring activities. Respects and maintains the confidentiality of sensitive business and patient information at all times. Maintains files and work papers consistent with company policy and Compliance Department processes at all times. Coordinates with company locations and respective leadership and team members for responsive information, review of findings and determination of appeal and appropriate corrective action; ensures corrective action implementation prevents repeat claim denials; creates and presents reports on audit findings to department and senior leadership. Manages and partners with external consultants engaged to conduct compliance audits and related activities to support successful completion of such initiatives. Coordinates with external auditors and company locations/departments under review to foster understanding and provide required documentation, correspondence, responses, appeal information or other necessary follow up as needed related to the audit process within deadlines. Escalates and reports serious compliance, quality or other business risks timely to the Chief Compliance Officer and other functional leadership by demonstrating the ability to exercise good independent judgment in assessing the significance and relevance of identified issues. Prepares clear, accurate and timely audit reports and ensure that audit work meets internal auditing standards. Reports and presents major deficiencies and other findings to executive management, functional leaders and organizational committees. Develops and implements action plans, follow up schedule and reports in coordination with respective department leads Identifies policy, procedure, and process gaps and partners with functional leaders to develop responsive corrective measures to prevent reoccurrences. Develops and revises compliance policy and procedures related to auditing and monitoring activities. Assists with the development and implementation of compliance training programs. Develops and manages strong working relationships with other team members and leaders within company departments and locations. Other duties as assigned to support Compliance Department and/or company business. Requirements Bachelors degree in business or a healthcare related field. Certified Healthcare Compliance (CHC) or other related license/certification is preferred Minimum of three years of compliance auditing in healthcare environment, preferably in home infusion/home health setting. Qualifications Demonstrated effective communication, presentation, organizational, and writing skills with strong attention to detail Strong computer skills, including proficiency in Microsoft Office Suite applications Working knowledge and understanding of federal and state healthcare regulations Skilled in problem solving and critical analysis Skilled in developing and delivering presentations

Keywords: Hyrandes, Elgin , Compliance Audit Manager, Accounting, Auditing , Elgin, Illinois

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Payroll Administrator (200085)
Description: Employment Term: Regular Employment Type: Full Time Hours Per Week: 40 Work Hours i.e. shift : Generally First Shift Starting Salary Range: 48,421 - 55,684 p/yr Salary/Benefit Notes: Generous Paid (more...)
Company: The Journey Mental Health Center
Location: Madison
Posted on: 04/10/2020

Financial Software Engineer
Description: Job DescriptionSmall Proprietary Trading firm in Chicago IL providing liquidity primarily in the Equity Index markets at the CME and CBOE for over 20 years looking for Software Engineers to work on trading (more...)
Company: Quiet Light Securities LLC
Location: Chicago
Posted on: 04/10/2020

Treasury Merchant Sales Manager 2
Description: Job Description br Important Note: During the application process, ensure your contact information email and phone number is up to date and upload your current resume when submitting your application (more...)
Company: Wells Fargo Bank
Location: Rolling Meadows
Posted on: 04/10/2020


Insurance and Financial Sales - LIFE INSURANCE LICENSED REQ'D (Aurora,IL)
Description: CURRENT LIFE INSURANCE LICENSE REQUIRED TO BE CONSIDERED Are you an individual with a strong desire to succeed in the business world and help families at the same time We have a wide range of mortgage (more...)
Company: The Alliance
Location: Aurora
Posted on: 04/10/2020

Director, Financial Planning Research
Description: We're looking for a candidate to fill this position in an exciting company. The Director, Research - Financial Planning Wealth Management will work with a small research team to develop and launch (more...)
Company: Charles Schwab Corporation
Location: Chicago
Posted on: 04/10/2020

Audit Senior
Description: AUDIT SENIOR br br Our client is a globally recognized full-service accounting, tax and business consulting firm located in the Loop Chicago. In collaboration
Company: Creative Financial Staffing
Location: Chicago
Posted on: 04/10/2020

Inspections Specialist (Audit Regulator)
Description: br br br br br br br br br br Send This Job
Company: PCAOB
Location: Chicago
Posted on: 04/10/2020

Remote Anaplan Lead - Finance - $200K
Description: Job Description Our client is a Silver Anaplan Partner that's experiencing tremendous YoY growth, and looking to expand their delivery team of Anaplan Consultants. You'd be in a client facing capacity (more...)
Company: FRG Technology Consulting
Location: Chicago
Posted on: 04/10/2020

Insurance and Financial Sales - LIFE INSURANCE LICENSED REQ'D (Naperville,IL)
Description: CURRENT LIFE INSURANCE LICENSE REQUIRED TO BE CONSIDERED Are you an individual with a strong desire to succeed in the business world and help families at the same time We have a wide range of mortgage (more...)
Company: The Alliance
Location: Naperville
Posted on: 04/10/2020

(NEW) Exclusive Insurance & Financial Services Agent - North Side Chicago, IL - Now Hiring
Description: ESTABLISHED BOOK OF BUSINESS IN A BUILT-IN MARKETPLACE Horace Mann, the 1 multi-line insurance company for our nation's teachers, has an exciting business opportunity As an Exclusive Insurance Agent, (more...)
Company: Horace Mann-Agents
Location: Chicago
Posted on: 04/10/2020

Log In or Create An Account

Get the latest Illinois jobs by following @recnetIL on Twitter!

Elgin RSS job feeds