Corporate Compliance, Professional, Compliance Auditor_B

2 weeks ago

Rochester, United States MVP Health Care Full time
Corporate Compliance, Professional, Compliance Auditor_B Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America * Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #2260 Friday, October 18, 2024

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Compliance Auditor to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, risk management, and analytical thinking.

What's in it for you:
  • Growth opportunities to uplevel your career
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
  • Competitive compensation and comprehensive benefits focused on well-being
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you'll bring:

  • Bachelor's degree required and two years (2) of experience in auditing/monitoring health insurance companies. Experience with Medicare regulations preferred.
  • Understanding of regulatory and operational responsibilities of health insurance plans.
  • Able to work independently and simultaneously handle multiple projects (multi-task) and meet deadlines.
  • Understanding of auditing principles, development of audit plan, scoping, work papers, checklists, sampling, and reporting.
  • Ability to research and resolve problems with minimal assistance required.
  • Detail-oriented with strong analytical and technical skills with demonstrated ability to manage data and data reporting.
  • Demonstrated experience in Microsoft Word, Excel, PowerPoint, Outlook and Microsoft Teams.
  • Curiosity to foster innovation and pave the way for growth
  • Humility to play as a team
  • Commitment to being the difference for our customers in every interaction

Your key responsibilities:

  • Researches and monitors regulatory requirements to ensure thorough understanding of compliance obligations.
  • Performs independent and objective auditing and monitoring of MVP's business areas to ensure compliance with all applicable laws, regulations and policies and procedures.
  • Communicates findings and recommendations to business areas.
  • Works with business areas to ensure strong corrective actions are implemented.
  • Assists with the development/maintenance of databases to document MVP's regulatory requirements and provides guidance and training to business areas, as needed.
  • Identifies process improvement opportunities and works with relevant stakeholders on implementation.
  • Develops measurement tools to improve reporting and communication.
  • Assists in the development of presentation materials for executive management.
  • Maintains a cross-functional area mindset looking to enhance network of assurances.
  • Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Location: Hybrid to Schenectady, New York; Tarrytown, New York; Rochester, New York

Pay Transparency
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

Affirmative Action
MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details
  • Job Family Legal
  • Pay Type Salary
  • Min Hiring Rate $69,383.00
  • Max Hiring Rate $88,000.00
Apply Now
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
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