Peraton
Peraton
Peraton ir uz misiju orientēts tehnoloģiju uzņēmums, kas apkalpo valsts drošības, militāros un valdības klientus. Tā darbība aptver progresīvus IT un kiberdrošības pakalpojumus, tostarp kiberaizsardzību, mākoņdatošanas operācijas, inženieriju, izlūkošanu un uz datiem balstītus tehnoloģiju risinājumus. Peraton apvieno lielas, specializētas komandas, lai risinātu sarežģītus operatīvos un drošības izaicinājumus, savukārt uzņēmuma amati atbalsta tehnoloģisko spēju nodrošināšanu kritiski svarīgām misijām.

Senior Medicaid Auditor

Conduct cost report, claims, and risk-based audits for Peraton’s healthcare fraud and abuse programs. Analyze findings and support Medicaid audit projects.

Apraksts

  • Apply audit expertise to resolve routine business issues within moderately complex assignments.
  • Analyze issues and provide informed input on project direction as a team member.
  • Use independent judgment within established procedures and interpret applicable policies.
  • Assess unusual circumstances and recommend appropriate action.
  • Audit cost reports and claims submissions.
  • Conduct focused audits as needed.
  • Assess inherent and residual risks and perform risk-based audits.
  • Review audited functions and identify findings and improvements using business knowledge, analysis, and experience.
  • Share regular progress reports and audit finding updates with team members.
  • Contribute to projects and audits.
  • Research and analyze data for moderately complex projects.
  • Keep current with developments in auditing.
  • Work through moderately complex problems.
  • Apply intermediate subject matter knowledge to solve common business issues.

Prasības

  • Have at least five years of experience with a bachelor’s degree, or nine years with a high school diploma.
  • Have typically two or more years of related experience in finance, accounting, or auditing.
  • Bring intermediate knowledge of internal audit policies and operating principles.
  • Bring intermediate understanding of Medicaid or healthcare auditing and revenue cycles.
  • Have intermediate risk assessment and scoping skills.
  • Demonstrate strong research and analytical skills.
  • Be proficient with Microsoft Office, including intermediate to advanced Excel skills.
  • Be a U.S. citizen.
  • A degree in finance, accounting, or a related field is preferred.
  • Have intermediate financial and business acumen.
  • Have basic project management skills.

Priekšrocības

  • Work remotely from Florida.
  • May be eligible for overtime.
  • May be eligible for a shift differential.
  • May be eligible for a discretionary bonus.

Saistītās vakances

BlueCross BlueShield of South Carolina
Cotiviti

Senior Appeals Auditor – Cotiviti (Remote, US)

Cotiviti

Defend Cotiviti’s recovery decisions by reviewing Medicare claims, clinical records, coding, medical necessity, and provider appeals. Prepare evidence-based appeal responses and support cases progressing to Administrative Law Judge hearings.

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