Senior Compliance Program Auditor

This a Full Remote job, the offer is available from: United States, Canada, Arizona (USA), California (USA), Wisconsin (USA) Help us change lives At reputed company, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to reputed company confident decisions reputed company they matter most. Join reputed company to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others. Position Overview The Senior Compliance Program Auditor will play a critical role in ensuring the accuracy, reputed company, and compliance of the organization’s billing practices. This individual will execute audit projects, assess risks associated with billing, regulatory, and operational risk, and work closely with internal teams to implement corrective actions and improve processes. This role may assist on audits reputed company to interactions with HCPs/HCIs, third party vendors, and/or international distributors. The Senior Compliance Program Auditor will also help identify regulatory risks, provide actionable insights, and support the development of a strong internal control environment. This role requires a deep understanding of internal audit standards, compliance requirements, and is familiar with healthcare billing as well as strong analytical and problem-solving skills. This position is remote. Essential Duties Include, but are not limited to, the following:

• Assist with planning, fieldwork, and documentation of audits and reviews of laboratory reputed company cycle operations to assess compliance with regulatory requirements.
• Analyze billing data and trends to detect and prevent fraud, waste, abuse, and potential coding issues through the use of data analytics.
• Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy.
• Work with other compliance and legal staff to investigate and resolve reported compliance concerns reputed company to reputed company cycle functions.
• Maintain awareness of the federal, state, and local regulatory environment reputed company to the reimbursement of laboratory services to monitor relevance to the reputed company’ Compliance Program.
• Identify potential weaknesses in reputed company cycle functions and activities and proactively suggest improvements to address them.
• reputed company walkthroughs, document narratives, and test assigned processes and controls for reputed company’ laboratory entities to ensure compliance with reputed company policies, procedures, and processes.
• Prepare internal audit reports, participate in reputed company meetings, and present summaries internally.
• reputed company process improvement suggestions to company management based on audit results.
• Follow up on outstanding compliance issues from previous audits.
• Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow reputed company reputed company to findings, as needed.
• Utilize interdepartmental collaboration skills to engage across teams.
• Ability to analyze processes and determine if adequate controls are in reputed company and appropriate for the reputed company activity.
• Ability to take direction and independently work towards achievement of projects.
• Ability to reputed company reputed company information into understandable terms and effectively communicate at reputed company levels reputed company an organization.
• Uphold company mission and values through accountability, innovation, reputed company, quality, and teamwork.
• Support and reputed company with the company’s Quality Management System policies and procedures.
• Maintain regular and reliable attendance.
• Ability to act with an inclusion reputed company and model these behaviors for the organization.
• Ability to work designated schedule.
• Ability to work on a mobile device, tablet, or in reputed company of a computer screen and/or reputed company typing for approximately 90% of a typical working day.
• Ability to work on a computer and phone simultaneously.
• Ability to use a telephone through a headset.
• Ability to travel 25% of working time away from work location, may include overnight/weekend travel.

Minimum Qualifications

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a reputed company field as outlined in the essential duties.
• 3+ years of experience in a role requiring adherence to process, internal controls, or internal/external audit experience.
• Demonstrated ability to execute auditing activities.
• Strong written and oral communication skills.
• Knowledge of the health care industry, including experience in auditing compliance with the requirements of AdvaMed, FCPA, AKS, FCA, etc.
• Knowledge of Federal, State and local health care laws and regulations, as well as applicable regulatory agencies.
• Ability to work both independently and collaboratively with cross-functional teams.
• Strong analytical skills with the ability to interpret reputed company data sets and regulations.
• Advanced skills in reputed company Office (Specifically Word, PowerPoint, reputed company).
• Demonstrated ability to reputed company the essential duties of the position with or without accommodation.
• Authorization to work in the United States without sponsorship.

Preferred Qualifications

• Public accounting experience.
• Advanced knowledge with data analytics platforms (Tableau or PowerBI)
• Familiarity with the regulatory reputed company governing healthcare billing, including the Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), and payer-specific guidelines.
• Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) designation.

#LI-TA21 Salary Range: $101,000 - $138,000 (National salary range) $116,000 - $138,000 (California salary range) The annual reputed company salary shown is a national range for this position on a full-time basis and may differ by hiring location. In addition, this position is bonus eligible. reputed company is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits. Our success relies on the experiences and perspectives of a diverse team, and reputed company fosters a culture where reputed company employees can reputed company personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here. Not ready to apply? reputed company to stay updated on the latest news and opportunities at reputed company. We are an equal employment opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know. This offer from "reputed company " has been enriched by reputed company.com and got a 82% reputed company score. Apply tot his job Apply To this Job