- Meets contractual obligations and performance standards, while ensuring quality performance through the performance management of staff and implementing internal controls
- Prioritizes and delegates workload for direct reports, ensuring workflow is monitored and adjusted as needed to ensure workloads are completed in a timely manner based on internal and external standards
- Coaches and develops staff by encouraging growth to ensure staff are meeting expectations
- Initiates disciplinary action when performance does not meet expectations and documents and follows up with disciplinary plans, conversations, and decisions appropriately
- Provides ideas and initiates innovation in areas of process improvements and technology enhancements
- Leads by example by promoting teamwork, recognition, and leadership while demonstrating company values
- Responds to and implements change in a flexible, positive manner
- Participates as the area Subject Matter Expert (SME) and resources for internal and external customers, which may include CMS, government officials, provider representatives, and other various contractors
- Serves as a resource point for internal and external customers including CMS and various contractors
- Participates in budget process for area
- Provides analytical and broad-based view of systems by acquiring and maintaining a thorough knowledge of all systems and subsystems used to administer the Medicare program and other lines of business
- May conduct reviews of all departmental activities, including in-depth analysis of complex reimbursement structures identified in the Medicare cost report which are in accordance with CMS and the Code of Federal Regulations
- Other duties as assigned
- Bachelor's degree in Accounting, Business, Finance, OR equivalent work experience
- 5 years' Medicare auditing experience
- Advanced knowledge of Medicare reimbursement principles and regulations and Medicare Cost Report
- Advanced knowledge of accounting theory and practices
- Proficient in Medicare/Medicaid regulations, healthcare terminology, and various software packages and applications
- Demonstrated an understanding of industry and enterprise objectives
- Strong verbal and written communication skills
- Ability to build effective interpersonal relationships within the workplace
- Ability to motivate and manage a large group of people
- Ability to direct and maintain a productive and dynamic working environment
- Ability to coordinate activities among team
- Ability to problem solve and develop problem solving skills within staff
- 3 years' experience in leadership
- Expertise in working with the STAR database
- Ability to create and conduct presentations
- Strong PC skills, including advanced knowledge in Microsoft Office applications (Work, Excel, Outlook, PowerPoint etc.)
- Excellent organization skills
- Strong analytical skills and attention to detail
- Experience in technical or medical applications
- Experience in large scale project management
- Office Environment
- Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
- Requires prolonged sitting and telephone use
- Requires the use of office equipment such as computer terminals, telephones, copiers, and printers
- Infrequent lifting to 15 pounds
- Infrequent stooping
- Travel up to 25%
-
Auditor, Senior
3 weeks ago
Alerus Fargo, United States Full timePosition Summary: · Provide expertise, advice, and counsel based on advanced business and/or audit experience to the functional areas of Alerus. Provide leadership for projects and team activities. Proactively implement audit strategy for the sound application of risk based prac ...
-
Senior Provider Auditor
2 days ago
Noridian Fargo, United States Full timeJob Summary · The Provider Auditor is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to ensure proper reimbursement for health care providers for the Med ...
-
Manager Accountant
2 weeks ago
Brady, Martz and Associates Fargo, United States PermanentManagers may work as the engagement lead or under the direct supervision of Senior Managers dependent upon the nature of the client engagement. Managers must have strong communication skills as they interact with both the client and firm team members. They also must have excellen ...
-
Audit Senior Associate
3 weeks ago
Eide Bailly Fargo, United StatesAudit Senior Associate - Affordable Housing - Remote Eligible · Job LocationsUS-ND-FargoID CategoryAudit & AssurancePosition TypeFull-TimeWork Option(s)Remote / Hybrid / In-OfficeWho We Are · Eide Bailly is one of the top 25 CPA and business advisory firms in the nation. We have ...
-
Manufacturing Quality Specialist
5 days ago
CNH Industrial Fargo, United States Full timeResponsibilities · Work from part/assembly drawings, engineering specifications, and related information · Perform process and product audits and manages yard sweeps · Use a wide variety of precision measuring instruments · Work with dimensional reports daily · Support manufactur ...
-
Collateral Analyst
3 weeks ago
CoBank Fargo, United StatesOverview · A career at CoBank can offer you the opportunity to make a personal impact on the people and communities where we do business. When you choose a career with CoBank, you make a difference by doing work that matters. In order to be the best, we hire the best · Remarkabl ...
-
Apprenticeship Compliance Coordinator
3 weeks ago
IEA Infrastructure and Energy Alternatives Fargo, United States Full timeOverview · Responsible for ensuring the project's operations and site leaders adhere to the Inflation Reduction Act (IRA) compliance requirements, including Apprenticeship Reporting and Prevailing Wages. The Apprenticeship Compliance Coordinator will provide audit information to ...
-
Healthcare Accounting
5 days ago
Eide Bailly Fargo, United States Full timeWhy You'll Love Working Here · At Eide Bailly we believe respect is how to treat everyone, not just those you want to impress. Our culture focuses on collaboration to achieve career growth. Innovation is highly encouraged, which is where programs like our EB Xchange originate. T ...
-
Temporary Overnight House Charge
5 days ago
Prairie St. John's Fargo, United States TEMPORARYJob Description · Responsibilities · Prairie St. John's has been providing services for children, adolescents, and adults to address behavioral health and substance use challenges since 7. Prairie offers inpatient hospitalization, day treatment, supportive housing and intensi ...
-
Accounting Manager
3 weeks ago
Express Employment Professionals Defunct Fargo, United StatesProfile insights · Find out how your skills align with the job descriptionSkills · Do you have experience in · QuickBooks ? · Job details · Job details · Here's how the job details align with yourprofile .Pay · Job type · Full-timeShift and schedule · 8 hour shiftDay shi ...
-
Vice President Finance
4 days ago
Valor Victoria Fargo, United StatesThe Vice-President of Finance is a leadership position with responsibility for oversight of all financial functions for the company. This role is a member of the Executive team and will report to the COO. Valor Victoria (VV) is a team with a fully remote workforce, which presents ...
-
Vice President Finance
3 weeks ago
Grey Search + Strategy Fargo, United StatesLocation: on-site in Fargo, ND (could consider hybrid 3 days per week in office) and travel to Phoenix, AZ 6-8 times per year. · About the Role: Manages the FP&A, Accounting and IT related functions within a business unit. Special emphasis on strategic planning and what drives t ...
-
Pharmacy Technician
1 week ago
Essentia Health Fargo, United States Full time· Job Description: · Become part of Essentia's accomplished team where our mission guides us every day: We are called to make a healthy difference in people's lives. This calling resonates deeply for our caregivers and our colleagues working behind the scenes, who all bring high ...
-
Site Safety Coordinator or Specialist
3 weeks ago
IEA Infrastructure and Energy Alternatives Fargo, United States Full timeOverview · Responsible for assisting the Safety Managers in all job-site office related safety matters. Responsible for safety functions necessary to support Mastec Renewables at an assigned jobsite. Conduct site safety orientation, basic safety trainings, job safety analysis, wo ...
-
Healthcare Revenue Cycle
3 weeks ago
Eide Bailly Fargo, United States Full timeWhy You'll Love Working Here · At Eide Bailly we believe respect is how to treat everyone, not just those you want to impress. Our culture focuses on collaboration to achieve career growth. Innovation is highly encouraged, which is where programs like our EB Xchange originate. T ...
-
Shop Technician III
4 days ago
Caterpillar West Fargo, United States OTHERJob Description: · Your Work Shapes the World at Caterpillar Inc. · When you join Caterpillar, you're joining a global team who cares not just about the work we do – but also about each other. We are the makers, problem solvers, and future world builders who are creating strong ...
-
Senior Finance Accountant
1 week ago
Eide Bailly Fargo, United States Full timeWhy You'll Love Working Here · At Eide Bailly we believe respect is how to treat everyone, not just those you want to impress. Our culture focuses on collaboration to achieve career growth. We promote happy employees by making work/life balance a priority along with being active ...
-
Warehouse Forklift Operator
1 week ago
Ryder System, Inc. West Fargo, United StatesRyderWarehouse Forklift Operator · West Fargo, ND, 58078, USA · Position Description · Ryder is immediately hiring a Permanent Full Time Warehouse Forklift Operator in West Fargo, ND · Warehouse Positions Pay Weekly · Hourly Pay: $19.00 per hour · Overtime Pay: $28.50 per hour ...
-
Mail Operations
1 week ago
Ascensus Fargo, United States Full timeJob Description · Department Responsibilities: · Ascensus Trust is responsible for the back office trust processing for plans including processing incoming contributions (checks, wires, and ACHs) and outgoing distributions. This team works closely with internal and external clie ...
-
Case Manager
3 weeks ago
PAM Health Fargo, United States Part timeCase Manager (RN, OT, PT, SLP, RT or LSW) · The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources ...
Supervisor Provider Audit - Fargo, United States - Noridian Healthcare Solutions
Description
* Position is eligible for Remote / Work from Home opportunity *
Department: Provider Audit
Telecommuting Eligible: Yes
Job Grade: E13
Notice of Collection & Privacy Policy for Applicants Residing in California:
Job TitleSupervisor Provider Audit
Job SummaryThe Supervisor Provider Audit is responsible for leading and development the Centers for Medicare & Medicaid Services (CMS) provider audit and reimbursement employees to ensure the team is administering the organization's contract with the best possible service while maintaining contract expectations and performance metrics within the budget and time constraints.
Essential FunctionsKey Duties/Responsibilities/Accountabilities
Above requirements and the following:
Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.
Statement of Other DutiesThis document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total Rewards Package:Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
CMS Access Compliance and Regulation Contingency StatementSome positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian' prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal Employment OpportunityEqual Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities as well as Sexual Orientation or Gender Identity.
Below is the salary range for potential new hires.
Salary Range: $68, $113,369.53
Other Compensation: Self-Managed PTO (if applicable), Incentive Plan
Lifestyle Benefit: $50/month
This job will be closed 05/06/2024 at 8:00AM CST. No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR c)
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
