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Audit Manager

Company: Valued Relationships, Inc.
Location: Arlington
Posted on: November 21, 2022

Job Description:

Overview:Manages all external operational/regulatory requests across the Monitoring and Meals business units. Leads and manages internal operational audits to prepare for and ensure compliance with external regulatory audits. Develops and manages tracking of internal and external operational/regulatory audits and ensures a system and process for closed-loop feedback with internal business units implicated by the underlying regulations and impacted by any related audit findings. Reviews findings with Senior Director and develops clear and informative reporting to present to senior leadership. Reviews applicable regulations and relevant findings with the Contracts and Quality team to coordinate with impacted business units for implementation of process to ensure compliance. Leads development, with support and input from relevant stakeholders, of a scalable, repeatable set of operational processes, policies, and procedures, based on 50-state survey of regulatory requirements, contractual obligations, and relevant audit findings.Salary range: $65,000 $90,000Responsibilities:Develop a deep understanding of the business and operations, and all of the rules, regulations, ordinances and other requirements affecting itLead onsite and remote desk surveys and audits from any federal, state, and local regulatory authorities.Maintain and optimize systems designed to keep track of audit records, responses, adverse actions.Build an efficient and scalable process for managing regulatory and operation audits to close the loop between audit results and operations to help improve processesDocument, summarize, and communicate monitoring and auditing results and findings, including recommendations for corrective action or enhanced risk mitigation and prepare analysis for impacted departments.Independently create professional reports and dashboards to advise leadership and impacted departmentsDesign and conduct continuous readiness activities in collaboration with the business and operations teams.Develop and coordinate internal auditing processes.Conduct investigations on irregularities and errors, as indicated by internal and external audits.As the Subject Matter Expert for operational requirements across all states, markets, and applicable business units and related external risk, support the development and implementation of operational policies and procedures.Draft recommendations on corrective measures, with business input. Manage meetings/schedules, root cause and review issues, collaborate with leaders, facilitate discussions to align on corrective actions, and follow up with management to ensure actions are taken timely and as agreed.Supervise, coach, evaluate, and develop individuals on a variety of work-related issues toward the continual improvement and overall management of performance within the department.Demonstrate an ability to effectively and continually prioritize and identify new issues requiring attention in a risk-prioritized manner and help drive resolution within and beyond scope of responsibility.Develops and maintains working relationships with internal and external stakeholders.Maintains access to, and security of, highly sensitive materials.Maintains project productivity and quality goals.Other duties as assigned.Qualifications:Bachelor's degree required. Degree in Law, Healthcare Administration, Finance or relevant field is a plus.Minimum of three (3) years' experience leading and responding to operational/regulatory audits.Experience understanding and interpreting regulations required. General knowledge of and experience with contracts or in a legal function is a plus.Strong knowledge of healthcare industry, public health plans (Medicaid or Medicare), and applicable regulations, preferred.Excellent writing and speaking skills.Driven and proactive problem solver, who consistently acts with integrity and speaks up.Ability to interact effectively at all levels of the organization in a fast-paced environment while building strong internal relationships and influence across departments.Owners' mindset, with the ability to approach feedback and problems with a positive attitude.Analytical, business-oriented approach to recognizing needs/problem areas, anticipating issues, and proposing effective solutions.Excellent organizational skills and extraordinary attention to detail and preparation to ensure accuracy of all assigned tasks, including documentation and complete request response.Outstanding communication and interpersonal abilities.Self-motivation and the ability to work independently and with teams.Proficient in managing multiple tasks with short deadlines at the same time. Ability to prioritize and meet critical deadlines.Proficient in the use of Adobe, Word, Excel, Outlook, and PowerPoint. Experience with SmartSheets a plus.

Keywords: Valued Relationships, Inc., Arlington , Audit Manager, Executive , Arlington, Virginia

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