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Senior Auditor Contract Compliance (Retail) - Remote - Military Veterans

at Cotiviti

Overview
The critical function of a Contract Compliance Senior Auditor is to serve as the lead for contract compliance audit services. This role requires a working knowledge of how to deliver contract compliance audit services in many industries and with a variety of contract types. The work requires the ability to execute audit steps as well as review for accuracy and appropriateness, the work of others, including the assessment of transaction data in relation to relevant contract provisions, and investigation of apparent areas of non-compliance with contract provisions. Successful candidates will be critical thinkers, able to demonstrate the ability to identify risks, develop audit plans, determine necessary data and documents to complete audit testing, and strategic methods for representing, presenting, and securing recoveries for clients, as well as future savings from root cause identification and process improvement recommendations.
Responsibilities

  • Utilize experience to perform audit procedures that include identifying and defining issues, establishing required data and documents to perform testing, analyzing evidence, documenting and supporting findings, and preparing audit reports.
  • Identify and validate over and under payments of Work is advanced in scope and complexity. Scope may include QA, auditing paid transactions, determining whether an over payment exists, identifying incorrect deductions, and data mining.
  • Communicate the results of your analysis clearly and concisely, in both written and verbal forms, to internal, supplier and client personnel.
  • Work independently, often balancing priorities between multiple audit engagements, ensuring each project continues toward timely completion.
  • Utilize and demonstrate advanced proficiency with audit tools, including MS Excel, IDEA, and others as appropriate. Perform data mining and analytics in order to verify and validate billing accuracy and compliance issues, and to support audit claims.
  • In addition to regular and predictable attendance, maintain production goals by maintaining strong project management skills and moving a group of audits forward toward completion each day.
  • Demonstrate consistency in producing high quality work product. Implement self-check and review and work to eliminate calculation errors and Participate in peer review of audit work to help the team maintain high quality standards.
  • Help draft and issue audit reports that summarize completed audit activities and audit.
  • Communicate and present audit Provide support of claims in both verbal and written form that is clear, concise and persuasive.
  • Manage conflict and maintain professionalism with clients and suppliers at all times, including when other parties are not.
  • Demonstrate aptitude in reviewing contract language in order to identify key, financial related Become familiar with supplier data support for invoicing and identify and capture relevant records that justify billable amounts.
  • Participate in and lead team knowledge sharing and training Delegate, train, and QC audit work performed by auditors. Exhibit personal initiative in learning new analytic tools and communication skills. Able to accept and provide constructive feedback in a collaborative team environment.
Qualifications
  • Bachelor's Degree in Accounting, Finance, Economics, and/or Business Administration or related field required
  • Additional education and certifications including Master of Accountancy, Economics, Law degree, CPA, CFE, CIA, CFF, CISA strongly preferred
  • 4 to 7 years of hands-on auditing experience
  • Forensic accounting, advanced excel modeling (conditional formulas, lookups, pivot tables, arrays, and VBA programming), and data mining experience are also highly desirable
  • Experience with A/P and procurement contracting is a plus
  • Strong technical skills - Word, Excel, PowerPoint; IDEA, ACL a plus
  • Strong project management skills required
  • May require travel up to 20%
Base compensation ranges from $75,000 to $93,000. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

For information about our benefits package, please refer to our Careers page.

Date of posting: 3/28/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/28/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Cotiviti is an Equal Opportunity Employer. The Company provides equal employment opportunities to all applicants for employment without regard to gender, sexual orientation or preference, gender identity or expression, race, color, religion, national origin, ethnicity, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, mental or physical disability, veteran status or any other characteristic protected by federal, state or local law, ordinance or regulation.

United States / Remote

Salary Range
$75,000 to $93,000
Cotiviti

 

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.

We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services.

Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas:

·        Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately

·        Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive

·        Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement

 

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