Lead Auditor
As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators.
You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report.
You will contribute to the creation of new tools and approaches.
The Responsibilities
- Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings
- Understand client’s plans and apprise team of unique provisions / issues prior to audit
- Adjust workloads as necessary to achieve successful completion of project
- Clearly communicate and professionally interact with vendor and audit team
- Review documentation of potential discrepancies for thoroughness and accuracy
- Resolve post-audit activities in an accurate and timely fashion
- Write quality value-added draft report in a timely manner
- Participate in client presentation of findings, when requested
- Understand vendors’ processes, operating environment, and specific challenges and take them into account with daily work
- Develop working relationship with vendor counterparts
- Distribute individual claim / work queues to team in a timely manner
- Efficiently utilize audit-specific analytic techniques, tools and processes
- Ensure that Professional Excellence protocols are followed
- Meet billable hours target
- Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery
- Role will be working remotely within the posted locations.
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