Job description

The Auditor - Benefit Administration Program is responsible for performing internal audits and monitoring activities related to the Over the Counter (OTC) supplemental benefit under Medicare Advantage and Medicaid Plans. The Auditor is also responsible for reporting audit results to management/operational designees and assisting with the development of remediation plans as necessary.

I. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Perform internal audits and monitoring activities to ensure compliance with company policies, client contracts, and regulatory guidelines.
• Perform quality review audits in OTC Distribution Facility to ensure OTC orders are packed correctly in accordance with Convey’s policies and quality standards prior to shipment.
• Report results of auditing and monitoring activities and assist with the development of remediation plans as necessary.
• Track the progress of remediation plans.
• Provide assistance with external client audits requests.
• Participate in ongoing education and training.
• Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
• Conform with and abide by all regulations, policies, work procedures and instructions.
• Act, dress, and behave in a professional manner to reflect a positive image of the company.

II. OTHER DUTIES AND RESPONSIBILITIES

1. Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company.

2. Responsible for participating in quality assurance, compliance and in-service and continuing education activities as requested by Company.

3. Responsible for performing other duties and responsibilities as required.

IV. JOB REQUIREMENTS

• Bachelor’s degree (B.A.) from four-year college or university preferred; or one to two years related experience and/or training or equivalent combination of education and experience.
• Experience in audits also desired.
• Knowledge of Medicare regulations and processes preferred.

Knowledge, Skills, and Abilities:

• Knowledge of Microsoft Word, Excel, and Outlook.
• Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Meets productivity standards; Strives to increase productivity.
• Is consistently at work and on time
• Listens and gets clarification; Responds well to questions.
• Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
• Prioritizes and plans work activities to complete projects on time; Uses time efficiently; Sets goals and objectives; Develops realistic action plans.
• Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals.
• Observes safety and security procedures; Reports potentially unsafe conditions;
• Ability of add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Commitment to high ethical standards

14. Skill in communication and interpersonal skills sufficient to exchange or convey information and to receive work direction.

15. Skill in organizing and prioritizing tasks.

16. Knowledge of business English grammar, spelling and composition.

17. Knowledge of business etiquette.

18. Must be able to operate computer, calculator, copier, fax machine, phone and other office equipment.

19. Must be able to multi-task and think quickly.

• Ability to communicate well orally and in writing in the English language.
• Ability to analyze data and prepare reports.
• Ability to interact professionally and maintain effective working relationships with superiors, coworkers, customers, and others.
• Ability to work efficiently in a stressful environment with many interruptions.
• Ability to be flexible and juggle many assignments or projects at the same time.
• Ability to read and comprehend oral and written instructions, short correspondence, and memos
• Ability to effectively present information and respond to questions in one-on-one and small group situation to clients and other employees of the organization
• Ability to collect data, establish facts and define problems
• Capable of thinking logically and sensibly to come to rational conclusion based on facts

Job Type: Full-time

Pay: Up to $45,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Accounting: 1 year (Preferred)
• Microsoft Excel: 1 year (Preferred)

Work Location: Remote

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