Audit Support Specialist - Remote

ModivCare • Clarks Summit, PA

272d • $24 - $26 • Remote

About The Position

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for an Audit Support Specialist. You will be responsible for auditing care records, inclusive of client and caregiver files, in a timely and efficient manner.

Requirements

• Bachelor's degree in business administration, legal or a related field preferred.
• 2+ years of audit experience required.
• Experience using Excel and/or Smartsheets strongly preferred.

Responsibilities

• Develops and implement audit strategies and plans to assess the quality of care and compliance with regulations.
• Responds to requests from external auditors (e.g., payors or regulators) timely, including quality of care concerns, payor record requests, and re-credentialing audits.
• Reviews documentation provided to external audit request and collaborates with internal stakeholders to achieve best possible outcomes on external audits.
• Conducts audits of processes, procedures, and systems to ensure compliance with quality standards and regulations.
• Identifies and communicates audit findings and recommendations to senior management and other stakeholders.
• Works with teams to develop action plans to address audit findings and ensure corrective actions are implemented.
• Stays up to date with changes in quality standards and regulations to ensure audit processes are current and effective.
• Ensures compliance with relevant regulations, laws, and industry standards, as well as organizational policies and procedures.
• Builds and maintains relationships with internal and external stakeholders, including healthcare providers, regulatory agencies, and patients or clients.
• Collaborates with other departments (Operations, HR, Program Enrollment, IT, etc.) to conduct audits.
• May lead projects and perform other duties as assigned.
• Occasional business travel throughout Pennsylvania is expected.

Benefits

• Medical, Dental & Vision Insurance
• 401(k) with a 6% match
• Paid Time Off
• Employee Assistance Program
• Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
• Voluntary Term Life and AD&D Insurance
• Legal Services Insurance
• Short-Term and Long-Term Disability
• Accident, Critical Illness & Hospital Indemnity Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Bachelor's degree