Compliance Auditor

Chickasaw Nation Industries, Inc.•OK Home Office, OK

7d•$55,000 - $65,000

About The Position

The Compliance Auditor supports the Centers for Medicare and Medicaid Services (CMS) Benefits Coordination and Recovery Center (BCRC). The role performs internal audits to identify potential process issues, report findings, and recommend improvements that support compliance with the Statement of Work (SOW), CMS Internet Only Manual (IOM), and other Medicare Secondary Payer (MSP) Recovery statutes and guidelines. The auditor works with the Prime contractor, accepting technical direction and providing analytical feedback, and works closely with the Prime contractor’s Compliance Officer. Responsibilities include risk assessments, audit planning and reporting, internal control testing, and assisting with compliance investigations and mailbox coverage. The role also monitors standards tied to contractual obligations and changing business requirements. Work is primarily performed in an office environment. The estimated pay range is $55,000 to $65,000, with the final offer contingent on location, skillset, and experience.

Requirements

Must be able to obtain and maintain the required customer clearance for access to systems, facilities, equipment, and property.
Operational knowledge and understanding of Medicare policies and procedures.
Experience working in Medicare Secondary Payer (MSP)-related systems.
Proficiency with Microsoft Office Suite.
Detail-oriented, with strong organization, analytical, problem-solving, and critical-thinking skills.
Excellent verbal and written communication skills, including presentation and reporting skills.
Auditing experience is required.
Bachelor’s degree or equivalent work experience.
At least 4 years of experience in MSP recovery.

Nice To Haves

A degree in accounting.
Training in Medicare operations.

Responsibilities

Work with the Prime contractor, accepting technical direction and providing analytical feedback, and work closely with the Prime contractor’s Compliance Officer.
Perform annual Risk Assessments and create the Certification Package for Internal Controls (CPIC) as required by IOM 100-06, Chapter 7, Internal Controls Requirements.
Validate external audit findings, obtain management responses, and prepare summary audit reports.
Assist in developing and implementing annual audit plans using an appropriate risk-based methodology.
Assist the Compliance Officer with investigating privacy incidents received through the compliance mailbox or anonymously through Navex Global.
Assist with coverage of the compliance mailbox during business hours as needed.
Assist in investigating compliance-related complaints and concerns to help prevent potential compliance issues.
Report significant suspected fraudulent activity to the Compliance Officer.
Examine, test, and analyze internal controls.
Assess whether the BCRC’s internal control system and risk management processes adequately support operational effectiveness and efficiency, reliable financial reporting, and compliance with applicable laws and regulations.
Recommend improvements to internal controls and monitor significant, unresolved weaknesses identified in prior audits.
Monitor qualitative and quantitative standards established to meet contractual obligations and changing business requirements.