About The Position

Working at CGS Administrators CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We are seeking a passionate, collaborative and experienced IT Process Assurance Auditor to join our enterprise project management office team. This is an on-site position in Nashville, TN. This role operates as a Capability Maturity Model Integration (CMMI) champion coordinating internal and external audits and appraisals. If you’re enthusiastic about technology, continuous improvement and have a passion for quality then look no further and join CGS Administrators, LLC! Description Logistics: CGS –one of BlueCross BlueShield's South Carolina subsidiary companies. Work Environment: Typical office environment.

Requirements

  • Required Education: Bachelor's in a job-related field Degree Equivalency: Associates degree plus an extra 2 years job-related experience for a total of 6 years of required work experience (see "required work experience") OR 8 total years required work experience.
  • Required Work Experience: 4 years of job-related experience including 2 years of IT system auditing, data security administration, contingency planning, quality assurance, systems development, or IT business system analysis.
  • Required Skills and Abilities: Intermediate knowledge of systems development concepts.
  • Fully understands acceptable internal standards and methodologies.
  • Understand the interaction and relationship of business operations and information systems.
  • Understand the interaction and relationship of network processes.
  • Demonstrated ability to analyze best-in-class processes.
  • Ability to identify problems and recommend solutions.
  • Ability to provide guidance in developing and implementing validation processes for all development and enhancement projects.
  • Excellent oral and written communication skills.
  • Required Software and Other Tools: Microsoft Office and standard office equipment.

Nice To Haves

  • Direct or indirect experience as a Capability Maturity Model Integration (CMMI) Appraisal Team Member and/or have provided support to an appraisal.
  • Completed CMMI Foundations of Capability and Building Development Excellence Course work.
  • Demonstrated collaboration with internal and external audit teams.
  • Conducted performance, improvement, and benefit analysis.
  • Developed and provided staff education.

Responsibilities

  • Responsible for examining, evaluating and analyzing I/S processes, technical standards and management procedures to ensure they are working effectively to improve the overall performance of the organization.
  • Conduct less complex audits against established standards to ensure compliance.
  • Provide recommendations of process improvements.
  • Participate in Governance sub-committees.
  • Assist IT staff by providing education and guidance to I/S staff regarding IT methodology, processes and standards.
  • Ensure the quality of data maintained by the Quality Assurance area.
  • Perform periodic audits (weekly, monthly, quarterly and annual).
  • Conduct trend analysis and provide recommendations of process improvements.
  • Provide reports to management on compliance with adapted IT standards.
  • Under the guidance of senior auditor, develop new or enhanced audits, of internal I/S areas and processes to assess compliance with adapted processes, standards and regulations.
  • Document findings and prepare detail and summary audit reports relating to the standard being validated.
  • Provide administrative support for the I/S systems which document authorized software/hardware, Product/Service offerings and/or systematic data archival.
  • Develop knowledge of internal and external standards, regulations and regulatory bodies.
  • Serve as a liaison to I/S Governance organization on applicable I/S sub-committees.
  • Identify and communicate compliance issues and risks promptly so that they are understood.

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401K retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more
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