Navitus Health Solutions · 7 hours ago
Future Talent Lead, Medicaid Audits
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Responsibilities
Facilitate and/or lead client audit activities, including internal notification and status, educating Navitus staff on audit requirements; coaching or otherwise assisting in interview preparations, when applicable, oversight of the processes that extract data needed for audits; and coordinate all audit activities
Develop, implement, and maintain an audit tracking and documentation system
Continuously communicate the message of audit compliance in all interactions with others. Assist in audit/compliance awareness, training, and education initiatives by contributing to the Compliance Department newsletter, participating in educational activities and events, and other activities as requested or developed
Assess capacity and capabilities for managing new client’s audits. Collaborate with department leads ensuring that resources are trained and available for audits
Take part in the coordination of audit assignments and ensure good interactions with the administrators, staff, external auditors, and law enforcement agencies
Oversee audit planning and reporting activities according to established policies
Assist in risk assessment and mitigation activities
Discuss with management audit observations, recommendations, and actions to be taken including resolution of issues that may have been identified through audit findings
Other duties as assigned
Qualification
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Required
Bachelor’s degree in Accounting, Finance, or Business required
Demonstrated experience with Internal Audit methodology, regulatory requirements, and processes required
Knowledge of PBM or health care industry required
The ability to consistently interact cooperatively and respectfully with other employees
Preferred
Prior experience as a Public Accounting Manager preferred
Company
Navitus Health Solutions
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.
Funding
Current Stage
Late StageRecent News
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