Compliance Auditor

Qualifications you’ll bring:

• Bachelor’s degree required.
• Two years (2) of experience in auditing/monitoring health insurance companies.
• Experience with Medicare regulations preferred.
• Understanding of regulatory and operational responsibilities of health insurance plans.
• Strong written communication skills with the ability to produce clear, concise, and professional reports.
• Excellent interpersonal communication skills with the ability to interact professionally and cooperatively with all levels of the organization.
• Ability to work collaboratively in teams required.
• Demonstrated analytical and problem-solving skills are required.
• Able to work independently and simultaneously handle multiple projects (multi-task) and meet deadlines.
• Understanding of auditing principles, development of audit plan, scoping, work papers, checklists, sampling, and reporting.
• Ability to research and resolve problems with minimal assistance required.
• Detail-oriented with strong analytical and technical skills with demonstrated ability to manage data and data reporting.
• Demonstrated experience in Microsoft Word, Excel, PowerPoint, Outlook and Microsoft Teams.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Researches and monitors regulatory requirements to ensure thorough understanding of compliance obligations.
• Performs independent and objective auditing and monitoring of MVP’s business areas to ensure compliance with all applicable laws, regulations and policies and procedures.
• Communicates findings and recommendations to business areas.
• Works with business areas to ensure strong corrective actions are implemented.
• Assists with the development/maintenance of databases to document MVP’s regulatory requirements.
• Provides guidance and training to business areas, as needed.
• Identifies process improvement opportunities and works with relevant stakeholders on implementation.
• Develops measurement tools to improve reporting and communication.
• Assists in the development of presentation materials for executive management.
• Maintains a cross-functional area mindset looking to enhance network of assurances.
• Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you’ll be:

Hybrid to Schenectady, NY (eight days a month in office)

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates. 
 
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
 
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
 

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [email protected].