Audit Manager - Managed Care

Myers and Stauffer LC is a certified public accounting and health and human services reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health and human servicesprograms (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 20 offices and have over 900 associates nationwide.

At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human servicesclients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team.

What We Offer:

• Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
• Vacation time, sick time, and paid holidays
• Paid Parental Leave and available support resources
• 401K with company matching for eligible employees
• Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
• A combination of technical and leadership development training at each career milestone
• Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

Position Overview:

The Manager will lead and conduct medical loss ratio (MLR) and administrative cost audits of Medicaid managed care health plans and perform final audit reviews of MLR and health plan administrative costs. This includes analyzing financial information; performing reimbursement calculations; determining compliance with federal and state regulations; and preparing written documents supporting professional decisions.

Essential Functions:

• Provide strong leadership on audit engagements, effectively supervising staff to provide quality deliverables within the defined deadlines
• Assist in completing project deliverables and manage flow of audits through required process
• Provide quality assurance reviews on audit and attestation working papers and reports completed by other team members
• Perform various assignments relating to Medicaid managed care health plan oversight
• Coordinate staffing on projects to meet strict deadlines
• Provide high level technical knowledge and training to staff
• Mentor staff by delivering timely feedback
• Maintain security of and confidentiality of all protected health information
• Additional responsibilities as assigned

Requirements:

• Bachelors degree in accounting or related field required; Master's degree preferred
• At least 6 years' of related experience required
• Minimum 3 years' of supervisory experience required
• Must have experience leading audit engagements
• Demonstrated high level of expertise with Medicare and Medicaid regulations, with an emphasis on managed care health plan operations
• Strong analytical and problem solving skills
• Strong verbal and written communication skills
• Well organized with a high degree of accuracy and attention to detail
• Must be able to learn a significant amount of information in a short time-frame
• Effectively manage multiple deadlines and prioritize assignments
• Proficient use of applicable software programs, including Microsoft Word and Excel
• Must be able to travel based on client and business needs

The Team:
Myers and Stauffer takes pride in the welcoming and collaborative culture we have throughout our offices. For this position, the employee will report to one of our Managers or Senior Managers on the Managed Care engagement team.

Work Style:
Our general business hours are Monday through Friday 8am-5pm, but can vary based on business needs. Dependent on performance, our in-office associates are eligible for a hybrid work schedule after their initial 90-day training period. As a company, we are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

Typical Interview Process:

• Phone Screen with a Recruiter
• In person or remote interview with the hiring manager & team
• Hiring decision and job offer

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