w3r Consulting · 15 hours ago
Auditor
Chicago, IL
Contract
Hybrid
Entry, Mid Level
2+ years expw3r Consulting is seeking an Associate Auditor responsible for auditing, creating reports, managing findings, and reporting results based on regulatory requirements. The role involves evaluating and monitoring activities and functions delegated to contracted entities for assigned products and business lines according to corporate and regulatory standards.
AnalyticsConsultingInformation TechnologyLegal
Responsibilities
Auditing
Creating reports
Managing findings
Reporting results based on regulatory requirements and operational controls
Evaluating and monitoring activities and functions delegated to contracted, delegated entities for assigned products and business lines according to all corporate and regulatory/accreditation requirements and standards
Qualification
Required
Bachelor's degree in business or medical OR 4 or more years' experience in a managed care environment
2 to 4 years experience in overseeing delegated oversight activities
Project Management skills and experience
Knowledge of regulatory/accreditation requirements and standards both for CMS and State requirements i.e. (TDI, HFS, NMCC, CMS, NCQA, OIG, etc.)
Verbal and written communication skills
Organizational skills and the ability to handle multiple priorities
PC proficiency to include Word, Excel, and PowerPoint
Ability to Travel (20%) if applicable
Compliance and financial auditing for Delegation Oversight Experience
Preferred
Bachelor's degree in business, medical or public health
Knowledge of Power Point, Visio and Access
College level courses or certification in project management
Medical Claims Processing for both Medicaid, Medicare and DSNP a big plus
Company
w3r Consulting
W3R Consulting is an information technology company that provides advanced analytics and program management services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
E
Eric Hardy
President and CEO
Company data provided by crunchbase