Remote Audit & Compliance Manager (PACE Healthcare)

Habitat Health

San Francisco (CA)

Remote

USD 132,000 - 175,000

Full time

16 hours ago

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Benefits offered by this job

Medical, dental, and vision insurance

Paid parental leave

401(k) match

Paid time off

Company paid holidays

Job summary

Habitat Health is seeking an experienced Audit Manager to lead CMS and SAA audits, manage live audit activities, and develop corrective action plans. This remote role travels up to 30% and partners with the Compliance Department to strengthen the Quality Improvement Program.

Qualified candidates have 3+ years in healthcare audit, an RN license, and knowledge of PACE compliance. CHC, Epic, and Microsoft 365 skills are desirable. We offer a base salary range and comprehensive benefits.

Qualifications

Minimum of three (3) years of experience in healthcare audit or related field.
Active and unrestricted Registered Nurse (RN) License.
Experience in PACE compliance highly preferred.
Aligns with our purpose and our values, and is excited about living those out in daily practice.
Ability to lead with influence.
An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
Ability to work in a fast-paced environment and in an efficient manner.
Optimistic and can-do approach.
Excellent organizational skills and attention to detail.
Ability to review and interpret data and make data-based recommendations.
Excellent interpersonal, verbal, and written communication skills.
Manage multiple projects and identify opportunities for internal and external collaboration.
Knowledge of the Microsoft 365 suite.

Responsibilities

Audit readiness activities for CMS and SAA audits, including internal monitoring of audit universe data (ex. medical records), training, review of applicable company policies/procedures, and corresponding processes.
Live audit management, including serving point with the CMS and SAA audit teams, submission quality assurance, and corrective action plan development, approval, and monitoring.
Expertise on PACE audit data, trends, best practices, and risk mitigation and responses to audit-related questions and business development components.
Regular and consistent internal audit-related reporting and metrics for the Chief Medical Officer, the Executive Compliance Committee, and compliance subcommittee of the Board of Managers.
Makes recommendations for updates to the Compliance Department’s annual auditing and monitoring workplan and recommendations to the business on needed areas of focus based on audit findings and PACE regulatory trends.
Build and foster collaborations with the Habitat Population Health and Practice Operations teams regarding audit-related impacts to the Quality Improvement Program and center operations
Performs other Compliance Department duties, as needed.
As a member of the Compliance Department, the Audit Manager is also expected to represent the compliance program within the Habitat Health team, including: Developing and maintaining productive relationships with all levels of staff; and championing the compliance program.
Some travel will be required, including but not limited to, travel in anticipation and support of regulatory audits.