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Home Flexible Job Board PBM Audit Senior Manager

$130,000–160,000/yr 19d ago

PBM Audit Senior Manager

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Myers and Stauffer

Owings Mills, MD, US

Full-time Permanent Remote

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Summary

The Senior Manager will lead consulting engagements, oversee project planning, and ensure the quality and compliance of deliverables. They are also responsible for cultivating client relationships, mentoring staff, and analyzing industry trends within the PBM sector.

Job Description

Responsibilities

Essential Functions and Primary Duties

  • Lead and provide management on various consulting engagements
  • Conduct project planning and evaluate operational performance
  • Provide oversight of work plan functions, due dates, and preparation of deliverables
  • Develop a system of quality controls and procedures
  • Monitor compliance with professional standards
  • Develop subject matter expertise
  • Develop engagement tools, resources, and reference materials
  • Analyze and report industry trends
  • Collaborate with colleagues on the management of the team, contract, and practice areas
  • Provide support and contribute to other engagements and teams
  • Cultivate new opportunities and/or services
  • Represent the firm at conferences, workshops, and other industry related events
  • Establish, develop, and monitor client relationships
  • Evaluate and ensure client satisfaction with work product
  • Recruit, develop and retain staff
  • Maintain security and confidentiality of protected health information and other sensitive information

Preferred Qualifications

  • Bachelor's degree in a related field or equivalent experience
  • 8 years of related experience
  • 5 years of supervisory experience
  • Proficient use of applicable software programs, including Microsoft Office Suite
  • Demonstrated ability to communicate verbally and in writing with clients and internally at all levels of an organization
  • Strong analytical and problem solving skills
  • Effectively multi-task with planning and efficiency
  • Organized and detail oriented
  • Ability to effectively and comfortably operate in a team oriented environment
  • Demonstrated high level of integrity, client service and leadership skills
  • Ability to formulate business, technical, and operational strategies
  • Ability to travel on occasion based on business and client needs

Qualifications

Minimum Qualifications

  • High school diploma or GED

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (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 21 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 service clients 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. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices.  We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

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

We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

About the company

Myers and Stauffer

Myers and Stauffer LC is a nationally-based public accounting firm specializing in accounting, consulting, data management and analysis services to state and federal agencies managing government-sponsored health care programs. Myers and Stauffer has more than 40 years experience assisting Medicaid agencies with complex reimbursement issues for hospitals, long term care facilities, home health agencies, federally qualified health centers, rural health clinics, pharmacy providers, physicians and other practitioners.

Services include:

- Cost Report Audit, Desk Review and Settlements
- Nursing Facility Case Mix Rate Setting and MDS Verification
- Hospital DRG, APC and DSH Consulting
- Fraud and Abuse Detection; Recovery Audits; MMIS Audits
- Eligibility Integrity
- Pharmacy Dispensing; Ingredient Reimbursement; State Maximum Allowable Cost
- Claims Review and Program Integrity
- Litigation Support
- Reimbursement System Design and Implementation

Founded

1977

Company size

501-1,000 employees

Industry

Accounting

Org type

Privately Held

Headquarters

Kansas City, MO

Apply Now

About the company

Myers and Stauffer

Myers and Stauffer LC is a nationally-based public accounting firm specializing in accounting, consulting, data management and analysis services to state and federal agencies managing government-sponsored health care programs. Myers and Stauffer has more than 40 years experience assisting Medicaid agencies with complex reimbursement issues for hospitals, long term care facilities, home health agencies, federally qualified health centers, rural health clinics, pharmacy providers, physicians and other practitioners.

Services include:

- Cost Report Audit, Desk Review and Settlements
- Nursing Facility Case Mix Rate Setting and MDS Verification
- Hospital DRG, APC and DSH Consulting
- Fraud and Abuse Detection; Recovery Audits; MMIS Audits
- Eligibility Integrity
- Pharmacy Dispensing; Ingredient Reimbursement; State Maximum Allowable Cost
- Claims Review and Program Integrity
- Litigation Support
- Reimbursement System Design and Implementation

Founded

1977

Company size

501-1,000 employees

Industry

Accounting

Org type

Privately Held

Headquarters

Kansas City, MO

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