Manager Provider Audit

Manager Provider Audit

The Manager Provider Audit provides people leadership and process management, while directing performance of operational and financial expectations and strategies, guidance, coaching, leadership, planning and reporting for the departmental staff, as well as various internal/external stakeholders, subcontractors, and the customer/consumer. This position leads supervisors and frontline staff to ensure the business unit is administering the organization's contracts with the best possible service, while maintaining contract expectations, seeking efficiencies to remain within budget constraints while optimizing staffing levels. This position provides staff with technical guidance regarding government cost accounting standards, principles, contractual expectations, and related activities.

• Hires, coaches, and develops staff by encouraging growth, providing adequate resources such as training and technologies, and ensuring staff are meeting performance expectations.
• Ensures the organization meets all contractual expectations including key performance indicators/metrics, quality, and profitability strategies by setting and holding to expectations for the team,
• Creates, contributes, and manages the contract(s) and corporate budgets for the department and effectively manages the available funding seeking to maximize and drive efficiencies.
• Develops, coordinates, and monitors audit plans/performance, departmental goals, and strategic plans and reporting outcomes to upper management including senior leadership within the department and organization.
• Communicates the objectives of contract objectives and projects to key stakeholders and collaborates with staff to define scope, outcomes, and visionary guidance regarding the overall contract strategic plan.
• Provides consulting/advisory on special projects as a proactive role in the identification of risks and controls.
• Monitors and coordinates communication of deliverables to internal and external customers in a timely manner.
• Understands and prepares defined updates to our customers based on contractual requirements tied to government, state, commercial, or private healthcare deliverables. Must be able to communicate this in a proactive, positive, professional manner representing the company and promoting our strengths, identifying our weaknesses, and proactively addressing our opportunities to give reassurance we are meeting our goals.
• Ensures responsiveness to internal and external audit findings and implements timely changes as appropriate.
• Investigates and communicates high profile inquiries to internal and externally customers. This may include coordination with inside and/or outside legal counsel, political, state, government officials, positively representing our company and working towards resolution of the issue in a timely manner.
• Represents Noridian through attendance, participation, and/or presentation at healthcare industry conferences and meetings
• Monitors activities of subcontractors to ensure they are performing within expectations of subcontracts and is responsible for reviewing, updating, and reporting on subcontracts.
• Ensures strong internal controls and compliance programs within responsible operations.
• Leads by example by promoting the Noridian Culture and teamwork and initiates process improvements and technology implementation and coaching staff through the process.
• Participates as the area subject matter expert, or identifying who the SME may be in the team at any level, to assist with business development activities for growth opportunities as needed.

• Other duties as assigned

• Bachelor's degree in Accounting, Business, or related field OR equivalent work experience
• 5 years' government cost accounting reimbursement regulations, policies, or related experience
• Knowledge of management theories and practices
• Understands computer information systems
• Basic accounting practices
• Demonstrated success/ability to innovate and drive continuous process improvement
• Direct or indirect leadership experience
• Demonstrated ability to facilitate resolution of complicated and controversial matter

• Bachelor's degree with at least 24 Credit Hours in Accounting
• 5 years' experience managing staff
• Strong written and oral communication skills
• Ability to motivate and manage a large group of people
• Ability to direct and maintain a productive and conducive working environment
• Ability to coordinate activities among co-workers
• Ability to develop problem solving skills within staff and oneself
• Strong analytical skills

• Office Environment
• Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
• Requires prolonged sitting and telephone usage
• Requires the use of office equipment such as computer terminals, telephones, copiers and printers
• Infrequent lifting to 15 pounds
• Infrequent stooping
• Travel up to 25%

Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.

This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.

Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.

Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian's prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.

An employee in this position may be required to possess a "Federal Identification Card" (Federal ID) as a condition of employment. Federal ID's may include one of the following: Personal Identity Verification (PIV) card, Personal Identity Verification-Interoperable (PIV-I) card, a Local-Based Physical Access Card issued by CMS, or a Local-Based Physical Access Card issued by another Federal agency and approved by CMS. Obtaining a Federal ID and continued eligibility for this position may require the successful completion of a Federal Background Investigation performed by the Federal Government and a residency requirement that you have lived in the United States at least three out of the last five years. Failure to obtain a Federal ID may result in the removal from the position or termination of employment.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Below is the salary range for potential new hires.

Salary Range: The pay range for this position is $79,267.71 - $130,374.83, per year however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Other Compensation: Incentive Plan & Lifestyle Benefit

This job will be closed 03/18/2026 at 8:00AM CST. No further applications will be considered.