Myers and Stauffer LC is a certified public accounting and health care reimbursement 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 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 healthcare 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.
What We Offer:
Health, Dental, and Vision insurance along with other competitive employee benefits
Vacation time, sick time, paid holidays, and two floating 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:
As the Program Integrity Senior Manager, successful candidates will manage various Medicaid and/or Children's Health Insurance Program (CHIP) program integrity engagements, perform analysis of health care claim payments, conduct client meetings, monitor project deadlines, coordinate staff assignments, manage completion of deliverables, and prepare written documentation that supports findings and conclusions.
Essential Functions:
Possess and apply a solid understanding of appropriate federal and state billing and reimbursement regulations, policies, and procedures related to Medicaid and Children's Health Insurance Programs
Oversee analyses and audits relating to healthcare engagements, with a focus on identification of provider fraud, abuse, or misuse of payor funds
Interact with state and federal representatives to complete project tasks and deliverables
Review policies at regular intervals and track developments in the relevant law or regulation
Update policies and procedures in accordance with new developments
Identify risks
Develop and manage staff
Develop testing procedures and draft corrective action plans
Maintain successful client relationships
Oversight of work plan functions, due dates, and preparation of deliverables
Assist in the preparation of training materials and staff development
Maintain security and confidentiality of all protected health information encountered during performance
Additional responsibilities as assigned
Requirements:
Bachelor's degree in Accounting, Finance, Information Technology or related field required
8 years experience in public accounting or related field
5 years supervisory
Proficient use of applicable software programs, including Microsoft Word, Excel, Access, Windows, SQL Server
Must have strong ability to analyze data to identify issues and potential fraud
Organized and detail oriented with strong problem solving skills
Demonstrated ability to communicate verbally and in writing with all levels of an organization, both internally and externally
Effectively multi-task with planning and efficiency
Must be able to manage multiple deadlines and prioritize assignments
Ability to work in a team environment
Must be able to travel based on client and business needs
Ability to represent the firm in project meetings, training sessions, and national conferences
Proficient use of applicable technology to include: administrative programs, spreadsheets, word processing, database manipulation and internet research
Proven high level of business integrity, client service and leadership skills
Ability to formulate, document and recommend new policies and procedures
Strong analytical and problem solving skills
Must be able to travel based on client and business needs
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 Cost Report/DSH 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
