Clayton, IN Full Time
Job Posting for Audit Case Disposition Lead (Medicare/Medicaid) at new
Are you interested in helping Government and Public Sector (GPS) clients respond to regulatory and compliance risk events? Are you a leader looking for an energetic environment that offers tremendous growth and development opportunities? If so, Deloitte’s GPS Regulatory & Compliance team could be the place for you! Our Regulatory & Compliance team helps GPS clients implement and operate their regulatory and compliance programs to preserve the reputation and public trust of the agency.
Work you’ll do
As a Manager within our Regulatory & Compliance team, you will:
- Oversee the auditors and investigators, coordinating with clinicians to work leads and cases to completion
- Support the regular reporting of cases, provide insight into case dispositions, and track overpayments
- Review the findings of the completed audits and investigations and will facilitate the proper disposition of each case
- Assist with reporting of results
- Implement, transform and support the operation of compliance programs across industry sectors, including financial services, healthcare, and energy and resources
- Help Federal agencies identify and combat risks related to anti-money laundering, financial crimes and terrorist financing
- Organize and deliver services on a cross-section of complex projects
- Actively participate in the development of business and vendor relationships
- Participate and lead aspects of the proposal development proces
- Responsible for project(s) financials including development of financial plans
- Manages day-to-day interactions with clients and internal Deloitte team
- Displays both breadth and depth of knowledge regarding functional and technical issues
- Displays leadership and business judgment in anticipating client/project needs and developing alternative solutions
- Provide counseling/coaching, oversight, and support for delivery teams and staff
- Actively participate in staff recruitment and retention activities providing input and guidance into the staffing process
The Team
Transparency, innovation, collaboration, sustainability: these are the hallmark issues shaping GPS government initiatives today. Deloitte’s GPS practice is passionate about making an impact with lasting change. Carrying out missions in the GPS practice requires fresh thinking and a creative approach. We collaborate with teams from across our organization in order to bring the full breadth of Deloitte, its commercial and public sector expertise, to best support our clients. Our aspiration is to be the premier integrated solutions provider in helping to transform the GPS marketplace.
Our Regulatory & Compliance team helps clients assess and transform the process, controls, and infrastructure needed to address a wide variety of regulatory and compliance risks. Our professionals assist clients with how to best meet regulatory expectations, reduce risk, and become more confident in their programs.
Qualifications
Required:
- Bachelor’s Degree in Accounting, Finance, Economics, Computer Science, Management Information Systems, or related field
- 7+ years experience with Medicare and Medicaid audit
- 4+ years of relevant consulting or industry experience
- 2+ years in a technical or functional lead role
- Experience with Fraud Detection, Prevention, and Risk Assessments
- Experience with improper payments
- Experience with Medicare and Medicaid (MDS) rules and compliance
- Experience mentoring and coaching others
- Proven leadership skills demonstrating strong judgment, problem-solving, and decision-making abilities
- Experience managing senior-level client relationships
- Experience presenting to clients or other decision makers to present and sell ideas to various audiences (technical and non-technical)
- Pre-sales, proposal, and RFP experience
Preferred
• Previous Federal Consulting
• Advanced Degree in related field
• CPA, CAMS, and/or CFE certification
• Knowledge of financial statement audit, forensic accounting and/or risk modeling
• Experience working in regulatory compliance programs and/or investigative environment
• (Recruiters can add more bullets if needed)
How you’ll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center.
new