Benefit and Performance Auditor

Responsibilities

Kforce is looking for a Benefit and Performance Auditor for a contract opportunity in Topeka, KS. Summary: The Benefit and Performance Auditor conducts various program assurance audits to ensure compliance with corporate and regulatory standards. This role involves evaluating internal management and operational controls, verifying adherence to policies, procedures, contracts, standards, and relevant laws, and reporting findings and recommendations to the manager, chief auditor, and corporate management. Responsibilities:

• Objectively and effectively manage and control the execution of activities and tasks associated with each audit and review project, according to developed audit procedures, and developing and presenting oral and written statements of conditions, findings and recommendations which are associated with each project
• Proactive in keeping current with corporate and subsidiary business goals and objectives, operations, and procedures; Auditing standards and practices; Business transaction processing technology; And management's internal control goals and objectives
• Perform audits and reviews with policies and objectives as requested by the manager.
• The auditor must apply constructive and imaginative thought while analyzing audit results and proposed solutions to a broad range of internal control, and benefit and performance issues; Through this analysis the auditor can determine why, when and to what magnitude an error has occurred in the process
• Responsible for preparing accurate and descriptive audit work papers and reports through audit testing, document review and research; Communicates results of audit with recommended solutions via written and oral reports to auditees and departmental management
• Contract-based auditing to include manual claim pricing and transaction review
  
  

Requirements

• High School diploma or equivalent required; College degree or equivalent experience in health insurance industry preferred
• Five years of operational experience required within customer service, claims, or membership
• FEP/MTM customer service experience preferred
• Analytical thinker with strong conceptual and problem-solving skills
• Meticulous attention to detail with the ability to organize priorities
• Ability to work independently and as part of a team
• Excellent documentation, communication and time management skills
• Ability to obtain information from others and professionally deliver information both orally or in written form
• Knowledge of regulatory audit programs, standards and guidelines
• Excellent understanding of health care operations with substantial systems knowledge or demonstrate the ability to learn new systems
  
  

The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.

We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.

Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.

This job is not eligible for bonuses, incentives or commissions.

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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