What are the responsibilities and job description for the Prepayment Review Senior Manager position at Myers and Stauffer LC?
Job Description
Essential Functions And Primary Duties
Minimum Qualifications
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
Essential Functions And Primary Duties
- The Health Care Senior Manager will manage various compliance and consulting engagements including planning, communication, quality controls, client relationships, resource needs, training, monitoring, deliverable preparation and project evaluation.
- Lead and provide management on one or more 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
- Bachelor's degree in a related field or equivalent experience
- 12 or more years’ of related experience
- 5 or more years’ of supervisory experience
- RHIA Certification
- Experience managing prepayment and postpayment review of health care claims projects for State Medicaid Agencies and/or the U.S. Department of Health and Human Services programs (Centers for Medicare and Medicaid Services, etc.)
- Proficient use of applicable software programs, including Microsoft 365 Suite
- Proficient with Claude, CoPilot, OpenAI, or related artificial intelligence models
- Smartsheet experience preferred
- Alteryx experience preferred
- 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
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