Auditor II

March 17

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Logo of CGS Administrators, LLC

CGS Administrators, LLC

CGS Administrators, LLC is a company that provides scalable administrative services focused on optimizing operational performance and reducing costs for health plans. With over 50 years of experience, CGS delivers a range of services including credentialing, member services, claims processing, and fraud prevention to the Centers for Medicare & Medicaid Services (CMS) and various healthcare providers. Their aim is to streamline operations and enhance customer satisfaction, contributing positively to the healthcare delivery system.

Healthcare Administrative Services • Claims Processing • Healthcare Fraud and Abuse Prevention • Business Process Outsourcing

📋 Description

• Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. • Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. • Identifies, documents, and evaluates business risks. • Documents issues, the causes of those issues, and their effects on the process/function and the corporation. • Drafts recommendations to limit risks and improve processes, functions, and activities. • Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations. • Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. • Conducts testing of corrective actions as identified. • Develops detailed reports on each audit conducted. • Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. • Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity. • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. • Prepares reports of findings and recommendations for management. • Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

🎯 Requirements

• Required Education: Bachelor’s degree in a job-related field • Required Work Experience: 3 years auditing experience • Required Software and tools: Microsoft Office • Required Skills and Abilities: Knowledge of the principles and practices of auditing. • Ability to analyze and determine the applicability of financial data. • Ability to draw conclusions and make appropriate recommendations for analyzed data. • Ability to gather information by examining records and documents and interviewing individuals. • Strong interpersonal skills. • Ability to maintain effective working relationships. • Ability to communicate clearly and effectively in oral and written form. • Ability to handle sensitive matters on a confidential basis. • We Prefer That You Have the Following: 3 years Medicare audit experience • 12 hours accounting credits • Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)

🏖️ Benefits

• Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more

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