Nashville, Tennessee
Audit Manager Job Opening in Nashville, Tennessee - Company Description
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.5 million Tennesseans and operates with an annual budget of approximately $11 billion. It is run by the Division of Health Care Finance & Administration (HCFA) with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
Requirements:
Must be able to effectively supervise a team of five EDP auditors that perform functions including, but not limited to, the following: fraud audits; special internal audit projects; forensic investigations; audits of IT processes, controls, and business risks; enterprise-wide risk assessments; data analysis; and security reviews.
Must be able to assign projects and tasks to team members; prepare audit plans; maintain flexibility to account for any unexpected requests and due dates; and submit status updates to director.
Must be able to analyze the results of audits and review detailed reports that document the extent and scope of the examination, identify problems, and recommend possible solutions.
Preferences:
Knowledge of health care industry, NIST (Rev3 and Rev4), IRS Publication 1075, and COBIT best practices and methodology.
Analytical knowledge of the following: SAS, SQL, Oracle, EDI communication, Linux operating systems, and Visual Basic programming.
Experience or proficiency in electronic workpaper and sampling software such as TeamMate and ACL.
Professional certifications preferred: CISSP, CISA, or Linux Administrator
Qualifications:
Graduation from an accredited college or university with a bachelor's degree in computer science with a minor in accounting. Experience equivalent to five years of professional auditing, systems analysis, computer systems design, or computer programming work with a minimum of two years in a supervisory capacity. Additional graduate coursework in business administration, public administration, or computer science from an accredited college or university may be substituted for the required experience on a year-for-year basis to a maximum of one year.
Pursuant to the State of TN's policy of non-discrimination, the State of Tennessee does not discriminate on the basis of race, sex, religion, color, national or ethnic origin, sexual orientation, age, disability, or military services in its policies, or in the admission of, access to, treatment, or employment in its programs, services, or activities.
Job Type: Full-time
Required education:
Bachelor's
Required experience:
Management: 2 years
Public Accounting: 1 year
Auditing: 5 years
Healthcare: 3 years
IT: 3 years
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