Senior Compliance Program Auditor job opportunity at Exact Sciences Corporation.

Home Jobs In United States Of America Tag: Job Senior Compliance Program Auditor position at Exact Sciences Corporation


DatePosted 6 Days Ago bot
Exact Sciences Corporation Senior Compliance Program Auditor
Experience: 3-years
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeAssociate
loacation US - WI - Madison, United States Of America
loacation US - WI - Madi..........United States Of America

Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others. Position Overview The Senior Compliance Program Auditor will play a critical role in ensuring the accuracy, integrity, and compliance of the organization’s billing practices. This individual will execute audit projects, assess risks associated with billing, regulatory, and operational risk, and work closely with internal teams to implement corrective actions and improve processes. This role may assist on audits related to interactions with HCPs/HCIs, third party vendors, and/or international distributors. The Senior Compliance Program Auditor will also help identify regulatory risks, provide actionable insights, and support the development of a strong internal control environment. This role requires a deep understanding of internal audit standards, compliance requirements, and is familiar with healthcare billing as well as strong analytical and problem-solving skills. This position is remote. Essential Duties Include, but are not limited to, the following: Assist with planning, fieldwork, and documentation of audits and reviews of laboratory revenue cycle operations to assess compliance with regulatory requirements. Analyze billing data and trends to detect and prevent fraud, waste, abuse, and potential coding issues through the use of data analytics. Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy. Work with other compliance and legal staff to investigate and resolve reported compliance concerns related to revenue cycle functions. Maintain awareness of the federal, state, and local regulatory environment related to the reimbursement of laboratory services to monitor relevance to the Exact Sciences’ Compliance Program. Identify potential weaknesses in revenue cycle functions and activities and proactively suggest improvements to address them. Lead walkthroughs, document narratives, and test assigned processes and controls for Exact Sciences’ laboratory entities to ensure compliance with all policies, procedures, and processes. Prepare internal audit reports, participate in close meetings, and present summaries internally. Make process improvement suggestions to company management based on audit results. Follow up on outstanding compliance issues from previous audits. Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed. Utilize interdepartmental collaboration skills to engage across teams. Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity. Ability to take direction and independently work towards achievement of projects. Ability to articulate complex information into understandable terms and effectively communicate at all levels within an organization. Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. Support and comply with the company’s Quality Management System policies and procedures. Maintain regular and reliable attendance. Ability to act with an inclusion mindset and model these behaviors for the organization. Ability to work designated schedule. Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day. Ability to work on a computer and phone simultaneously. Ability to use a telephone through a headset. Ability to travel 25% of working time away from work location, may include overnight/weekend travel. Minimum Qualifications Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field as outlined in the essential duties. 3+ years of experience in a role requiring adherence to process, internal controls, or internal/external audit experience. Demonstrated ability to execute auditing activities. Strong written and oral communication skills. Knowledge of the health care industry, including experience in auditing compliance with the requirements of AdvaMed, FCPA, AKS, FCA, etc. Knowledge of Federal, State and local health care laws and regulations, as well as applicable regulatory agencies. Ability to work both independently and collaboratively with cross-functional teams. Strong analytical skills with the ability to interpret complex data sets and regulations. Advanced skills in Microsoft Office (Specifically Word, PowerPoint, Excel). Demonstrated ability to perform the essential duties of the position with or without accommodation. Authorization to work in the United States without sponsorship. Preferred Qualifications Public accounting experience. Advanced knowledge with data analytics platforms (Tableau or PowerBI) Familiarity with the regulatory framework governing healthcare billing, including the Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), and payer-specific guidelines. Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) designation. #LI-TA21 Salary Range: $101,000 - $138,000 (National salary range) $116,000 - $138,000 (California salary range)   The annual base salary shown is a national range for this position on a full-time basis and may differ by hiring location. In addition, this position is bonus eligible.   Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits . Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here . Not ready to apply? Join our Talent Community to stay updated on the latest news and opportunities at Exact Sciences. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub . The documents summarize important details of the law and provide key points that you have a right to know.

Other Ai Matches

Principal, Epic Payer Platform Director Applicants are expected to have a solid experience in handling Epic Payer Platform Director related tasks
Senior Application Analyst - SAP PPDS Applicants are expected to have a solid experience in handling Job related tasks
Sr. Engineer, Systems Software Applicants are expected to have a solid experience in handling Systems Software related tasks
Regional Oncology Specialist - Cincinnati, OH Applicants are expected to have a solid experience in handling OH related tasks
Technical Support Analyst, Japan Applicants are expected to have a solid experience in handling Japan related tasks
Sr. Bioinformatics Scientist Applicants are expected to have a solid experience in handling Job related tasks
Pre-Analytical Laboratory Manager Applicants are expected to have a solid experience in handling Job related tasks
Sr. Learning Technology & Governance Specialist Applicants are expected to have a solid experience in handling Job related tasks
Lead, AI Consultant Applicants are expected to have a solid experience in handling AI Consultant related tasks
Materials Management Associate I, Tues- Sat 2:00 pm- 10:30 pm Applicants are expected to have a solid experience in handling Tues- Sat 2:00 pm- 10:30 pm related tasks
Histology Clinical Lab Trainer - Phoenix Applicants are expected to have a solid experience in handling Job related tasks
Histotechnologist I Applicants are expected to have a solid experience in handling Job related tasks
Lead Medical Operations Manager, Poland Applicants are expected to have a solid experience in handling Poland related tasks
Lead Commercial Leadership Development Training Manager Applicants are expected to have a solid experience in handling Job related tasks
Lead Digital Health Strategist- West Region Applicants are expected to have a solid experience in handling Job related tasks
Materials Management Associate I Applicants are expected to have a solid experience in handling Job related tasks
Laboratory Automation and Service Operations Asset Analyst IV Applicants are expected to have a solid experience in handling Job related tasks
Supervisor, Molecular Laboratory - Tuesday - Friday, 10pm - 8:30am Applicants are expected to have a solid experience in handling Molecular Laboratory - Tuesday - Friday, 10pm - 8:30am related tasks
Histotechnologist I Applicants are expected to have a solid experience in handling Job related tasks
Lead Market Analyst, Poland Applicants are expected to have a solid experience in handling Poland related tasks
Accessioning Technician, Monday-Friday, rotating Saturdays 11am-4pm Applicants are expected to have a solid experience in handling Monday-Friday, rotating Saturdays 11am-4pm related tasks
Principal Portfolio Launch Excellence, International Applicants are expected to have a solid experience in handling International related tasks
Line Cook II - 2nd shift Applicants are expected to have a solid experience in handling Job related tasks