Role Scope:

The Habitat Health Audit Manager has oversight for ensuring the successful outcome of the organization’s for Centers for Medicaid & Medicare Services (CMS) and State Administering Agency (SAA) audits, and for partnering with leadership to foster a culture of compliance. The Manager, Audit (“Manager”) reports directly to the VP of Compliance (Compliance Officer) and serves a key role in ensuring effective audit preparation and CMS and SAA audit results. Specifically, the Manager will be responsible for:

• Audit readiness activities for CMS and SAA audits, including internal monitoring of audit universe data (ex. medical records), training, review of applicable company policies/procedures, and corresponding processes;

• Live audit management, including serving point with the CMS and SAA audit teams, submission quality assurance, and corrective action plan development, approval, and monitoring;

• Expertise on PACE audit data, trends, best practices, and risk mitigation and responses to audit-related questions and business development components;

• Regular and consistent internal audit-related reporting and metrics for the Chief Medical Officer, the Executive Compliance Committee, and compliance subcommittee of the Board of Managers;

• Makes recommendations for updates to the Compliance Department’s annual auditing and monitoring workplan and recommendations to the business on needed areas of focus based on audit findings and PACE regulatory trends;

• Build and fosters collaborations with the Habitat Population Health and Practice Operations teams regarding audit-related impacts to the Quality Improvement Program and center operations; and

• Performs other Compliance Department duties, as needed.

As a member of the Compliance Department, the Audit Manager is also expected to represent the compliance program within the Habitat Health team, including:

• Developing and maintaining productive relationships with all levels of staff; and
• Championing the compliance program.

Some travel will be required, including but not limited to, travel in anticipation and support of regulatory audits.

Minimum Qualifications:

• Aligns with our purpose and our values, and is excited about living those out in daily practice.

• Ability to lead with influence.

• Minimum of three (3) years of experience in healthcare audit or related field.

• Clinical licensure (ex. RN).

• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.

• Ability to work in a fast-paced environment and in an efficient manner.

• Optimistic and can-do approach.

• Excellent organizational skills and attention to detail.

• Ability to review and interpret data and make data-based recommendations.

• Excellent interpersonal, verbal, and written communication skills.

• Manage multiple projects and identify opportunities for internal and external collaboration.

• Knowledge of the Microsoft 365 suite.

Preferred Qualifications:

• Bachelor’s degree in health care administration, public health, health care operations, public policy, or a clinical field.

• Certified in Healthcare Compliance (CHC).

• Experience with PACE, DHCS, and/or CMS.

• Working knowledge of Epic.

Compensation & Benefits:

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.

The expected salary ranges for this position are as follows. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

Tier I (CA, NY, WA, HI): $135,000 to $157,000

Tier II (MA, CO, Austin, TX, AZ): $128,000 - $150,000

Tier III (All Other Locations): $121,000 - $142,000

Vaccination Policy, including COVID-19

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as and essential requirement of this role. Requests for reasonable accommodations due to an applicant’s disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment.

Our Commitment to Diversity, Equity, and Inclusion:

Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at careers@habitathealth.com.

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/.