CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for a Audit Support Specialist. You will have the opportunity to make a positive impact on the lives of our patients by auditing care records, inclusive of client and caregiver files, in a timely and efficient manner.

• Pay: $25-$30/Hourly based on experience 
• Schedule: M-F 8:00AM-5:00PM 
• This is a Remote position

Benefits and Perks…

• Medical, Dental & Vision Insurance
• 401(k) with a 6% match
• Paid Time Off
• 10 Paid Holidays 
• Employee Assistance Program
• Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
• Voluntary Term Life and AD&D Insurance
• Legal Services Insurance
• Short-Term and Long-Term Disability
• Accident, Critical Illness & Hospital Indemnity Insurance

• Implement audit strategies and plans to assess the quality of care and compliance with regulations.
• Support the response to requests from external auditors (e.g., payors or regulators) timely, including quality of care concerns, payor record requests, and re-credentialing audits.
• Conduct audits of processes, procedures, and systems to ensure compliance with quality standards and regulations.
• Communicate audit findings and recommendations to senior management and other stakeholders.
• Work with teams to identify action plans to address audit findings and support implementation of corrective actions.
• Build and maintain relationships with internal and external stakeholders, including healthcare providers, regulatory agencies, and patients or clients.
• Collaborate with other departments (Operations, HR, Program Enrollment, IT, etc.) to conduct audits.
• May support projects and perform other duties as assigned.

• High School Diploma required.
• One (1) plus years of related experience and/or training.
• Or equivalent combination of education and/or experience.
• Highly detail oriented and organized.
• Proficient in Microsoft office packages (Word, Excel, and Outlook).
• Understanding of healthcare regulations, laws, and standards, as well as industry best practices and emerging trends strongly preferred.

Our Mission:

• To provide access to the care that matters for those who need it most.

Our Values:

• Caring: We care about what we do and who we do it for.
• Collaborative: We value the perspective and experience of all.
• Dedicated: We are committed to making a real world impact.
• Purposeful: We know our work has meaning.