Apply today and become a valuable member of Modivcare PCS.

All Metro Health Care - NY, a Modivcare Personal Care Service, is looking for an Audit Support Representative III. You will have the opportunity to make a positive impact on the lives of our patients by ensuring their care needs are met effectively and efficiently.

• Schedule: M - F 8:30am - 5pm 
• Office Address: Remote
• Travel Requirements: 20% travel to offices throughout NY, FL, and NJ. 
• Pay Range: $24.88 - $33.59

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

You will...

• 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.

Knowledge, Skills, and Abilities required...

• Understanding of healthcare regulations, laws, and standards, as well as industry best practices Page 2 of 3 and emerging trends.
• Analytical skills and the ability to identify opportunities for improvement. • Process improvement skills and experience.
• Highly detail oriented and organized.
• Proficient in Microsoft office packages (Word, Excel, and Outlook).
• Excellent interpersonal and communication skills, including the ability to build and maintain effective relationships with diverse stakeholders.
• Demonstrate ability to work collaboratively across departments and functions.
• A commitment to quality, safety, and patient-centered care.
• Must be results oriented, customer focused, and exhibit good interpersonal skills.

We are excited to speak to someone with the following…

• High School Diploma required.
• One (1) plus years of related experience and/or training.
• Or equivalent combination of education and/or experience.

We live and lead by our Values…

• We treat everyone with dignity and RESPECT
• We earn the TRUST of our members, and each other
• We provide RELIABLE services that open doors
• We serve with courtesy and COMPASSION
• We prioritize SAFETY
• We communicate with purpose and TRANSPARENCY

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace