Opportunity Snapshot

As Senior Auditor, you understand that the world does not belong to managers who can make the numbers dance, but to passionate leaders who have mastered the art of getting extraordinary achievement from ordinary people. You make a practice of being accessible to your team and take tremendous pride in your work ethic, bias for self-action and compulsion to share as you energize those whom you lead. . .

Now is the time to join HMS, a company rich with opportunity. Not only are we the undisputed industry leader in coordination of benefits & program integrity services for government healthcare programs, but with Medicaid spending projected to double in ten years, we are uniquely positioned to capitalize on this billion dollar market.

Overseeing a team of ten staff auditors, you will manage a variety of desk and field-based audits with Medicaid and other state and federal healthcare agencies. To be a good fit for this opportunity you will leverage your leadership track record and healthcare auditing expertise to optimize our environment and push us to the next level. You will bring solid expertise with Generally Accepted Government Auditing Standards, Generally Accepted Accounting Principles, and/or the International Standards for the Professional Practice of Internal Auditing. You will also have the ability to understand and follow company policies and procedures to review working papers and mentor/train junior auditors as needed. Of course, as in any role that requires collaboration with such diverse stakeholders, you'll take a proactive and innovative approach to building strong relationships and maintaining high levels of communication.

Since 1985 HMS has focused exclusively on the healthcare industry. Since then, we have partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars, and save billions more through cost avoidance. In spite of the economic downturn, healthcare has proven to be a recession resilient sector and we have posted 18% growth year over year since 2001. Notwithstanding, the current growth and potential future market opportunities, HMS still maintains an entrepreneurial small-company culture in which individuals can make a difference and shape their own career trajectories.

What Else You'll Bring to the Table

• Bachelor's degree in Accounting or Finance; CPA is highly desirable.
• 5+ years of healthcare auditing experience.
• Leadership prowess and ability to supervise and mentor people.
• Knowledge of the Medicaid/Medicare claims and reimbursement requirements( this includes cost reports, desk reviews, cost avoidance, field audit of Pharmacy, Professional Practitioners, Inpatient/Outpatient, Nursing Facilities, Dentists, etc).
• Familiarity with Health and Human Services (HHS) programs.
• Skill in collecting and analyzing complex data and drawing logical conclusions, including knowledge of statistical sampling.
• Ability to interpret federal, state, and local laws, rules and regulations.
• Excellent written and verbal communication skills, particularly in documenting Audit Report findings and in presenting findings and recommendations.
• Interpersonal savvy and team player mentality to build harmonious working relationships with co-workers, staff and external contacts.
• Solid computer proficiency with Microsoft office suite, including Word & Excel, to prepare reports, memos, summaries and analyses.
• Knowledge of ACL and Teammate Audit Software is a plus.
• Ability to travel (approximately 35%) throughout the state of Texas and other states.

What's in It for You

• Influence & impact -- since you'll be joining a new division, you'll be able to make your mark in short order as you shape a new product line; you'll also have the opportunity to refine and improve the operation as we go along and drive auditing best practices that can be adopted at the national level.
• Skills development -- you'll gain a unique "insider's view" of our business and be able to use this insight to better tailor your audits to the needs of our organization, as you also continue to build your competencies.
• Career advancement -- you will be well positioned to transition into Management, auditing in other areas of the business, or other opportunities based on your ambition and aptitude.
• Autonomy & empowerment -- we'll entrust you with the freedom and flexibility to achieve your objectives independently with significant latitude for initiative and independent judgment.
• A culture of growth and transition -- we are positioned for explosive growth both organically and via acquisition, but are also proactive about maintaining a culture in which employee input is welcome, initiative is encouraged, and excellence and innovation are highly valued.
• Excellent benefits -- in addition to a competitive salary and bonus (we offer bonuses every year regardless of performance), we offer a comprehensive benefits package that includes a 401(k) plan with generous employer match, flexible spending plans, and much more.

More About Your Role

You will report directly (and become the right-hand person) to the Audit Manager as you take oversight of the day-to-day audit operations off the Audit Manager's plate and model the right leadership style to get the most out of the audit team.

Since our division is an evolving environment, some of your key challenges are to figure out and develop new processes, as well as understand the nuances of our business. You'll be able to "zoom in" to learn about our organization at a granular level, and then "zoom out" again to a strategic level to analyze and see opportunities for improvements.

You'll concurrently manage 5-10 field and desk audits as you effectively prioritize and complete work within stringent deadlines. In general, your responsibilities include:

• Overseeing & performing highly advanced managerial auditing work for the Audit Division of HMS; this includes planning, scheduling, coordinating, conducting, supervising, and reporting the results of audits of Provider claims on Medicaid/Medicare, including Focused Desk Audit, Focused Field Audit, Comprehensive Field Audit, and (4) Cost Report Audit. of the providers.
• Reviewing records; directing special reviews as requested by the Audit Manager and/or clients as project manager or major audit segment lead.
• Determining whether established engagements goals, procedures, and objectives are being accomplished and evaluating compliance with policies, laws, rules, and regulations.
• Assessing the adequacy of controls intended to mitigate overpayments and safeguard assets.
• Determining whether audit client resources are being used efficiently and effectively.
• Providing training, direction and hands-on guidance to junior auditors as needed.

Keys to Success

Technical horsepower, an inquisitive mind and an endless supply of fresh ideas will serve you well in this role, but it is your leadership prowess and ability to know your team's emotional makeup to collectively move them in the direction of HMS's goals that will push you over the top.

You will also showcase the power of personal engagement as you forge strong working relationships with senior level managers, hospital CEOs and healthcare provider staff. Of course, as in any new operation, you will unleash your entrepreneurial spirit as you independently manage multiple initiatives in a deadline-driven environment.

You'll also remain flexible and see beyond the given, in unstructured or ambiguous situations, as you support diverse stakeholders and easily adjust to the evolving needs of the business.

Who We Are

Health Management Systems has always been focused exclusively on the healthcare industry. In 1985, we began providing third party liability identification and recovery services to our first Medicaid agency client. Since then, we've partnered with more than 45 Medicaid agencies, other state health programs, and more than 50 government-sponsored healthcare plans to help them recover billions of dollars and save billions more through cost avoidance.

We take a proactive approach to growing our company, both organically and via mergers and acquisitions, to ensure we provide our clients with a broad offering of best-of-breed cost containment strategies to meet their financial and operational goals.