 |
HMS Career Opportunities |
|
HMS Career Opportunities |
Opportunity Snapshot
Rarely does an opportunity arise where one person can impact something as large as an entire healthcare system. Without exaggeration, this position with HMS's audit department is just such an opportunity.
Whether you are an RN looking for a career change, or an experienced auditor looking for the best possible company to further your career path, HMS offers you the chance to make a visible and lasting difference and to join a successful company poised for even more growth.
Health Management Systems (HMS) has always been focused exclusively on the healthcare industry. 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.
Our audit team is the "feet on the street" team that identifies Medicaid waste and fraud, enabling the recovery of literally billions of dollars back to the federal government. The impact our Auditors have is meaningful, visible and the source of a great deal of pride.
We're looking for clinical skill and personality fit rather than audit experience, and HMS offers in-depth training for new Auditors.
Our Requirements
Key Attributes
Your clinical background is important for this role, but our most successful Auditors bring additional attributes to the table, including:
More About Your Role
As a Clinical Staff Auditor, you will report directly to the Senior Auditor and join our team at our Irving headquarters. Depending on your previous experience, you will most likely begin with in-depth training which will prepare you for all aspects of your role, from accessing data electronically, to documentation, to government auditing practices to designing audit programs.
Once you are prepared, you will take on a case load which will average approximately 5-10 audits in various stages of completion. Your primary responsibility will be the identification and recovery of client overpayments made to healthcare providers from different industry practices, such as pharmacies, hospitals, nursing facilities, primary physicians, etc. You will provide on-site and desk reviews of Medicaid Claims billed and received by the providers, as well as analytical and technical support of provider records, for HMS's nation-wide auditing practice.
Generally our desk audits run anywhere from 1-3 days, while our field audits span 5-10 days. You may be actively working on two or more audits while you schedule and do advance planning for the upcoming audits and finalize others as you report your findings. As with any auditing position, you will aim to meet and exceed your targets as you drive to results and complete work within stringent deadlines.
Auditing is meticulous work, but if these responsibilities are appealing to you, there are additional rewards:
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
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.
Opportunity Snapshot
Rarely does an opportunity arise where one person can impact something as large as an entire healthcare system. Without exaggeration, this position with HMS's audit department is just such an opportunity.
Whether you are an RN looking for a career change, or an experienced auditor looking for the best possible company to further your career path, HMS offers you the chance to make a visible and lasting difference and to join a successful company poised for even more growth.
Health Management Systems (HMS) has always been focused exclusively on the healthcare industry. 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.
Our audit team is the "feet on the street" team that identifies Medicaid waste and fraud, enabling the recovery of literally billions of dollars back to the federal government. The impact our Auditors have is meaningful, visible and the source of a great deal of pride.
We're looking for clinical skill and personality fit rather than audit experience, and HMS offers in-depth training for new Auditors.
Our Requirements
Key Attributes
Your clinical background is important for this role, but our most successful Auditors bring additional attributes to the table, including:
More About Your Role
As a Clinical Staff Auditor, you will report directly to the Senior Auditor and join our team at our Irving headquarters. Depending on your previous experience, you will most likely begin with in-depth training which will prepare you for all aspects of your role, from accessing data electronically, to documentation, to government auditing practices to designing audit programs.
Once you are prepared, you will take on a case load which will average approximately 5-10 audits in various stages of completion. Your primary responsibility will be the identification and recovery of client overpayments made to healthcare providers from different industry practices, such as pharmacies, hospitals, nursing facilities, primary physicians, etc. You will provide on-site and desk reviews of Medicaid Claims billed and received by the providers, as well as analytical and technical support of provider records, for HMS's nation-wide auditing practice.
Generally our desk audits run anywhere from 1-3 days, while our field audits span 5-10 days. You may be actively working on two or more audits while you schedule and do advance planning for the upcoming audits and finalize others as you report your findings. As with any auditing position, you will aim to meet and exceed your targets as you drive to results and complete work within stringent deadlines.
Auditing is meticulous work, but if these responsibilities are appealing to you, there are additional rewards:
If this sounds like the right mix of challenge and opportunity for you, and you meet the minimum qualifications, we want to hear from you!
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.
