Michigan Veterans Jobs

Mobile michigan-jobbank Logo

Job Information

Vision Service Plan DBA VSP Global Senior Client Agency Audit Administrator in Livonia, Michigan

span class="jobdescription"spanVSP Global is comprised of five complementary businesses that combine high-quality eye care insurance, high-fashion eyewear, customized lenses, ophthalmic technology and retail solutions, with employees in over 23 countries. No matter the role, we're all focused on a singular mission: to help people see. Learn more by visiting /spandivdivdivfont class="bold"General Summary/font/divdivManages Managed Care, Exchange, State, and Federal client audits. Acts as the client audit expert/advisor and the primary contact for Health Plan, Exchange, State, and Federal auditors. Lead corporate-wide Client Corrective Action Plans (CAPs) engaging internal business partners and ensuring all deadlines and requirements are met. Collaborate with account teams, sales executives, Compliance Team, Legal, and internal business partners on strategies to manage client expectations, legal requirements, and business impacts as a result of audits./div/divdivdivfont class="bold"Essential Functions/font/divdivFacilitate key client, Federal, and State regulatory audit meetings including; pre-audit analysis; internal business partners preparation, client/ client auditor alignment, closeout meeting, and CAP development, or required to follow up. Develops responses to audit questionnaires and/or corrective action plans; interprets client and regulatory agency needs and expectations; formulates recommendations for changing or enhancing VSP systems, processes, policies and procedures; and, ensures that corrective action plans are disseminated, assessed and resolved to positively influence client retention and regulatory compliance. Responsible for signing off and formally closing out every VSP client audit and CAPs. Engages the Internal Audit (IA) team to randomly provide verification of process and system changes by business areas to address CAPs. Builds effective relationships with business units to ensure the client/agency audit needs are met from initiation (pre-audit) through completion (post-audit). Responds to questions and influences clients/agencies regarding a broad range of complex requirements that impact VSP operations. Negotiates deliverables, time frames, and trade-offs while ensuring clients/agencies understand VSP policies, procedures, systems, and the solutions proposed to correct deficiencies.brConducts research and analysis into the nature, effect, and feasibility of client/agency post-audit requirements for deficiency correction. Develops and maintains data repositories to support tracking, trending, and reporting of audit activity and to ensure the accuracy, consistency, and integrity of audit information. Produces reports, timelines, and graphics using advanced functions of VSP computers and software. Keeps stakeholders at all levels of the organization informed of the outcomes, issues, and concerns regarding the audit process and associated results. Serves as a mentor for Client and Agency Audit Administrators./div/divdivdivfont class="bold"Job Specifications/font/divdivTypically has the following skills or abilities: Bachelor's Degree in Business Administration or related field Minimum 5 years of experience, working directly with client auditor, client contractual agreements, regulatory audits or regulatory requirements such as Medicaid, Medicare, DMHC, URAC, NCQA, and JCAHO Excellent organizational and project management skills, including the ability to l

DirectEmployers