Talent.com
Client Audit Specialist - Remote
Client Audit Specialist - RemoteMontana Staffing • Helena, MT, US
Client Audit Specialist - Remote

Client Audit Specialist - Remote

Montana Staffing • Helena, MT, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Client Audit Specialist - Remote

At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.

As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and / or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and / or functional audit expectations.

Responsibilities :

  • Review and interpret assigned audit requests to determine scope, impacted business areas and stakeholders, and evidence necessary to fulfill and manage the audit request
  • Present sample cases or evidence data for assigned processes and act as a subject matter expert for business requirements, system specification, process flows, process change, Federal and / or State regulations and / or accreditation standards implications
  • Develop and maintain key internal and external stakeholder relationships to effectively provide audit consultation, streamline work activity, create / drive efficiencies, and ensure consistent, timely, and accurate audit completion, reporting, or submission of deliverables
  • Monitor audit progress and proactively identify and mitigate risks (including performance guarantee implications) to audit completion; appropriately escalate to Audit Advisors, department leadership or operational stakeholders and provide remediation recommendations to prevent delays or future findings
  • Perform quality reviews and analysis of audit deliverables to ensure compliance with contractual and regulatory requirements
  • Ensure stakeholders have a thorough understanding of their audit-related responsibilities, are accountable to producing deliverables accurately and on time, and are informed of relevant audit status updates or changes
  • Ensure thorough audit records are developed and maintained, with emphasis on accuracy, relevance, and timeliness; prepare necessary documentation for audit activities including deliverables, reports, findings and recommendations; provide clear and concise audit result communications to internal and external stakeholders
  • Integrate project management and organization capabilities by effectively communicating and leading audit strategy, deliverables, requirements, milestones and accountability, throughout the entire audit
  • Support department enhancement initiatives to ensure accurate and thorough training and procedural materials are available and maintained
  • Other duties as assigned

Minimum Qualifications :

  • Bachelors degree in Business, Health Care Services or related area of study, or equivalent combination of education and / or relevant work experience; HS diploma or GED is required
  • 2 years of relevant work experience in audit, compliance or operations within a regulated environment
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
  • Additional Qualifications :

  • Effective verbal and written communication, and presentation skills; ability to effectively distill complex information into clear and compelling presentations and leadership briefings
  • Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport and collaborate effectively across departments, internally and externally, and at all levels within an organization; ability to confidently represent the business and interact with external entities
  • Demonstrated critical thinking and analysis skills, with proven ability to navigate ambiguous, complex and challenging situations while maintaining professionalism, tact, and empathy
  • Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple, complex projects, under pressure and strict timeframes, without compromising quality
  • Agility and adaptability to change and navigate in a demanding, dynamic, fast-paced, intense, and matrix environment
  • Ability to use independent judgment and critical decision making in the analysis of audit processes and evidence
  • Intermediate to Advanced skills in Microsoft Office Suite (Word, Excel)
  • Preferred Qualifications :

  • Health insurance / PBM operations and / or contract audit experience
  • Experience with regulatory compliance for Medicare / Medicaid / Commercial or ACA drug benefit
  • Project management experience
  • Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.

    Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

    serp_jobs.job_alerts.create_a_job

    Audit Specialist • Helena, MT, US

    Job_description.internal_linking.related_jobs
    Travel Physical Therapist (PT) - $2,048 to $2,148 per week in Clancy, MT

    Travel Physical Therapist (PT) - $2,048 to $2,148 per week in Clancy, MT

    AlliedTravelCareers • Clancy, MT, US
    serp_jobs.job_card.full_time +1
    AlliedTravelCareers is working with Converdia Health Staffing to find a qualified Physical Therapist (PT) in Clancy, Montana, 59634!. ConVerdia Health Staffing- Staffing temporary and permanent jobs...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,290 per week in Clancy, MT

    Travel Physical Therapist (PT) - $2,290 per week in Clancy, MT

    AlliedTravelCareers • Clancy, MT, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.Physical Therapist (PT) in Clancy, Montana, 59634!. PT needed for 13 weeks at Elkhorn.Specialty Type : Rehabilitation The...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Title Assistant

    Title Assistant

    Flying S Title and Escrow • Helena, MT, US
    serp_jobs.job_card.full_time
    Flying S Title & Escrow is a subsidiary of Title Financial Corporation.TFC is a family-owned company providing Title and Escrow Services since 1905. We pride ourselves on taking great people and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Research Contributor (Hiring Immediately)

    Remote Research Contributor (Hiring Immediately)

    Maxion Research • Helena, Montana, US
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Boulder, Montana, us
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    AlliedTravelCareers • Clancy, MT, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with CompHealth to find a qualified Physical Therapist (PT) in Clancy, Montana, 59634!.CompHealth exists to make the locums process easier. Not only will we search for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    AlliedTravelNetwork • Clancy, MT, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with CompHealth to find a qualified Physical Therapist (PT) in Clancy, Montana, 59634!.CompHealth exists to make the locums process easier. Not only will we search for...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Remote Customer Service Representative – Product Testing

    Remote Customer Service Representative – Product Testing

    GLOCPA • Helena, Montana
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,826 per week in Clancy, MT

    Travel Physical Therapist (PT) - $1,826 per week in Clancy, MT

    AlliedTravelCareers • Clancy, MT, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with OneStaff Medical to find a qualified Physical Therapist (PT) in Clancy, Montana, 59634!. An independently-owned, nationally-recognized and amazingly awesome staff...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Product Tester – $45 / hr + Free Products – Start Now!

    Remote Product Tester – $45 / hr + Free Products – Start Now!

    OCPA • Clancy, Montana, us
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Clancy, MT

    CompHealth • Clancy, MT, US
    serp_jobs.job_card.full_time
    CompHealth exists to make the locums process easier.Not only will we search for jobs that fit your interests, we'll be here to handle all the details like credentialing, housing, travel arrangement...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel CT Tech - $3100 / Week

    Travel CT Tech - $3100 / Week

    Lancesoft • Helena, MT, US
    serp_jobs.job_card.full_time
    Lancesoft is seeking an experienced CT Tech for an exciting Travel Allied job in Helena, MT.Shift : 4x10 hr days Start Date : 12 / 15 / 2025 Duration : 13 weeks Pay : $3100 / Week. Start–End : 12 / 14 / 2025 – 0...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Paid Study Participant Specialist (Hiring Immediately)

    Paid Study Participant Specialist (Hiring Immediately)

    Maxion Research • Helena, Montana, US
    serp_jobs.job_card.part_time
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Hiring Now - Work from Home - No Experience

    Hiring Now - Work from Home - No Experience

    OCPA • Clancy, Montana, us
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Key Account Representative - Outreach Business Office

    Key Account Representative - Outreach Business Office

    The Staff Pad • Helena, MT, US
    serp_jobs.job_card.full_time
    Key Account Representative – Outreach Business Office (Full Time, Days) Location : Helena, Montana The Staff Pad has partnered with a leading healthcare organization in Helena, MT, seeking a Key Acc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Test Products from Home – $25-$45 / hr + Freebies

    Test Products from Home – $25-$45 / hr + Freebies

    OCPA • Clancy, Montana, us
    serp_jobs.job_card.part_time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,241 per week in Clancy, MT

    Travel Physical Therapist (PT) - $2,241 per week in Clancy, MT

    AlliedTravelCareers • Clancy, MT, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Centra Healthcare Solutions to find a qualified Physical Therapist (PT) in Clancy, Montana, 59634!. A great SNF / LTC is looking for an experienced or newly gradu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border Protection • Clancy, Montana, US
    serp_jobs.job_card.full_time +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted