FULL_TIME

FEED

YEAR

Develops and implements an IT audit strategy and plan to review technical systems controls, identify control weakness and communicate significant control and compliance risk to senior management. Experience: A minimum of 7 years of IT and/or auditing work experience including managing team(s) responsible for audit, finance or accounting functions.

General Characteristics Leads and manages internal audit function for information systems audits and compliance-related work (e.g., Sarbanes-Oxley Act compliance) using generally applicable and accepted standards and framework for IT audit (e.g., COBIT). Develops and implements an IT audit strategy and plan to review technical systems controls, identify control weakness and communicate significant control and compliance risk to senior management. Provides recommendations to correct or mitigate IT systems control and compliance weaknesses. Works with corporate and IT risk management team in developing and implementing internal control policies in a wide variety of IT processes. Promotes compliance with regulatory requirements and IT best practices, especially with respect to project management, systems development and information security. Provides control-related consultancy to management teams and ensures the existing/new applications and/or technology infrastructure elements comply with enterprise security, control and audit standards in addition to passing local and federal regulatory examinations. Supervises and conducts audit activities. Prepares audit reports, advises IT leadership and business line management about the status of technology-related internal control and compliance issues, makes recommendations for risk mitigation, process, control or cost improvement approaches. Plans, manages, directs and reviews the work of technical auditors and consultants. Education: Bachelor’s Degree in Computer Science, Information Systems, Business Administration, or other related field. Or equivalent work experience. Experience: A minimum of 7 years of IT and/or auditing work experience including managing team(s) responsible for audit, finance or accounting functions. Typically possesses an IT auditing professional designation (e.g., Certified Information System Auditor (CISA)) or accounting professional designation (e.g., CPA). Breadth: Middle level management. Works under general direction of senior level management. Typically manages and mentors supervisors, project leads and/or technical staff. Works on multiple, complex projects as a project leader and a subject matter expert. Frequently reports to a corporate Chief Financial Officer, Chief Information Officer or IT Chief Operating Officer. *Please note that this application is part of our candidate pool for future staffing needs under our contract with the State of Florida. Positions may not be available immediately, and job locations, assignments, and start dates may vary depending on agency requirements. By applying, you will be considered for current and upcoming opportunities, and we will reach out if a role that matches your skills and qualifications becomes available.*Powered by JazzHR

Connective Business Solution

Manager, IT Audit

partner JazzHR

Works on projects/issues of high complexity that require in-depth knowledge across multiple technical areas and business segments. Provides guidance and subject matter expertise to IT teams on QA methodologies and processes, educates them on their responsibilities/accountabilities for the purpose of achieving on-time and quality deliverables.

General Characteristics Responsible for establishing and implementing quality assurance and compliance processes for the IT organization. Works closely with IT leaders to develop and implement an overall quality maturity roadmap and plan for each IT functional area. Works with development, testing and production teams to develop, publish and implement software quality assurance plans. Reviews progress toward the plan regularly with IT leaders, technical teams and customers to make modifications as necessary. Establishes internal IT service quality control standards, policies and procedures. Monitors, evaluates, manages and executes audit processes to ensure compliance. Coordinates and facilitates quality assurance activities across projects with project managers. Provides guidance and subject matter expertise to IT teams on QA methodologies and processes, educates them on their responsibilities/accountabilities for the purpose of achieving on-time and quality deliverables. Makes recommendations and directs improvements to the software development lifecycle process. Documents non-compliance to policies, process and standards and assists in their resolution. Analyzes and identifies trends in IT performance metrics. Designs, monitors and analyzes performance metrics program for quality improvement initiatives. Conducts audits and analyzes findings to develop appropriate corrective action recommendations. Provides training on established processes and policies. Needed skills and knowledge include systems lifecycle development, project management, quality management and improvement methodologies and standards such as Total Quality Management (TQM), Six Sigma and the Software Engineering Institute—Capability Maturity Model (SEI-CMM). Education: Bachelor’s or Master’s Degree in Computer Science, Information Systems, Business Administration, or other related field. Or equivalent work experience. Experience: A minimum of 7 years of IT and business experience, with at least 5 years in Quality Assurance, 2 to 3 years of audit or assessment or other relevant experience. Complexity: Expert/lead technical role. Provides strategic direction, guidance and integrated solutions to enterprise-wide quality engineering initiatives. Works on multiple projects as a project leader or as the subject matter expert. Works on projects/issues of high complexity that require in-depth knowledge across multiple technical areas and business segments. Coaches and mentors more junior technical staff. *Please note that this application is part of our candidate pool for future staffing needs under our contract with the State of Florida. Positions may not be available immediately, and job locations, assignments, and start dates may vary depending on agency requirements. By applying, you will be considered for current and upcoming opportunities, and we will reach out if a role that matches your skills and qualifications becomes available.*Powered by JazzHR

Quality Engineering Consultant

UNKNOWN

ADAPTED_NOW

The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.

HOUR

JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: · Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. · Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. · Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. · Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS · Continually demonstrates initiative by learning business processes and applicable auditing techniques. · Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. · Excellent written and oral communication skills based on level of expertise. · Proficient in Microsoft Word and Excel. · Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: · Immediate eligibility for health and welfare benefits · 401(k) savings plan with dollar-for-dollar match up to 5% · Tuition Reimbursement · PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level QUALIFICATIONS - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience Hybrid expectation: mostly remote, occasional on-site expectation for events or as needed As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

Baylor Scott & White Health

Senior Corporate Compliance Consultant- Healthcare Billing

Assists in investigations, audits, and risk assessments to ensure compliance with company policies and regulatory requirements, including support for regulatory inquiries and external investigations related to third-party, supply chain, and sanctions compliance. The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting both of these areas of compliance: _Hospital Billing Compliance_ · Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. · Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. · Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. · Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on compliance matters. _Third Party Compliance_ · Assists in assessing and mitigating risks related to third-party relationships, including bribery, corruption, sanctions, and reputational concerns. · Supports the implementation and maintenance of third-party due diligence processes, ensuring integration into vendor selection and contract management. · Collaborates with procurement, legal, supply chain, and other departments to embed compliance practices into broader business operations. · Assists in investigations, audits, and risk assessments to ensure compliance with company policies and regulatory requirements, including support for regulatory inquiries and external investigations related to third-party, supply chain, and sanctions compliance. · Stays informed on regulatory changes related to supply chain governance, recommending updates as needed. · Performs other duties as assigned to support compliance and risk management initiatives. KEY SUCCESS FACTORS · Continually demonstrates initiative by learning business processes and applicable auditing techniques. · Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. · Excellent written and oral communication skills based on level of expertise. · Proficient in Microsoft Word and Excel. · Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: · Immediate eligibility for health and welfare benefits · 401(k) savings plan with dollar-for-dollar match up to 5% · Tuition Reimbursement · PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level QUALIFICATIONS + EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification + EXPERIENCE - 3 Years of Experience + Hybrid expectation: mostly remote, occasional on-site expectation for events or as needed As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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