Director, Audit Operations – Content Enablement CCV

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead and manage one or more accounts or significant audit projects.

• Concentrate on growth, the operationalization of new products and solutions, and oversee product management for Content Enablement.

• Ensure successful delivery of audit services by managing assigned teams and meeting client needs and expectations.

• Develop and implement essential metrics to enhance quality, productivity, and ensure a consistent customer experience.

• Review audit progress against established metrics and direct activities to meet business goals and customer expectations.

• Collaborate with Business Optimization and other support functions.

• Enhance efficiency and productivity while lowering operational costs and maintaining compliance.

• Foster continuous development of innovative audit solutions and optimize audit processes.

• Manage customer issues and conflicts, communicate directly with clients, and act as the primary escalation point.

• Identify opportunities for account growth and collaborate with the SAM on existing and prospective clients.

• Ensure adherence to HIPAA regulations concerning Protected Health Information (PHI).

• Collaborate with clients and sales teams on renewals and RFP processes.

• Analyze customer needs and service requirements, recommend pricing structures and contract stipulations, and contribute to RFP responses.

• Facilitate contract terminations or scope modifications and negotiate account transition procedures and pricing.

• Plan audit staffing, workloads, and staff assignments.

• Oversee the selection, supervision, evaluation, and development of staff.

• Establish objectives and conduct performance evaluations.

• Work with Human Resources on performance management, progression, and compensation actions.

• Address employee concerns in alignment with Human Resources policies.

• Support training, career advancement, knowledge sharing, best practices, benchmarking, whitepapers, and IT tool enhancements.

• Ensure staff training on policies, procedures, and best practices.

• Proactively plan for succession and growth to avoid productivity and customer service gaps.

⛳️ Requirements

• Bachelor's Degree preferred.

• 5 years of experience in healthcare auditing, claims, or healthcare billing is required.

• Previous experience with direct client interaction (account management, audit, sales, etc.) is essential.

• Proficiency in Microsoft Excel, Access, and claim databases is required.

• Exceptional verbal and written communication skills.

• 5 years of people management experience, preferably with large teams, is required.

• Strong capability to manage and derive action from metrics.

• Experience in budgeting and forecasting.

• Proven leadership and relationship-building abilities across various functions and business lines.

• Experience in client-facing roles (account management, audit, sales).

• Ability to manage multiple projects simultaneously in a fast-paced environment.

• Working knowledge of relevant industry standards.

• Training, education, and necessary certifications must be maintained as required.

🏝️ Benefits

• Discretionary bonus consideration.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Disability insurance.

• Life insurance coverage.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays annually.

• 17–27 days of Paid Time Off (PTO) per year, dependent on specific level and length of service.