Healthcare Auditor Technical Lead (req-140)

Team CATHEXIS elevates the government contracting experience through rapid response, deep skill, and thoughtful problem-solving and communication. Our core capabilities are our top-tier program and project management, data analytics, and audit services, the backbone of which is our integrated approach to operational excellence.

You worked hard to get to where you are. You strive to make every day better than the day before. So do we. Team CATHEXIS operates with an all-in mindset. We are working together to create a company that supports our shared values and individual goals. Our values are centered around Respect, Integrity, Teamwork, and Excellence in everything we do for our employees, clients, partners, and communities. We believe success is best when we listen and lead with empathy; model high standards of ethics to provide a rewarding candidate experience; work hard, have fun, and appreciate the strengths we all bring to the team; and empower our employees to create innovative and trusted results.

We are looking for a dynamic Healthcare Auditor Technical Lead to join our team! This is a high-impact opportunity to provide expert leadership in audit execution and strategy for the Department of Veterans Affairs’ Medical Disability Examination (MDE) contracts. The role combines regulatory expertise with collaboration, compliance, and continuous improvement to strengthen the quality and efficiency of medical audit practices.

Responsibilities:

• Support the development of detailed project plans, including scope, resources, timelines, and budget, under the guidance of the project manager
• Contribute to team efforts by providing specialized knowledge and insights, ensuring projects adhere to quality standards and comply with relevant regulations
• Assist in communicating with external stakeholders, including healthcare providers and government agencies, to manage expectations and maintain clear communication
• Participate in quality control processes, contributing expertise to maintain integrity and accuracy in the examination process
• Help identify potential risks and assist in developing mitigation strategies
• Support project budget management, contributing to efficient resource allocation and cost management
• Contribute to the analysis of project outcomes, identifying lessons learned to improve future project management practices within the department
• Ensure that all project activities comply with relevant healthcare regulations, legal requirements, and ethical standards, particularly those related to medical disability examinations
• Stay informed about changes in legislation and regulatory guidelines that may impact departmental operations
• Contribute to the strategic planning efforts of the MDE department, helping to set long-term goals and objectives
• Identify opportunities for process improvements, technological advancements, and innovations that can enhance the efficiency and effectiveness of medical disability examinations
• Identify training needs within the team and facilitate access to educational resources, workshops, and training programs to enhance team capabilities
• Promote a culture of continuous learning and knowledge sharing within the department
• Perform other duties as required

Requirements:

• Must have an active Public Trust or the ability to obtain and maintain a Public Trust, which requires U.S. citizenship and a favorable background check (including criminal, credit, and employment history)
• Bachelor’s degree (in lieu of a bachelor's degree, an additional four (4) years of relevant work experience)
• A minimum of twelve (12) years of job-related experience
• Prior experience in healthcare or medical examination projects, with a focus on contributing specialized knowledge and expertise to support project goals and objectives
• Understanding of electronic health records (EHR) systems and data management practices
• Knowledge of government payor practices, guidelines, and procedures; knowledge of CPT, ICD-9, ICD-10, and HCPCS coding required
• Comprehensive understanding of the healthcare sector with a focus on medical disability examinations, including familiarity with medical terminologies, procedures, and the regulatory environment impacting disability assessments
• Ability to analyze complex healthcare data and project details, identify potential issues, and contribute to developing effective solutions that enhance project outcomes
• Excellent verbal and written communication skills; able to convey specialized knowledge, updates, and outcomes to both internal teams and external stakeholders
• Strong interpersonal skills for interacting with diverse stakeholders; adept at managing expectations and resolving conflicts
• Knowledge of legal and regulatory requirements related to medical disability examinations, including HIPAA and data security practices
• Ability to establish and maintain quality control processes to ensure deliverables meet required standards
• Proficiency in project management support including planning, risk management, and resource allocation; familiarity with tools such as Microsoft Project, Asana, Trello, and the Microsoft Office Suite
• Flexibility to adapt to changing project demands; ability to manage stress and meet tight deadlines
• Commitment to continuous professional development, staying current with healthcare regulations and project management methodologies

Preferred Education and Experience:

• CPC, CIA, CHC, and/or RHIT certifications (preferred)

CATHEXIS offers competitive compensation packages to all eligible employees. Our goal is to provide a compensation package that reflects the value you bring to our team, is competitive with market rates, and promotes your financial security and personal well-being. The annual salary range for this role is $120,000 - $130,000. Please note that the salary information provided is a general guideline. CATHEXIS considers various factors in its final offer, including location, qualifications, experience, and skills.

Benefits:

• Performance Bonuses
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Plan (Traditional and ROTH)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off
• 11 Federal Holidays
• Parental Leave
• Commuter Benefits
• Short Term & Long Term Disability
• Training & Development
• Wellness Program
• Community Outreach Initiatives

CATHEXIS is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact RecruitingTeam@cathexiscorp.com.