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Director of Medicaid Program Operations

Patriot Insurance

Director of Medicaid Program Operations

Seiling, OK
Paid
  • Responsibilities

    Under general supervision and following standard procedures with independent judgement, compiles data, performs routine tasks, reviews documentation and facilitates modifications, and processes policy changes to support the underwriting process by performing the following duties.

    Essential Duties and Responsibilities

    1. Enters new business applications, policy changes and renewal changes into the system

    2. Reviews and approves endorsement requests and renewals within authority level

    3. Routes risk-involved matters that are beyond assigned authority to underwriter for evaluation

    4. Prepares requisitions for and reviews information reports including credit, motor vehicle reports, inspection and loss control reports, and other insured information

    5. Communicates with underwriters, agencies, and vendors to obtain additional information regarding certain transactions and to answer agents’ questions

    6. May provide leadership to junior staff through guidance and training.

    7. Performs other duties as assigned

    Required Skills

    Required Experience

    • Associate’s degree (A.A.) or equivalent from two-year college or technical school; or two to four years related experience and/or training; or equivalent combination of education and experience.

    • A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.

  • Qualifications
    • Perform a detailed risk assessment prior to assignments encompassing data analytics, financial statements review, operational information provided by the audited organization and other stakeholders (e.g. Group/regional management, functional responsible, other assurance providers, etc.).
    • Propose the scope of audit engagements for HoIA review and approval.
    • Lead a small team of internal auditors and, when required, external resources, during on-site visits.
    • Lead closing meetings presenting his/her own findings and the ones from other support auditors where required.
    • Define and maintain audit programs.
    • Execute and interpret pre-defined data analytics -scripting not required-.
    • Timely issuance of internal audit reports, ensuring good quality management action plans.
    • Ensure that internal audit engagements under his/her lead remain within budget.  
    • Follow up on closure of audit findings.
    • Participate in the development of the audit function improving its processes.