Audit manager Jobs in Springfield, IL

1.
Governance & Calibration of all audit types (approval, risk based, CAP, target) to ensure consistent standards, clinical policy alignment and a robust governance framework across benefits. 2.
Independent Audit (DWP) Review, Challenge & Escalation.
Triage IA feedback, accept/challenge trends using evidence and policy, manage escalations, and maintain effective external relationships. 3.
Clinical Interface & Policy Implementation.
Provide expert clinical advice to Operations/Clinical Excellence.
Supporting implementation of clinical standards and policy.
Identifying and escalating clinical risks.
Contributing to quality related elements of appraisals. 4.
Training, Development & Assurance of Auditors.
Design/deliver calibration sessions, induction and ongoing capability building.
Providing sensitive but robust constructive feedback to drive consistency and reduce error rates. 5.
MI & Insight for Quality Improvement.
Analyse audit outcomes and operational MI to identify themes, coachable trends and systemic risks.
Producing actionable insights for assurance teams and clinical/operational leaders. 6.
Audit Delivery & QA Sampling (as required).
Conduct audits and QA sampling to maintain calibration accuracy.
Providing timely coaching/feedback to minimise workflow delays and customer impact. 7.
Maintain Clinical Approval & Professional Standards.
Maintain clinical approval by completing the minimum number of assessments needed for continued accreditation, undertaken at intervals that support clinical consistency.
Complying with CPD/revalidation.
Consistently modelling best practice and continuous improvement. Key Internal Stakeholders & Relationships Heads of Clinical Delivery/Assurance/Audit Clinical Delivery Leads Clinical Support Coaches Operational Managers Clinical Content Developers Training and Development teams Key External Stakeholders & Relationships DWP Independent Audit DRG/other external forums as required other relevant stakeholders. Preferred Skills and Qualifications Qualifications & Experience Essential • Qualified health professional with current registration/license to practice and continuous professional development compliance. • Competent Disability Analyst in relevant benefit type, maintained approval and consistent performance in key role responsibilities. • Substantial experience in clinical audit (including governance/calibration) within disability assessment or a comparable setting. • Proven experience in reviewing, interpreting and objectively challenging Independent Audit feedback referencing clinical policy and evidence. • Qualified to perform CHDA case audits and able to instruct on writing reports that meet "A grade" requirements. • Proven experience designing/delivering calibration, training and clinical development for auditors and healthcare professionals. • Strong MI/analytics capability, with attention to detail, to identify trends and generate actionable insights. • Experienced coach and mentor, providing sensitive but robust constructive feedback, driving quality improvement. • Up to date knowledge of WCA/PIP/SB clinical policy with consistent CPD/revalidation and adherence to governing body codes of conduct. Desirable • Experience clinically supporting a team of health professionals and/or leading clinical change initiatives. • Advanced MS PowerPoint/Excel for insights and reporting. • Cross benefit calibration and multi lot governance experience. Maximus Competencies • Embraces Respect • Partners Effectively • Creates Innovative Solutions • Focuses on the Customer • Demonstrates Compassion • Takes responsibility & acts with integrity • A commitment to the principles and practices of diversity, equity, and inclusion Individual competencies • Manages own professional competence and accountability, in accordance with the appropriate governing body/code of conduct and practice standards. • Acts with integrity and accountability in all areas of work. • Performance and quality focused. • Ability to prioritise projects and tasks effectively • Flexible and adaptable to understand and respond proactively to changing customer, client and operational needs • Effective collaborator across multiple stakeholders (clinical and non clinical) with varying needs, building credibility and trust to drive a performance culture • Confident and effective communicator, verbally and in writing with ability to adapt communication to constructively interact varying audience needs. • Drives solution focused innovation to support continuous improvement. • Data-driven decision making with a commitment to best practice • Demonstrates people-centric leadership - inspiring engagement and supporting growth/development of colleagues' capability and confidence. • Executes work with agility, attention to detail, and follow through to completion. • Embraces innovation and technology EEO Statement • MAXIMUS is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process.
We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic.
Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post.
• We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions.
The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job.
When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme.
If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for interview.
Your Guaranteed Interview application will only be shared with the hiring manager and the local resourcing team.
• Where reasonable, MAXIMUS will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 45,000.00 Maximum Salary £ 58,625.00 *