Working at CGS Administrators CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We are seeking a passionate, collaborative and experienced IT Process Assurance Auditor to join our enterprise project management office team. This is an on-site position in Nashville, TN. This role operates as a Capability Maturity Model Integration (CMMI) champion coordinating internal and external audits and appraisals. If you’re enthusiastic about technology, continuous improvement and have a passion for quality then look no further and join CGS Administrators, LLC! Description Logistics: CGS –one of BlueCross BlueShield's South Carolina subsidiary companies. Work Environment: Typical office environment. What you’ll do Responsible for examining, evaluating and analyzing I/S processes, technical standards and management procedures to ensure they are working effectively to improve the overall performance of the organization. Conduct less complex audits against established standards to ensure compliance. Provide recommendations of process improvements. Participate in Governance sub-committees. Assist IT staff by providing education and guidance to I/S staff regarding IT methodology, processes and standards. Ensure the quality of data maintained by the Quality Assurance area. Perform periodic audits (weekly, monthly, quarterly and annual). Conduct trend analysis and provide recommendations of process improvements. Provide reports to management on compliance with adapted IT standards. Under the guidance of senior auditor, develop new or enhanced audits, of internal I/S areas and processes to assess compliance with adapted processes, standards and regulations. Document findings and prepare detail and summary audit reports relating to the standard being validated. Provide administrative support for the I/S systems which document authorized software/hardware, Product/Service offerings and/or systematic data archival. Develop knowledge of internal and external standards, regulations and regulatory bodies. Serve as a liaison to I/S Governance organization on applicable I/S sub-committees. Identify and communicate compliance issues and risks promptly so that they are understood.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees