• Support external healthcare claims audits, including pre-pay and post-pay audits • Coordinate and prepare timely audit responses, including medical records and supporting documentation • Participate in audit review cycles, including record requests, findings review, rebuttals, appeals, and recoupment processes • Review audit findings for consistency, accuracy, and alignment with applicable policies • Help identify trends, risks, and recurring audit issues across claims and business units • Partner with internal business units to gather information needed to support audits • Communicate audit findings clearly, including explaining where gaps exist and why audits may be failing • Work collaboratively with teams to identify what changes or controls need to be put in place to improve audit outcomes • Translate audit results into actionable insights that support front-end process improvement • Support ongoing audit readiness initiatives and internal monitoring efforts

Company Description Synergy Enterprises, Inc., a minority, and woman-owned government contractor located in North Bethesda, MD. Job Description Job Summary : Synergy Enterprises, Inc., a woman-owned business, is seeking a Managing Principal, IT to provide leadership, governance, operational and financial management for the IT division; manage IT staff across contracts; and contribute to overall strategic direction and growth of the company. Synergy Enterprises, Inc, is located in North Bethesda, Maryland, but this role will be primarily remote working with an entirely remote team. Primary Responsibilities: Management Analyzes, plans, executes and evaluates division operations, ensuring continuity of operations. Periodically reports operational status, achievements, risks and upcoming activity to senior leadership. Identifies and resolves operational problems, focusing on meeting internal and external client expectations; proactively manages risk, schedules and cost. Owns IT division budget and expenditures, and regularly reports on it to senior staff. Manages IT staff across several active federal Agile engagements; promotes Agile practice in the organization and continues developing staff Agile readiness. Provides timely conflict de-escalation and resolution to resolve competing priorities and requirements. Qualifications Qualifications: Bachelor’s or Master’s degree in a related field preferred. Must have: Agile certification(s), PMI PMP certification, experience with Jira. ITIL V4 certification preferred 7-10 years work experience in a related federal agency or government contracting environment. At least 5 years of hands-on Agile development experience. Excellent leadership, management, coordination, interpersonal and teamwork skills. Strong quantitative and analytical skills, research methods, and ability to communicate effectively in written and oral form. Capable of short- and long-range planning; problem analysis and resolution; report preparation and presentation; public contact and relations. Demonstrated ability to interact and cultivate relationships with high-level officials and clients. Prior supervisory experience in directing, evaluating, training, and supervising the work of assigned personnel. Ability to manage multiple priorities and willingness and ability to be flexible depending on changing priorities and deadlines. Ability to function in a fast-paced environment. Proficiency in the use of Microsoft Office applications required. Experience with Monday.com or similar preferred. Other job requirements: Flexibility to work evenings and weekends as contracts or deadlines demand. Some travel may be required to meet contract or project specifications. Physical demands and work environment: Physical demands: While performing duties of job, employee is occasionally required to stand; walk; sit; use hands to handle objects and documents; reach with hands and arms; talk and hear. Employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by the job include close vision. Employee may use office equipment such as telephone, computer, computer software, calculator, printer, copier, and facsimile. Work environment: Employees are not substantially exposed to adverse environmental conditions. The noise level in the work environment is usually moderate. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities and skills required of employees so classified. Additional Information All your information will be kept confidential according to EEO guidelines.

Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $24.5303-$36.7954) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse Auditor and/or other stakeholders with denial related charge reviews, including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Performs daily reconciliation processes and/or provides “at-elbow support” to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Minimum Qualifications Additional Qualifications (nice to have) Licensure/Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse/ Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred. Knowledge of clinical documentation improvement processes strongly preferred Direct Healthcare Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted.     Occasional Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling.     O ccasional Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional ​ Indirect Healthcare / Support Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted. Occasional Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional Encounter a clinical / patient facing / hands on interactive work environment. Occasional Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Work outdoors with variable external environmental conditions. Occasional Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%) Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

About the Role As a Staff Consultant at A-LIGN, you’ll begin your career in IT a udit by gaining a deep understanding of how businesses operate from the inside out. You’ll learn the language of business and develop a strong foundation in internal controls and audit principles. In this role, you’ll serve as a trusted partner to clients, leaving a lasting impression through collaboration and meaningful connections. You’ll build technical expertise in IT audit while strengthening your professional network and relationship-building skills by working alongside high-performing teams. This position offers a launchpad for a long-term career in audit, supported by hands-on experience, coaching, and mentorship. Your journey begins with A-LIGN University, our comprehensive training program designed to prepare you for success. Over the course of several months, you’ll engage in classroom learning, on-the-job shadowing, and personalized coaching. A-LIGN University equips you with the tools, knowledge, and confidence to thrive in your role and grow within the organization and the industry . Reports to Managing Consultant Pay Classification Full-Time, Exempt Responsibilities Execute a range of IT compliance assessments, including SOC 1, SOC 2, PCI DSS, HIPAA , and more Collaborate with engagement managers and team members to plan and deliver audit engagements efficiently Analyze client environments to assess internal controls, identify risks, and document findings Contribute to the development and refinement of audit methodologies and internal processes Communicate effectively with clients to gather information, clarify requirements, and provide guidance Minimum Qualifications EDUCATION B achelor’s degree in Accounting , Information Systems, Information Technology, and Computer Science Other relevant degrees may be considered EXPERIENCE Introduction to core classes within your major Highly preferred high score graduates Active membership in industry relevant club or organization CERTIFICATIONS A strong desire to pursue relevant industry certifications such as CPA, CISA, CISSP, C|EH SKILLS Deadline-oriented, with an exceptional degree of motivation Thrives in a dynamic and fast-paced environment Excellent communication skills in English Ability to work independently as well as collaboratively Driven to succeed and excited to learn new job specific skills Benefits Healthcare, Dental, and Vision Benefits Employer Paid Life Insurance and Disability Insurance EAP - Employee Assistance Program Pet Insurance 401(k) Plan with Employer Matching Competitive Bonus Structure Home Office Reimbursement Certification Reimbursement Personalized Career Coaching Generous Paid Time Off Paid Office Closure December 25-January 1 Vacation Bonus Summer Hours About A-LIGN A-LIGN is the leading provider of high-quality, efficient cybersecurity compliance programs. Combining experienced auditors and audit management technology, A-LIGN provides the widest breadth and depth of services including SOC 2, ISO 27001, HITRUST, FedRAMP, and PCI. A-LIGN is the number one issuer of SOC 2 and HITRUST and a top three FedRAMP assessor. To learn more, visit a-lign.com. Come Work for A-LIGN! Apply online today at A-LIGN.com and learn about life at A-LIGN by following us on LinkedIn . A-LIGN is an Equal Opportunity Employer. Minorities, women, disabled, and veterans encouraged to apply!