Resp & Qualifications
Under the direction of the Director of Model Audit Rule Compliance within the Corporate Audit & Advisory Services (CAAS) department, the incumbent's accountabilities include, but are not limited to, the following:
Lead and/or Perform Audits:
- Perform internal audits of the company’s operations, third party vendors, administrators, and service providers. Plan and conduct research, information gathering, and risk assessment of the business areas, processes or entities to design detailed audit programs to evaluate controls, business processes, and regulatory compliance.
- Prepare and lead audit entrance conferences with business area management to communicate specific audit activities (scope, testing, reporting). Throughout the audit interact with and coordinate audit team’s interaction with audit area management and personnel to interpret results, communicate potential risks/issues and develop appropriate corrective actions which strengthen controls, improve efficiency of operations. Ensure any issues identified are escalated to CAAS management timely.
- Prepare and lead audit exit conferences with management and officers of audited business areas to formally communicate audit findings and finalize management action plans to resolve control weaknesses, inefficiencies, and non-compliance with corporate policies and procedures, as well as applicable federal regulations and state laws.
- Track audit progress to ensure assignments are completed within budgeted hours.
Quality Assurance Reviews of Audit Deliverables:
- Conduct timely first-level review of planning documents, issue memorandums, audit workpapers to ensure the accuracy of content, formatting, grammar, and spelling of all audit deliverables prior to submission to the director for review and approval.
- Ensure that audit workpapers and supporting documentation are accurate, substantiate audit findings, support audit objectives, and test plans meet departmental and professional audit standards. Reviews staff or seniors work throughout the audit, as well as provide appropriate and timely feedback to staff or seniors on workpaper content and quality.
- Assist with training of the audit team as deemed appropriate by the department’s senior management. Work with the Director of Model Audit Rule Compliance to prepare draft and final audit reports to CareFirst management on audit results and corrective actions.
Audit and Advisory Services:
- Serve as the liaison with management of various business areas in coordinating and evaluating internal control self-assessments, business process efficiencies, and other advisory work as requested/assigned. Working closely with business area management, participate in and frequently lead controls related audit activities as assigned (e.g. documentation and testing of internal controls, training, and control self-assessments).
- Perform special reviews (e.g., management requests) and audits, provide advisory services to address risks and business process effectiveness as requested by management, communicate the results, and perform follow-up.
- Assist the director in providing expertise for monitoring controls, performing root cause analysis, and data mining activities, as assigned.
- Identify and maintain a repository of best practices and benchmarking information related to internal auditing and CareFirst business operations. Assist with special projects at the direction of CAAS management.
- Directly accountable for identifying, reporting timely, and resolving with management, risk and control issues within CareFirst affecting achievement of corporate goals and strategic objectives, efficient and effective use of resources, the safeguarding of assets, and compliance with applicable laws and regulations.
- Bachelor’s degree in Business Administration, Management Sciences, Finance, Accounting or a related field. Healthcare insurance industry experience desired.
- A minimum of six or more years of progressively responsible internal auditing, public accounting, financial accounting, and/or consulting and business advisory services experience.
- Demonstrated experience and knowledge in at least two of the following areas: Generally Accepted Accounting Principles (GAAP), the Committee of Sponsoring Organizations of the Treadway Commission (COSO) Internal Control framework, problem solving/root cause analysis, business process improvement studies/analyses, risk assessment, and risk mitigation strategies.
- Project management skills in relation to audit projects, including developing project plans, budgets, and deliverables schedules.
- Strong analytical, problem solving, communication, and business writing skills.
- Effective public speaking skills and be able to prepare and deliver presentations.
- Highly motivated, organized, extremely committed to professional development, with demonstrated progression and achievement, and able to work effectively in a team-oriented atmosphere.
- Ability to work independently with minimal supervision.
- Occasional travel may be required to regional locations in Canton and Cumberland, MD, Washington DC, and West Virginia.
- Advanced degree in Business Management, Accounting, or Computer Science preferred.
- CPA, CIA, CCSA, CFE, CISA, or CRMA certification preferred.
- Experience in automated workpapers (e.g., Thomson Reuters GRC, TeamMate).
- Knowledge and use of data analytic tools (e.g., Excel, Power Pivot, ACL)
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before:2/21/2019
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship