Senior Auditor
🔍
Bring your drive for excellence, team orientation and customer commitment to Independence Blue Cross; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate, and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.
The ideal candidate for the Senior (Regulatory) Auditor position will be an excellent communicator (written and verbal) who is detail oriented and organized. He/she will also be able to work independently and with a team, demonstrating self-motivation and enthusiasm. The Senior (Regulatory) Auditor will be performing risk-based audits concerning the operation and regulatory compliance of the Company.
Responsibilities include:
· Plan, coordinate and lead key financial, operational, and regulatory audits of the Company and its subsidiaries (i.e. CMS Program Audit, Financial Audit, or other external reviews)
· Develop audit programs by working with company and department Management
· Document processes and controls by utilizing flowcharts and/or narratives.
· Perform substantive and control testing
· Make recommendations and develop corrective action plans based on testing results and partner with impacted business areas on remediation efforts
· Develop draft audit reports for audits and special projects. Assist in preparing the final versions of audit reports.
· Perform follow-up on the status of recommendations made in previous audit reports.
· Review and determine how federal and state regulatory requirements impact the Company and assist in the evaluation of the Company's compliance with such requirements.
· Communicate effectively with all levels of management
· Apply data mining technology to audits/projects
· Utilize data analytics during the planning and execution of planned audits to help achieve more comprehensive coverage of risk mitigation
· Perform ad hoc projects as applicable
QUALIFICATIONS
Desired Education, Skills and Experience:
· Bachelor’s degree in accounting, healthcare, or equivalent work experience
· Three-plus years of audit experience in a public accounting or healthcare setting preferred
· Medicare auditing/knowledge is preferred
· Previous experience conducting audits using Medicare Audit Protocols preferred
· Previous experience leading or performing audits independently
· Knowledge of auditing accounting systems, flowcharting, and statistical sampling techniques
Additional Skills/Experience:
· Previous insurance or healthcare audit experience preferred
· Strong oral and written communication skills
· Strong attention to detail with the ability to work on multiple projects simultaneously in a fast-paced environment
· Ability to work independently and as part of a team
· CPA, CIA, or JD certification preferred
Hybrid of Choice
· Independence has implemented a “Hybrid of Choice” model which provides our associates with the flexibility to choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. However, management may require our associates to work from Independence’s physical office locations on certain occasions. This role is designated as a role that fits into the “Hybrid of Choice” model. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.