Company :
Highmark Health
Job Description :
JOB SUMMARY
This job executes operational, regulatory, information technology, compliance audits and advisory engagements to determine whether Highmark Health and its subsidiaries controls and governance processes, as designed and operated by management, are adequate and functioning. Conducts more complex audit activities to analyze and evaluate the performance of the Organization's financial, operational, information technology and managerial processes to identify risks, areas for improvement, and to ensure that the organization complies with all relevant regulations, laws, and standards. Conducts both routine and complex audit projects independently; plans, organizes, and schedules own workload so that audit activities are completed accurately and on time. Collects, examines, analyzes, and verifies information about the Organization's systems and processes by reviewing manuals, policies, reports, financial statements, and other written materials, and by interviewing organizational members where required. Develops recommendations for changes to processes and systems that will minimize risk, improve performance and productivity and ensure that the organization complies with all relevant regulations, laws, and standards. Prepares audit reports that accurately document the audit process and its findings. Coaches, provides guidance and acts as SME to less experienced team members and help them resolve problems and answer questions.
ESSENTIAL RESPONSIBILITIES
Act as team resource and SME, of staff, by creating a positive working environment through the building of solid relationships with team members; assist in monitoring of workloads of all team members; adjustment and redistribution of assignments accordingly to promote work/life quality, then taking into account of team members capabilities and needs and meeting of client expectations.
Act as senior team member of engagement initiation and planning activities for operational, regulatory, information technology and compliance audits across the Highmark Health Enterprise, including designing audit programs to support the audit objectives for assigned audits, the assessment of risk and key controls, identifying and assessing customer needs and acquiring a detailed understanding of business objectives.
Execute audit programs through completion in order to meet audit objectives, evaluate controls within the process, and appropriately address identified risks.
Responsible for effective resource, project planning, decision making, team building, and staying current with relevant technology and innovation.
Conduct oversight of the process to close-out and finalize team audits/projects, including the identification and assessment of issues, development of audit reports, and review of supporting documentation and work papers in accordance with departmental standards.
Interpret audit results and identify areas where corrective action is required or recommended. Review and assess the adequacy of management responses to the corrective action requirements/recommendations.
Other duties as assigned.
EDUCATION
Required
Bachelor's degree in Accounting, Finance, Business Administration/Management, Information Systems or closely related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
None
EXPERIENCE
Required
4 years in Public Accounting, Internal Auditing, Internal Control Design Documentation or testing, or a comparable position within a Corporate Finance function
Preferred
1 year in the Healthcare/Insurance Industry
LICENSES AND CERTIFICATIONS
Required
None
Preferred (one of the following)
Certified Public Accountant (CPA)
Certified Internal Auditor (CIA)
Certified Fraud Examiner (CFE)
Certified Information Systems Auditor (CISA)
SKILLS
Knowledge of internal audit functions, including the ability to apply auditing (GAAS), accounting (GAAP) and or industry standards to the evaluation of operational/financial/compliance audits
Exhibiting effective resource and project planning, decision making, results delivery, team building and staying current with relevant audit/accounting and industry guidance
Effective written and oral communication skills with the ability to establish and maintain business relationships and develop solutions, emphasizing a client-based focus to understand and respond appropriately to business requirements
Strong relationship building skills
Self-starter with the ability to work under pressure independently and as part of a team
Ability to think strategically and act proactively to create strong trust and confidence with business units
Language (Other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Does Not Apply
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J281020
