Resp & QualificationsPURPOSE:This position is responsible for the supervision of audit staffing proactively assessing the organizations operational, financial, regulatory and compliance controls to ensure processes function efficiently and effectively and in compliance with the organization's policies, procedures, BCBSA guidelines and regulations. Additionally, the position may be responsible to oversee the BCBSA and FEP mandated program audits. Protects Organization Assets by evaluating audit objectives; developing audit timetables and schedules; reviewing auditor's findings; editing and verifying auditor's reports; evaluating changes recommended by auditors; providing information in meetings; answering questions; reporting open issues; collecting, analyzing, and summarizing audit data and trends.ESSENTIAL FUNCTIONS:Supervise operational, financial, regulatory, compliance and BCBSA and FEP mandated program audits utilizing computer assisted audit techniques. Analyze and evaluate operations and strategies to identify opportunities for improvement in processes and outcomes and provide audit advice relating to operations; controls; segregation of duties; business process improvement; and related applications. Participate in the development of the risk assessment for the business process or project under review. Perform process walkthroughs, facilitate Entrance and Exit meetings. Responsible for reviewing and/or drafting audit findings, workpapers, and audit reports. Maintain audit documentation in automated workpaper repository of business processes and related risks.Perform special reviews and audits or advisory services as requested by management. Write reports or memoranda to management communicating the results of the work performed, recommend management action plans, and perform follow-up to validate completion of action plans. Support department strategic initiatives and other special assignments aimed at continuous quality improvement. Work with business area management in coordinating and evaluating internal risk and controls to identify opportunities for improvement in business processes and other advisory work as requested/assigned. Supervise special reviews (eg, management requests) and audits, provide advisory services and actively engage in business committees or task forces to address risks and business process effectiveness as requested by management. Verbally communicates findings to Internal Audit Manager and assists in the preparation of draft internal audit reports.Maintain a repository of operational, financial, regulatory, compliance and BCBSA and FEP audit issues and related corrective action plans. Update management on outstanding issues and potential risks periodically. Responsible for ensuring the quarterly issue report is updated timely and provided to management for review based on departmental goals.Sets priorities for the team to ensure task completion: coordinates work activities with management. Decisions and problem-solving are guided by policies, procedures, and business plan; receives guidance and oversight from Audit Manager. Coordinates and supervises the daily activities of the audit team.Promote internal audit and advisory services within the organization. Identify best practices and benchmarking information related to business operations.QualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Therequirements listed below are representative of the knowledge, skill, and/or ability required. Reasonableaccommodations may be made to enable individuals with disabilities to perform the essential functions.Education Level: Bachelor's DegreeEducation Details: Business Administration, Management Sciences, Finance, Accounting or related field.Experience: 3 years Progressive experience in a professional auditing role or comparable experience. Experience leading auditing activities and project planning.In Lieu of EducationIn lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.Preferred QualificationsAdvanced degree; healthcare insurance industry experience, CIA, CPA, CFEKnowledge, Skills and Abilities (KSAs)Oral and written communication, presentation skills, facilitation skills and business process self- assessment techniques. , AdvancedAbility to synthesize business applications, operational processes and financial data/information into a format easily and completely understood by a diverse audience. , AdvancedKnowledge of various auditing methods, practices, standards (eg, IIA) and procedures. , AdvancedKnowledge of computer assisted audit tool and automated workpaper (eg, ACL, TeamMate). , AdvancedThe incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.Licenses/CertificationsCertified Public Accountant (CPA) PrefCertified Internal Auditor (CIA) PrefCertified Fraud Examiner (CFE) PrefEqual Employment OpportunityCareFirst 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 DisclaimerActual salary will be based on relevant job experience and work history.Where To ApplyPlease visit our website to apply: www.carefirst.com/careersClosing DatePlease apply before: 8.29.21Federal Disc/Physical DemandNote: 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.PHYSICAL DEMANDS: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 USMust be eligible to work in the US without Sponsorship by Jobble