Sr. Associate, Internal Audit

2 weeks ago

Boston, United States CareerBuilder Full time

Under direction of the Director of Internal Audit, the primary functions of this position are to:
Contribute towards the maintenance and enhancement of an effective Internal Audit Program
Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program
Contribute towards the maintenance and enhancement of an effective Compliance Risk Assessment Program
Project manage regulator and other external reviews as assigned
Contribute towards Department documentation and reporting
What We're Looking For

Required
Bachelors degree from accredited institution is required.
Strong written, verbal, listening, presentation, and communication skills having the ability to understand and communicate appropriately to the targeted audience.
Strong analytical skills having the ability to identify an issue, conduct an analysis to determine business impact (including gap analyses), troubleshoot and identify solutions.
Strong project management skills - having the ability to effectively manage multiple priorities simultaneously by maintaining established timeframes, adhering to work plans and communicating changes effectively.
CIA, CPA, CISA, CHIAP or active progression towards the designation preferred
5+ years work experience in auditing is preferred.
2+ years work experience in health care preferred.
Project management skills strongly preferred.
Advanced technical skills (MS Excel) preferred.
Actual Work Location

Remote, Boston, Massachusetts 02108
All Locations
Exempt / Not Exempt
Exempt
What You'll Be Doing
Contribute towards the maintenance and enhancement of an effective Internal Audit
Program.
Maintain current knowledge of internal audit techniques, best practices, and professional standards. Conduct planned and ad hoc internal audits and follow-up validations of internal processes and vendors, as assigned. Apply auditing expertise to report on compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
Completes audit work papers by documenting audit plan, risks, methodology, tests, findings, recommendations, executive summary, and validation. Maintain the audit documentation module for all audit work papers and make recommendations for enhancements to the module when identified.
Communicates audit findings by maintaining open and transparent communication with auditees, management, and stakeholders; preparing interim and final reports; presents findings to auditees, management, and stakeholders
Contribute towards developing CCAs Annual Internal Audit Plan based on identified risks and identifying beneficial and value-added audits.
Maintain current knowledge of and identify business and compliance risks using various sources and methods.
Make recommendations towards enhancement of the Annual Compliance Audit Plan development process.
Participate in communicating Internal Audit and Monitoring Plan schedule to CCA staff
Make recommendations for and execute training and education for CCA staff about Compliance Audit, Monitoring, and Risk Assessment Programs. Support team in similar activities for CAP Program.
Contribute towards the maintenance and enhancement of an effective Compliance Monitoring
Program.
Drive business owners to develop, maintain, and enhance compliance monitoring reports
Work collaboratively with business departments to develop and enhance their monitoring Activities
Contribute to the proposal of the Annual Compliance Monitoring Plan.
Make recommendations towards enhancement of the Annual Compliance Monitoring Plan development process.
Make recommendations towards enhancement of the Compliance Monitoring Program processes and provide guidance to align the program with CCA data analytics and intelligence enhancement objectives.
Contribute towards the maintenance and enhancement of an effective Compliance Risk
Assessment Program
Support and contribute to completion of Commonwealth Care Alliances (CCA) annual Compliance Risk Assessment.
Make recommendations towards enhancements to the Continuous Compliance Risk Assessment process.
Alert Director of Internal Audit of identified new or emerging compliance risks throughout the year and make recommendations towards potential impact on the Annual Internal Audit Plan or Annual Compliance Monitoring Plan.
Project manage regulator and other external reviews as assigned
Lead the coordination of external audits when noticed by regulators or when hired by CCA to conduct an external audit
Communicate project deliverables and deadlines to internal stakeholders, points of contact, and vendors
Collect and track deliverables to ensure timely and quality completion
Represent CCA in a liaison capacity by serving as point of contact for external auditor/reviewer, exhibiting the highest level of professionalism and courtesy.
Maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common findings, and best practices. Support and contribute towards CCA education on these topics.
Contribute towards Department documentation and reporting
Maintain and update documentation in coordination with colleagues of current processes and controls.
Support Internal Audit reporting through dashboard updates to team and management
Participate and contribute to development and enhancement of metrics for reporting key performance indicators
Additional Responsibilities
Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source programs above and recommended
Present updates and reports as requested.
Provide support to team members or manager when requested.
Other duties as assigned.
Secondary Responsibilities
Contribute towards the overall Department Regulatory Affairs and Compliance infrastructure at CCA.
Promote compliance in CCAs business operations with all Medicare and Medicaid contractual and regulatory requirements.

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