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Chief Audit Officer

2 months ago

Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time
Position Overview

This is a HYBRID position.

The Health Plan of West Virginia Inc is seeking a seasoned professional to serve as the organization's internal auditor and strategic advisor to the Board of Directors, Audit & Corporate Compliance Committee, and Executive Management Team. This role is crucial in providing independent assurance that the internal control systems are effectively designed and functioning.

Key Responsibilities:

  1. Develop and implement an annual Internal Audit Plan, assessing internal controls in alignment with the Model Audit Rule (MAR).
  2. Conduct advanced internal auditing and advisory services to bolster the corporate governance framework.
  3. Communicate internal control challenges and risk mitigation strategies to the Board and Executive Management.
  4. Collaborate with external auditors, consultants, and regulatory agencies to address risk areas.
  5. Coordinate with legal counsel and various departments to facilitate regulatory examinations and reviews.
  6. Lead the Payment Integrity function, ensuring accuracy in coding, documentation, and contract applications.

Qualifications:

  1. Bachelor's degree in accounting or finance from an accredited institution.
  2. At least 10 years of comprehensive experience in auditing, accounting, and corporate compliance, with a minimum of five years in a leadership role.
  3. Extensive experience in the health insurance sector.
  4. Proficient in applying internal auditing and accounting principles within the health insurance domain.
  5. In-depth knowledge of internal auditing standards and ethical codes as established by the Institute of Internal Auditors.
  6. Familiarity with management information systems and relevant industry regulations.
  7. Experience in conducting quality control reviews of audit outputs.
  8. Strong planning and project management skills.
  9. Exceptional negotiation and problem-solving abilities.
  10. Proficient in Microsoft Office and possess excellent verbal and written communication skills.
  11. Self-motivated with the ability to exercise independent judgment.
  12. Public speaking and presentation skills.

Preferred Qualifications:

  1. Experience supervising audits in Information Systems and related fields.
  2. Relevant compliance certifications.
  3. Certification as a CIA or CPA.

This position reports administratively to the Chief Financial Officer and functionally to the Chair of the Audit & Corporate Compliance Committee.