Senior Internal Auditor

3 weeks ago

Smithfield, Utah, United States Alliance Full time
Job Description

The Alliance is seeking a highly skilled Senior Internal Auditor II to join our team. As a key member of our internal audit department, you will be responsible for providing senior-level staff advisory, consultative, and audit work to ensure the effective and efficient operation of our organization.

Key Responsibilities:

  • Drive internal audit initiatives, special projects, and improvement initiatives
  • Design and implement key metrics
  • Evaluate the adequacy, effectiveness, and efficiency of the systems of internal control of ongoing operations
  • Oversee the work of Internal Auditor I, to include task assignment, providing guidance, initial work review, etc
  • Perform detailed review of work files
  • Review audit responses and action plans developed by the auditee/management
  • Conduct periodic audit follow-up reviews to assess and report on progress or completion of management's corrective actions
  • Conduct other audit and compliance activity, such as internal investigations, as assigned
  • Prepare internal audit and consulting reports for completed engagements for Director of Internal Audit review
  • Design and Implement Internal Controls, Strategy, Policies, and Procedures

Requirements:

  • Bachelor's degree in accounting, business administration, or other appropriate area from an accredited college or university plus a minimum of seven (7) years' auditing experience, or experience related to the field, including three (3) years in managed care or government in a compliance or audit capacity
  • Or Master's degree in accounting, business administration, or other appropriate area from an accredited college or university plus a minimum of five (5) years' auditing experience, or experience related to the field, including three (3) years in managed care or government in a compliance or audit capacity
  • Contract review and/or delegation oversight experience is required
  • One of the following professional certifications is required: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Fraud Examiner (CFE), Certified in Healthcare Compliance (CHC), Accredited Healthcare Fraud Investigator (AHFI), Certification in Risk Management Assurance (CRMA)

Preferred Qualifications:

  • Knowledge in auditing standards, compliance standards, enterprise risk management, and audit best practices
  • Knowledge of state and federal Medicaid laws, administrative rules, state policies, and other guidelines
  • General understanding of all major MCO functions, particularly as they relate to claims processing, utilization reviews, grievance management, provider credentialing, and contracting
  • Ability to interpret contractual agreements and other business documents
  • Ability to maintain confidentiality and handle highly sensitive information with discretion
  • Ability to evaluate financial documents for accuracy, completeness, and compliance
  • Ability to communicate professionally and succinctly with various stakeholders
  • Excellent analytical, decision-making, and time management skills
  • Ability to analyze financial data and identify concerning trends, patterns, and other risks
  • Knowledge of investigative techniques and methods, such as interviewing, gathering evidence, etc
  • Advanced computer skills in Microsoft Office (e.g., Word, Excel)
  • Ability to maintain professional competencies related to the internal audit profession, internal control issues, and other relevant topics

Salary Range: $86,800 - $110,670/Annually

An excellent fringe benefit package accompanies the salary, which includes:

  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

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