Internal Auditor II at Alliance Health in Morrisville, North Carolina

Job Description:

Position is responsible for advancing the internal audit function efficiency and effectiveness and acts as an independent objective assurance and consulting function designed to add value and improve Alliance operations. The position operates in compliance with the IIA Standards and brings a systematic and disciplined approach to evaluating and improving governance, risk management and internal control to Alliance operations.

• Assist in the annual system-wide Enterprise Risk Management risk assessment cycle.


• Implement and promote internal audit policies and standards.


• Define and implement audit methodology procedures, tools, etc.


• Align audit activities with internal audit strategy, goals, and objectives.


• Build and nurture key management and business relationships.


• Manage external relationships – external auditors, regulators and consultants.


• Drive internal audit initiatives, special projects, and improvement initiatives.


• Design and implement key metrics.


• Actively participate in all phases of risk assessment and annual audit planning and execution.


• Contribute to the development of the internal audit training program; work with supervisor to establish training goals.


• Help define and manage content for the internal audit manual.


• Develop and review engagement scope and objectives.


• Design and review audit work programs, testing strategies, and detailed testing procedures.


• Perform detailed review of work paper files.


• Evaluate the adequacy, effectiveness and efficiency of the systems of internal control of ongoing operations


• Prepare internal audit and consulting reports for completed engagements, and submit to the Director of Internal Audit for review to ensure they are complete and meet appropriate standards; or


• Provide first level of review on audit issue and report write-ups completed by internal audit staff.


• Communicate the results of audit activities via written reports and oral presentations to auditee management and when needed, to other specified stakeholders.


• 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.


• Provide mentoring and coaching to internal auditor staff and compliance auditors (analysts).


• Effectively communicate with internal audit staff, Director of Internal audit, and Alliance management. Build relationships with key constituents and serve as a resource of professional advice, as appropriate.


• Conduct other audit and compliance activity, such as internal investigations, as assigned.


• Maintain professional competencies related to the internal audit profession, internal control issues, and other relevant topics via appropriate continuing professional education opportunities.


• Other duties and responsibilities as assigned by the Director of Internal Audit

Required

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 and three (3) years in managed care or government in a compliance or audit capacity; or a 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 and three (3) years in managed care or government in a compliance or audit capacity. Accounting and/or financial experience is strongly preferred.

Certified Internal Auditor (CIA); Certified Public Accountant (CPA); Certified Fraud Examiner (CFE); or other similar professional certification.

Knowledge and Skills

• 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)


• Knowledge and understanding of computerized tracking systems and databases.


• Ability to mine and analyze large amounts of data and generate effective reports.


• Knowledge of risk, fraud or health law.


• Thorough  understanding of financial statements, accounting entries, general ledger systems, and bookkeeping best practices is strongly preferred.

Salary Range

$58,995 - $101,559

Skills

• Investigating


• Finance


• Documentation


• Analysis


• Auditing

Behaviors

• Dedicated: Devoted to a task or purpose with loyalty or integrity


• Innovative: Consistently introduces new ideas and demonstrates original thinking


• Team Player: Works well as a member of a group


• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well


• Functional Expert: Considered a thought leader on a subject

See job description