Program Manager - Internal Audit, Medicare Advantage Operations, SWHR at Southwestern Health Resources CIN in Pittston, Pennsylvania

Job Description:

Program Manager - Internal Audit

Medicare Advantage Operations

Southwestern Health Resources, a national leader in population health, is looking for a qualified Program Manager - Internal Audit to join our Medicare Advantage Operations team.

If you're looking for a rewarding career at a patient-centered organization with work-life balance and comprehensive benefits, we want to hear from you.

Position Highlights

Work location: Southwestern Health Resources Headquarters (SWHR), 1601/1603 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.

Work environment: Medicare Advantage Operations.

Please note: The Internal Audit Program Manager will be an employee of Southwestern Health Resources (SWHR). SWHR is a clinically integrated network formed by Texas Health Resources (THR) and University of Texas Southwestern Medical Center (UTSW).

Work hours:

• Full-time, 40 hours per week.
• Monday - Friday, Day shift.
• This is a Hybrid position, requiring onsite workdays during the week, based on department business needs.
• May require in-person attendance as needed, to department meetings, trainings and/or other department authorized activities, at the above-mentioned address or other locations as directed by the department management.

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health Resources and University of Texas Southwestern Medical Center, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas.

The SWHR Network includes physicians from University of Texas Southwestern Medical Center and Texas Health Resources, as well as more than 2500 independent community Primary and Specialty Care Physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, across 16 counties in North Texas, resulting in lower costs and high-quality care.

In 2020, the Centers for Medicare & Medicaid Services (CMS) released the annual financial and quality results. Based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations (ACO), having saved nearly $120 million since joining the program in 2017.

SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Education

• Bachelor's Degree in Business Administration, Accounting, Finance, or related field required.

Experience

• Require 4 years of experience in Auditing, Accounting, Business Analysis, or similar work experience.
• Prefer 2 years of experience in Public Accounting, especially in the Big 4 Accounting Firms (Deloitte, Ernst & Young, KPMG and PwC) or in other large multi-national companies.
• Prefer 1 year of Healthcare Auditing, Accounting, Business Analysis experience.

Licenses and Certifications

• Certified Public Accountant (CPA) upon hire preferred.

Skills & Abilities

• Knowledge of and skill in applying internal auditing and accounting principles and practices, and management principles and preferred business practices.
• Knowledge of the Standards for the Professional Practice of Internal Auditing and the Code of Ethics developed by The Institute of Internal Auditors.
• Knowledge of industry standards, Medicare, Medicaid, regulatory standards for healthcare organizations.
• Working ability to conduct quality control reviews of audit work products.
• Proficient in Word, Excel, PowerPoint, and other applications commonly used in managing and leading a subject area across entities.
• Knowledge of continuous improvement, change management.
• Excellent written and verbal communication skills.
• Ability to lead multi-disciplinary workgroups through complex evaluations for continuous improvement.
• Ability to work independently and cross functionally across all areas of the business.

Position Responsibilities

The Internal Audit Program Manager will lead financial, operational and compliance related audit projects and requires the ability to understand business processes, internal controls and recognize risk.

Position Functions

• Lead to establish an internal audit function working closely with management and co-source partner including key performance indicators to assess and improve audit performance.
• Work collaboratively and cross functionally to complete the annual risk assessment and audit plan. Forecast and identify risk on a continual basis to ensure focus on key risk areas.
• Lead and execute high quality internal audit engagements in collaboration with co-source partner. Manage, develop and/or perform audit programs and procedures targeting key risk areas, document audit issues, perform root cause analysis, make value add recommendations and appropriately communicate across the organization as deemed appropriate.
• Prepare reports, presentations, or general updates to ensure identified issues are appropriately communicated. Work with management teams to ensure appropriate and timely remediation of identified issues.
• Integrate and work cross-functionally with departments across the organization to identify, assess and ensure appropriate control measures, including but not limited to, IT, Accounting, etc.
• Provide training on accounting or audit related matters.
• Perform special projects as assigned.
• Summarize and present audit results and general updates to executive management.
• Assist accounting leadership team with review of key financial schedules, external audit, etc.
• Create process documentation for key accounting (treasury, revenue, etc.) and operational areas. This includes but not limited to process narratives, risk and control matrices, process flowcharts, etc. Identify risks within processes and work with process owners to create process efficiencies and enhance performance.
• Assist with new accounting standard implementation/review process (revenue and leases).
• Project manage the company's SOC Reports including review for control weaknesses and assess for appropriate remediation.

Why Southwestern Health Resources

As a Southwestern Health Resources employee, you'll enjoy, comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Additional perks of being an SWHR employee:

• Gain a sense of accomplishment by contributing to a teamwork environment.
• Positively impact patients' quality of life.
• Receive excellent mentorship, comprehensive training and dedicated clinical and administrative leadership resources.
• Enjoy opportunities for growth.

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org

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