Healthcare Operations Internal Auditor, Senior II

UPMC Senior Communities • $88K — $105K *
Pittsburgh, PA 15237In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent clinical certification
  • 5+ years of progressive clinical, audit, or compliance experience
  • High School Diploma/GED and seven years of related work experience are acceptable
  • Demonstrated expertise in healthcare operations
  • Strong executive communication and influence skills
  • Superior computer skills including MS Office Suite and SharePoint
  • Strong understanding of risk analysis and process improvement
  • Willingness to travel, as needed

Responsibilities

  • Lead operational, clinical, and regulatory audits
  • Contribute to risk assessments and the annual audit plan
  • Evaluate enterprise level clinical controls and governance structures
  • Provide advisory support for new clinical initiatives, acquisitions, and regulatory changes
  • Assist and train other auditors
  • Coordinate with Compliance, Legal, Quality, and Revenue Cycle teams
  • Present audit results to senior and executive leadership
  • Identify systematic trends and emerging risks across multiple locations
  • Utilize operational and clinical data in the audit process

Benefits

  • Hybrid work schedule with flexibility for in-office and remote work
  • Opportunity to influence enterprise risk management
  • Developmental support through training and mentorship
  • Exposure to various operational aspects of healthcare
  • Collaboration with senior executive leadership
  • Engagement in strategic audit initiatives
  • Potential for career growth within the organization
Full Job Description
Purpose:
The Senior II Healthcare Auditor leads operational audits within the health services division (HSD) and provides strategic insight to Internal Audit and Operational leadership. Leveraging healthcare operations expertise, the Expert Auditor is intended to infuse their subject matter knowledge throughout the audit process. This role is responsible for assisting other auditors and influencing enterprise risk management related to clinical operations.

Location: This position will be based out of the Steel Tower in Pittsburgh, PA. This position will have the potential to work from home on a hybrid schedule which includes some days in office and some days at home per week.

Responsibilities:

  • Lead operational, clinical, and regulatory audits
  • Contribute to risk assessments and the annual audit plan
  • Evaluate enterprise level clinical controls and governance structures
  • Provide advisory support for new clinical initiatives, acquisitions, and regulatory changes
  • Assist and train other auditors
  • Coordinate with and assess Compliance, Legal, Quality, and Revenue Cycle (all second lines of defense functions)
  • Present audit results to senior and executive leadership
  • Identify systematic trends and surface emerging risks across multiple locations
  • Use operational, clinical, and revenue cycle data and workflow design knowledge in the audit process


Qualifications:

  • Bachelors degree or equivalent clinical certification
  • 5+ years of progressive clinical, audit, or compliance experience
  • OR High School Diploma/GED and seven years of related work experience.
  • Demonstrated expertise in healthcare operations
  • Strong executive communication and influence skills
  • Superior computer skills, including experience in MS Office tools: Word, Excel, Outlook PowerPoint, CoPilot and SharePoint
  • Strong understanding of risk analysis and process improvement.
  • Willingness to travel, as needed

Key Competencies
  • Clinical and regulatory subject matter expertise
  • Audit planning, execution, and reporting leadership
  • Strong written and verbal communication
  • Risk assessment, process improvement, and root cause analysis
  • Excellent project management skills
  • Sound professional judgment and discretion

    Licensure, Certifications, and Clearances:
    RN, LPN, CHC, CPC, CIA, Six Sigma or CPMA preferred
  • Act 34

About UPMC Senior Communities

UPMC Senior Communities Careers

There has never been a better time to explore the diverse job opportunities at UPMC Senior Communities—the leading network of senior living facilities focused on innovative care and professional excellence.

Work You’ll Do

Join UPMC Senior Communities to assist in transforming the experience of aging through top-tier care and wellness programs. This is an opportunity to be part of a team that values leadership, diversity, and innovation in the healthcare sector. Lead in a unique role where skills in healthcare, empathy, and leadership converge to enhance the lives of seniors. UPMC Senior Communities stands at the forefront of the industry, integrating advanced technology and personalized care practices. Engage with a professional network of healthcare providers and administrators dedicated to pioneering improvements in senior living. Collaborate with over 3,000 dedicated professionals across various facilities.

Introducing the UPMC Senior Communities Professional Development Program

The program is designed to foster career growth through comprehensive training, leadership development, and diversity training. UPMC Senior Communities is committed to nurturing the professional growth of its team members through continuous education and opportunities for advancement.

Do Innovative Work

Be part of a culture that thrives on innovation and continuous improvement. UPMC Senior Communities employs a vast array of healthcare professionals and support staff, all dedicated to setting new standards in senior care.

Drive Change in Senior Healthcare

Deliver targeted solutions and personalized care that significantly improve the quality of life for residents. UPMC Senior Communities offers a platform for professionals to apply their expertise in a meaningful and impactful way.

Be Part of a Great Team

Work alongside a team that values compassion and professionalism, harnessing the collective capabilities to deliver exceptional care. UPMC Senior Communities promotes a collaborative environment where every team member’s contribution is valued.

Future-Proof Your Career

Advance your career within UPMC Senior Communities through a variety of pathways, from direct care positions to administrative roles. Enjoy robust benefits, professional development programs, and a supportive work environment that encourages long-term career growth.

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Discover how UPMC Senior Communities leads the way in senior healthcare innovation: - Implementing cutting-edge health technology to enhance resident care - Developing community-based programs that support holistic wellness

The UPMC Senior Communities Employment Promise

With a commitment to employee satisfaction and career development, UPMC Senior Communities ensures that all team members have the resources and support to succeed. Clients and their families rely on UPMC Senior Communities for compassionate and skilled care, making it a prime choice for those seeking meaningful employment in the healthcare sector.

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