This job performs assigned audits, projects or investigations for the entire organization and its subsidiaries and ensures objectives are achieved. The incumbent conducts and documents interviews, performs and documents audit test work, and analyzes and presents oral and written conclusions to department and organization management. This job educates and assists employees and management in applying and improving internal controls to mitigate risks and leads any assisting auditors assigned to their projects. This job demonstrates actions consistent with the company's "Expectations" as duties are performed on a daily basis. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - Bachelor's degree in Accounting, Finance, Business, Healthcare Reimbursement/Operations, or related healthcare field Preferred - Master's degree in Accounting, Finance, Business Administration, or Healthcare Administration Work Experience Required - 2 years of Audit, Compliance, or Operations experience in a service-based company or financial industry Preferred - 2 years of Audit experience in public accounting or healthcare organization Certifications Required - CPA, CIA, CFE, CISA, or related certification at time of hire * 6 years of Audit, Compliance, or Operations experience may be accepted in lieu of certification. Knowledge Skills and Abilities (KSAs) 37 Aptitude to analyze data, people and situations, determine errors and problems in the data, and formulate workable and practical solutions. 37 Computer proficiency and familiarity with standard audit software; knowledge of statistical sampling and audit software CAAT's 37 Good verbal and written skills, including basic interviewing skills. Ability to deliver multi-mode communications that convey a clear understanding of the unique needs of differing audiences. 37 Ability to interact with individuals of diverse cultural backgrounds, of all ages, and at all levels of the organization, both internal and external, in a positive manner to influence and build effective relationships and meet shared objectives. 37 Internal control concepts, specifically knowledgable of control objectives, control activities, terminology, and practices; business process analysis and risk assessment practices; the role of corporate governance and its relationships with the audit committee, board, and executive and operating management; generally accepted documentation standards; and the operations that impact financial reporting and information technology. Understanding of control frameworks (COSO model, COBIT model) and IIA Standards & Guidance. 37 Able to function with the highest sense of integrity, exercising unprejudiced and unbiased judgment on behalf of the company's welfare. 37 Takes on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm. Uses the most effective and efficient means to accomplish tasks, with a focus on continuous improvement. 37 Cooperative spirit in working with others in seeking resolution to problems balanced with a tenacious approach when dealing with risk-exposure issues. 37 The ability to travel to various clinics or operation centers/sites 37 Good organizational and prioritization skills, including the ability to complete assignments with minimal supervision. Hold self and others accountable to meet commitments timely. 37 Skills in leading and coaching others as well as working as part of a team and collaborating with colleagues. 37 Knowledge of healthcare operations. 37 Ability to view process both in the detail of the discrete project and in context of larger organization in which it resides and related entities; able to assess risks and controls across departments and functions outside of individual projects. Job Duties 37 Leads staff auditors or independently and objectively evaluates design and effectiveness of client risk management processes to reasonably achieve objectives, ensure compliance, and protect company assets; determines whether these processes can be relied upon. 37 Leads staff auditors or independently coordinates, plans, and executes engagement plans, identifying gaps and improvement opportunities, making recommendations on corrective action, and providing follow-up to ensure remediation occurs in a timely manner. 37 Maintains communications with department leadership, and organization leadership, concluding with reporting of results that are accurate, timely, and meaningful to users. Gains leadership concurrence on observations and risks identified. 37 Completes projects and assignments by or before the agreed-upon target date, including the work of subordinate staff. Quickly communicates obstacles to achieving target completion date, reprioritizes schedules, and reevaluates project's objectives to ensure resources are dedicated to highest priorities. 37 Develops/maintains working knowledge of laws and industry guidance for establishing, testing, and reporting on assigned areas of the organization, and assists in providing training when applicable. Leads assigned Core Team activities. 37 Participates in other departmental goals, activities and assignments, including Quality Improvement initiatives. Travel required at the discretion of Management. Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases.