JOB SUMMARY

This job executes operational, regulatory, information technology, compliance audits and advisory engagements to determine whether Highmark Health and its subsidiaries controls and governance processes, as designed and operated by management, are adequate and functioning. Conducts more complex audit activities to analyze and evaluate the performance of the Organization's financial, operational, information technology and managerial processes to identify risks, areas for improvement, and to ensure that the organization complies with all relevant regulations, laws, and standards. Conducts both routine and complex audit projects independently; plans, organizes, and schedules own workload so that audit activities are completed accurately and on time. Collects, examines, analyzes, and verifies information about the Organization's systems and processes by reviewing manuals, policies, reports, financial statements, and other written materials, and by interviewing organizational members where required. Develops recommendations for changes to processes and systems that will minimize risk, improve performance and productivity and ensure that the organization complies with all relevant regulations, laws, and standards. Prepares audit reports that accurately document the audit process and its findings. Coaches, provides guidance and acts as SME to less experienced team members and help them resolve problems and answer questions.

ESSENTIAL RESPONSIBILITIES

• Act as team resource and SME, of staff, by creating a positive working environment through the building of solid relationships with team members; assist in monitoring of workloads of all team members; adjustment and redistribution of assignments accordingly to promote work/life quality, then taking into account of team members capabilities and needs and meeting of client expectations.

• Act as senior team member of engagement initiation and planning activities for operational, regulatory, information technology and compliance audits across the Highmark Health Enterprise, including designing audit programs to support the audit objectives for assigned audits, the assessment of risk and key controls, identifying and assessing customer needs and acquiring a detailed understanding of business objectives.

• Execute audit programs through completion in order to meet audit objectives, evaluate controls within the process, and appropriately address identified risks.

• Responsible for effective resource, project planning, decision making, team building, and staying current with relevant technology and innovation.

• Conduct oversight of the process to close-out and finalize team audits/projects, including the identification and assessment of issues, development of audit reports, and review of supporting documentation and work papers in accordance with departmental standards.

• Interpret audit results and identify areas where corrective action is required or recommended. Review and assess the adequacy of management responses to the corrective action requirements/recommendations.

• Other duties as assigned.

EDUCATION

Required

• Bachelor’s degree in Accounting, Finance, Business Administration/Management, Information Systems or closely related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Preferred

• None

EXPERIENCE

Required

• 4 years in Public Accounting, Internal Auditing, Internal Control Design Documentation or testing, or a comparable position within a Corporate Finance function

Preferred

• 1 year in the Healthcare/Insurance Industry

LICENSES AND CERTIFICATIONS

Required

• None

Preferred (one of the following)

• Certified Public Accountant (CPA)

• Certified Internal Auditor (CIA)

• Certified Fraud Examiner (CFE)

• Certified Information Systems Auditor (CISA)

SKILLS

• Knowledge of internal audit functions, including the ability to apply auditing (GAAS), accounting (GAAP) and or industry standards to the evaluation of operational/financial/compliance audits

• Exhibiting effective resource and project planning, decision making, results delivery, team building and staying current with relevant audit/accounting and industry guidance

• Effective written and oral communication skills with the ability to establish and maintain business relationships and develop solutions, emphasizing a client-based focus to understand and respond appropriately to business requirements

• Strong relationship building skills

• Self-starter with the ability to work under pressure independently and as part of a team

• Ability to think strategically and act proactively to create strong trust and confidence with business units

Language (Other than English)

None

Travel Required

0%- 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.