About Texas Children's Hospital
Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org
for career opportunities. You can also learn more about our amazing culture at infinitepassion.org
We are searching for a Senior Auditor - someone who works well in a fast-paced hospital setting. In this position, you’ll plan and conduct independent, objective assurance and consulting activities designed to add value and improve operations, using a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control, governance processes, and claims payment compliance and to mitigate potential risks identified so that external audits result in no findings.
Think you’ve got what it takes?
- Engages in risk assessment and other Departmental planning activities
- Work with Finance management team to identify high risk areas within the Health Plan and to initiate audit projects designed to evaluate what the risks and related financial impact is and implement controls designed to mitigate those risks
- Identifies and evaluates potential projects to improve management of risks, add value, and improve the organization's operations Independently plans, facilitates and manages operational, financial and compliance audits, investigations and external audits conducted by governmental and other outside agencies
- Works to develop a risk assessment plan prior to external and other audits to identify potential audit risks and work to mitigate those risks to avoid audit findings
- Oversees the Triennial Financial audit conducted by the Texas Department of Insurance and collaborates with multiple departments to gather information, reconcile any differences and explain to the auditor
- Works with outside CPA firm during the annual audit of the statutory-basis financial statements to provide information in response to their requests and explain any variances or differences in the data and other information provided to the auditors
- Demonstrates and maintains a high level of productivity by initiating internal audit projects and volunteering assistance to other staff to ensure projects are completed by the designated deadline and ensure that other audit responsibilities are appropriately supported
- Performs audits and other assignments in accordance with professional auditing standards and departmental policies and procedures
- Performs audit procedures, including conducting and documenting interviews, reviewing and analyzing evidence, identifying and defining issues, developing criteria, documenting client processes and procedures, and composing summary memos
- Identifies sufficient, reliable, relevant, and useful information as audit evidence to support results and conclusions
- Follows up on prior audit findings and recommendations within the scope of assigned projects and/or during the periodic follow-up process to determine the status of planned corrective actions
- Communicates audit information such as results and conclusions in accordance with professional auditing standards and departmental policies and procedures
- Prepares work papers, reports, and correspondence for assigned projects that are accurate, objective, clear, concise, constructive, complete, and timely Reviews and edits audit findings and/or report drafts written by other auditors to ensure accuracy, completeness and appropriateness
- Creates collaborative positive working relationships with Finance staff, clients and other staff, and external parties
- Maintains positive team and departmental relationships by demonstrating and supporting initiatives, willingness to learn, flexibility, respect, cooperation and commitment to the success of Audit Services
- Bachelor's degree in a Business-related field
- Five years of progressive experience in an audit and/or accounting environment, including specific experience in performing audit assignments in a lead role (a combination of education and experience may be considered as substitutions for the minimum experience requirements)
- Experience in auditing within the healthcare industry preferred Certification such as CPA or CIA preferred
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