Sr. Auditor- Controls & Compliance - The Health Plan

 
Position: Sr. Auditor- Controls & Compliance - The Health Plan

Job ID: 149050

Location: US-TX-Bellaire

Department: Controls & Compliance

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health.    Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women.  We are an Integrated Community System providing holistic care that empowers families to live healthier lives.  Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.  Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are searching for a Senior Auditor — someone who works well in a fast-paced setting. In this position, you'll plan and conduct independent, objective assurance and consulting activities designed to add value and improve the 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.

 

Think you’ve got what it takes?



Responsibilities :

• Collect and analyze complex data, evaluate information and systems, and draw logical conclusions
• Plan and manage projects as well as multiple priorities
• Ability to negotiate issues and resolve problems
• Utilize word processing, spreadsheet and other business software to prepare reports, memos, summaries, and analyses
• Effectively communicate both verbally and in writing, and by using active listening skills

• 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 risks outside the scope of assigned audits and other projects, documents the risks, and communicates risks to finance management
• 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
• Performs audits and other assignments in accordance with professional auditing standards and
• departmental policies and procedures
• Communicates audit information such as results and conclusions in accordance with professional auditing standards and departmental policies and procedures
• Creates collaborative positive working relationships with finance staff, clients and other staff, and external parties
• 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



Qualifications:

  • Bachelor’s degree in a business-related field
  • Certified Public Accountant (CPA) is preferred
  • 5 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 is preferred


Apply Now
Current Texas Children’s employees – Please click here to login.
Create Profile or Log In Search Careers