Lead Business Auditor

Horizon Healthcare Services•Newark, NJ

About The Position

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This position is an extended member of the departments leadership team and is responsible for the supervision and the execution of assigned audits and strategic initiatives. These responsibilities include ensuring the appropriateness of the scope, quality and execution of testing and reporting, and the identification as well as tracking of issues to closure.

Requirements

High School Diploma/GED required
5 + years of Internal or External Audit Experience or equivalent leadership experience
Requires knowledge of sound business practices
Requires knowledge of accounting or technology practices
Customer Focus- Make internal and external customer and their needs a primary focus of ones actions; develop and sustain effective working relationships
Drive for Results- Set high performance standards for self and others; assume responsibility and accountability for successfully completing assignments or tasks on time; monitor performance against established standards
Adaptability-Maintain effectiveness when experiencing major changes in the organization, work tasks or the work environment; adjust effectively to work with new organization/work structures, processes, requirements or cultures
Communicating with Impact-- Express thoughts, feelings and ideas in a clear, succinct, compelling, appropriate and organized manner in both individual and group situations; tailor message and language to the audience
Developing Self and Others-- Demonstrate and encourage an eagerness and acquire necessary knowledge, skills and judgment to accomplish a result and perform the job more effectively
Critical Thinking: Apply process analysis, business intelligence and problem solving techniques
Professional Standards: Apply the standards and practices of the profession and Horizon Internal Audits policies and procedures
Internal Audit Delivery: Delivers internal audit engagements
Internal Audit Leadership: Develop and lead the Internal Audit function including the ability to advocate for the function and speak to its value to the organization.
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Nice To Haves

Bachelor degree preferred or relevant experience in lieu of degree
CPA, CIA or CISA preferred
Big 4 Expertise a plus
Prefer knowledge of the insurance industry
Prefers knowledge of insurance-related regulatory environment
CPA, CISA or CIA preferred

Responsibilities

For assigned audits, initiatives or program tasks, develops scope and work programs, assigns tasks, and ensures that assigned audit planning, data gathering, analysis and testing tasks are accomplished in the timeframe established.
Identifies, develops and documents control issues.
Monitors ongoing performance of deficient systems or processes and develops updates or modifications to recommendations and findings.
Reviews work products for assigned audits.
Prepares formal written reports or conclusions expressing opinions on the adequacy and effectiveness of the system of internal control as needed.
Develops and exhibits a good understanding of Horizons business model and risks.
Establishes buy in with management, clients and audit teams by learning and exhibiting persuasion and motivation techniques.
Builds strong relationships with, interviews and gathers information from management regarding business risk and system of internal control.
Offers value-added recommendations to management on internal controls.
Oversees work of staff (employee or co-sourced partner) to ensure overall quality and client satisfaction, and provides guidance and feedback to staff on their performance and work products.
Reports progress of assigned audit or program work and seeks input from the Audit Manager and Director.
Develops expertise of the business environment and industry practices, internal audit professional practices and specific Horizon business decisions