This role plays a crucial role in overseeing financial and operational aspects of external audits. They create annual audit plans, lead audit teams, and ensure compliance with accounting principles, regulations, and government standards. Additionally, they manage relationships with government agencies and affiliated companies. This role also develops policy guidance, reduces audit findings, and oversees privacy and access to patient health information. They contribute to training programs, write reports for stakeholders, and manage audit budgets. Overall, their responsibilities contribute to maintaining financial integrity and compliance within organizations. Serves as the most senior audit expert within BCBSA on the Government Programs. Develops and implements a strategy to audit, monitor and report on the significant risk relating to financial, claims, quality assurance or operations for Affiliated companies. Plans and manages the development and execution of all related audit activities, including audit programs and control guidelines. Documents work performed according to professional standards and provides reports to highlight areas for improvement. Partners with clients to develop day-to-day strategies, positions and/or compromises on audit issues working toward building consensus on these issues. Lead and manage a team with the aim of driving effective performance management, fostering professional growth, and creating a positive and inclusive work environment. This role is dedicated to utilizing strong leadership and communication skills to motivate and inspire team members, ensuring they are aligned with and committed to achieving the organization’s goals. Provides oversight, guidance and training on Government programs information process, policies and procedures in coordination with audit oversight on accounting, financial reporting, quality assurance, or claims activities to the Affiliate companies and communicate to Board of Managers Subcommittee, legal counsel, business owners and Affiliated companies during conferences or meetings. Regularly evaluate and implement changes to procedures to maximize efficiency and workload balance across resources. Ensure the cohesiveness and monitor the completion of all process documents related to the daily flow of information. Determines and recommends necessary accounting, financial reporting, quality assurance, or claims activities for the Affiliate companies actions for the various programs based on financial analysis and/or research of various activities, operating results, business problems, and/or technical accounting, tax, and financial issues.
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Job Type
Full-time
Career Level
Senior