About The Position

The Technology Risk & Controls Senior Advisor will serve as a senior individual contributor in building and sustaining a robust control governance program within the Provider Experience & Operations (PX&O) function. This individual will be responsible for owning specific business process areas across provider data management and claim operations, ensuring effective risk and control practices are embedded within these domains. Additionally, the Technology Risk & Controls Lead will serve as a technology risk and controls subject matter expert (SME) across the team, providing deep expertise in data governance, auditing automated application controls, and key report validation. The role will leverage advanced risk management, control design, and audit readiness skills to enable compliant business processes and support audit coordination across critical PX&O programs. Candidates who reside within 50 miles of the following locations will be required to perform onsite 3 days per week: Bloomfield, CT; Chattanooga, TN; Denver, CO; St. Louis, MO; and Scottsdale, AZ. Position Summary Provide subject matter expertise in technology risk and controls, supporting the development, maintenance, and monitoring of operational risk and control frameworks across claims and Network Operations processes. Document and update business process flows, control matrices, and risk assessments, with an emphasis on technology-enabled processes and automated controls. Support internal and external audit activities, including evidence collection, control remediation design and tracking, and audit readiness for SOX/SOC requirements. Identify and escalate emerging technology risks, advising leadership on mitigation strategies and ensuring appropriate actions are taken. Assess and monitor risks related to data integrity, system changes, and technology-enabled processes, providing expert guidance on control design and effectiveness. Collaborate with teams on control integration during system implementations or enhancements, ensuring new processes and technologies meet control requirements. Champion risk and control awareness across the organization by developing and delivering training, guidance, and communications that promote a strong control culture.

Requirements

  • Bachelor’s degree in Accounting, Business, Risk Management, Information Systems, or related field preferred
  • 5+ years of Big 4 audit experience preferred, or 7+ years’ alternate relevant risk and controls experience.
  • Expertise in data governance controls, auditing automated application controls, and key report validation.
  • Experience managing SOX/SOC audit coordination and external auditor relationships.
  • Deep knowledge of SOX, SOC 1, SOC 2, and technology risk management frameworks.
  • Proven ability to embed control requirements into system and process design.
  • Excellent communication and stakeholder management skills.
  • Demonstrated ability to drive issue escalation and resolution across complex programs.
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

  • Experience in healthcare operations or payer-provider environments strongly preferred.
  • Certified Information Systems Audit (CISA) certification preferred.

Responsibilities

  • Control Governance: Establish and maintain formal control governance for technology-enabled business processes, including data governance and automated application controls. Provide expert guidance on operational risk and controls to optimize the control environment, implement proactive risk mitigation strategies, and resolve control issues efficiently.
  • Collaboration: Build and sustain strong partnerships across Operations, Technology, Audit, and other key business functions to drive a unified and effective approach to operational risk and control management. Facilitate open communication, knowledge sharing, and collaborative problem-solving to proactively address risks, resolve control issues, and support audit readiness.
  • Communication: Translate complex control concepts and audit requirements into actionable guidance for diverse audiences. Provide regular updates on control program status, risk exposures, and remediation progress to key stakeholders.

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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