Atrium Health
Director - Audit Services
Atrium Health, Charlotte, North Carolina, United States, 28245
Overview
Job Summary
Responsible for overseeing the Data Analytics, Fraud and Investigation and Advisory Programs that support the Audit Services functions of Advocate Health, Inc. Oversees analysis of complex data analysis to uncover patterns, build predictive models, and guide business strategies. Responsible for formulating and compiling a fraud risk assessment to identify, assess, and mitigate fraud risks associated relevant to the organization, including the risks of fraudulent operations, asset misappropriation, and other illegal acts. Provides guidance and project management support for advisory projects related to healthcare operations across the enterprise.
Essential Functions
Identifies, gathers, and analyzes pertinent data from various systems and sources to design, develop, and deliver analytical development activities in support of the Audit Services team.
Performs complex analyses and communicates findings to business owners and senior leadership in conjunction with Audit Services initiatives.
Collaborates with cross-functional teams to develop data visualizations with meaningful insights.
Conducts and facilitates (and educates and trains on) analysis, data research, data manipulation, risk assessment, solution development and strategic alignment.
Implements and deploys a system of data analytic processes and procedures that can identify anomalous transactions or activity for further review and investigation to decrease both the cost of any potential fraud to the organization and the duration of any potential fraud scheme.
Oversees investigations in collaboration with Legal, Human Resources and other partners or from end-to-end, as may be directed by Legal under attorney-client-privilege, including developing investigation plans, conducting investigations, aligning with relevant stakeholders, communicating results, performing root causes analyses to recommend remediation actions to mitigate fraud risk and exposure.
Provides input and insight into fraud risk factors, fraud schemes, fraud red flag analytic procedures, and anti-fraud controls to the wider Audit Services team to be incorporated into the audit lifecycle to ensure these types of risks are considered when evaluating processes and controls.
Leads the Fraud program with recommending to management effective prevention and detection techniques that protect the health system from theft, fraud and misappropriations.
Executes advisory projects, working independently or as part of a team, to assess clinical, financial, and operational improvements across service lines and add value to the identified business owners.
Assists in development of strategy and pipeline of opportunities to support Advisory Services’ ongoing initiatives.
Provides insight and participates in the preparation of risk assessments for key operational changes where the internal control environment may be impacted and require evaluations through audit services.
Coordinates and oversees assigned audit services included in the annual audit plan and that arise throughout the year utilizing specialty resources of the Audit Services team.
Monitors the performance of assigned audit plan assignments and special projects to meet target dates.
Approves audit assignments and reports on the progress and results of assigned audit services performed to management and leadership as well as affiliates.
Provides supporting data and industry expertise for financial and statistical analysis as requested.
Education, Experience and Certifications
Bachelor's Degree in Accounting, Computer Science, Statistics, IT, or related area
Typically requires 8-10 years of experience in Public Accounting and / or Internal Audit.
Includes 5-8 years of management experience in managing teams, audit performance and department budgets.
Prior experience with data manipulation, analysis, visualizations and modeling.
Experience with model building, testing and deploying.
Experience using statistical methods for the measurement of financial outcomes.
Prior investigations, interviewing, and/or law enforcement experience gained in the private and/or public sector.
Prior experience in healthcare consulting, working with providers in acute care and physician practice settings to deliver advisory projects.
Knowledge of data science and machine learning platforms (Microsoft Azure-learning Studio, IBM Watson Machine Learning, etc.)
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Job Summary
Responsible for overseeing the Data Analytics, Fraud and Investigation and Advisory Programs that support the Audit Services functions of Advocate Health, Inc. Oversees analysis of complex data analysis to uncover patterns, build predictive models, and guide business strategies. Responsible for formulating and compiling a fraud risk assessment to identify, assess, and mitigate fraud risks associated relevant to the organization, including the risks of fraudulent operations, asset misappropriation, and other illegal acts. Provides guidance and project management support for advisory projects related to healthcare operations across the enterprise.
Essential Functions
Identifies, gathers, and analyzes pertinent data from various systems and sources to design, develop, and deliver analytical development activities in support of the Audit Services team.
Performs complex analyses and communicates findings to business owners and senior leadership in conjunction with Audit Services initiatives.
Collaborates with cross-functional teams to develop data visualizations with meaningful insights.
Conducts and facilitates (and educates and trains on) analysis, data research, data manipulation, risk assessment, solution development and strategic alignment.
Implements and deploys a system of data analytic processes and procedures that can identify anomalous transactions or activity for further review and investigation to decrease both the cost of any potential fraud to the organization and the duration of any potential fraud scheme.
Oversees investigations in collaboration with Legal, Human Resources and other partners or from end-to-end, as may be directed by Legal under attorney-client-privilege, including developing investigation plans, conducting investigations, aligning with relevant stakeholders, communicating results, performing root causes analyses to recommend remediation actions to mitigate fraud risk and exposure.
Provides input and insight into fraud risk factors, fraud schemes, fraud red flag analytic procedures, and anti-fraud controls to the wider Audit Services team to be incorporated into the audit lifecycle to ensure these types of risks are considered when evaluating processes and controls.
Leads the Fraud program with recommending to management effective prevention and detection techniques that protect the health system from theft, fraud and misappropriations.
Executes advisory projects, working independently or as part of a team, to assess clinical, financial, and operational improvements across service lines and add value to the identified business owners.
Assists in development of strategy and pipeline of opportunities to support Advisory Services’ ongoing initiatives.
Provides insight and participates in the preparation of risk assessments for key operational changes where the internal control environment may be impacted and require evaluations through audit services.
Coordinates and oversees assigned audit services included in the annual audit plan and that arise throughout the year utilizing specialty resources of the Audit Services team.
Monitors the performance of assigned audit plan assignments and special projects to meet target dates.
Approves audit assignments and reports on the progress and results of assigned audit services performed to management and leadership as well as affiliates.
Provides supporting data and industry expertise for financial and statistical analysis as requested.
Education, Experience and Certifications
Bachelor's Degree in Accounting, Computer Science, Statistics, IT, or related area
Typically requires 8-10 years of experience in Public Accounting and / or Internal Audit.
Includes 5-8 years of management experience in managing teams, audit performance and department budgets.
Prior experience with data manipulation, analysis, visualizations and modeling.
Experience with model building, testing and deploying.
Experience using statistical methods for the measurement of financial outcomes.
Prior investigations, interviewing, and/or law enforcement experience gained in the private and/or public sector.
Prior experience in healthcare consulting, working with providers in acute care and physician practice settings to deliver advisory projects.
Knowledge of data science and machine learning platforms (Microsoft Azure-learning Studio, IBM Watson Machine Learning, etc.)
#J-18808-Ljbffr