Commonwealth Care Alliance
Internal Audit Associate
Commonwealth Care Alliance, Boston, Massachusetts, us, 02298
012100 CCA-Internal Audit
Position Summary:
Under direction of the Director of Internal Audit, the primary functions of this position are to:
Contribute towards the maintenance and enhancement of an effective Internal Audit Program, including executing audits and controls testing
Assist in the completion of regulator and other external reviews as assigned
Contribute towards Department documentation and reporting
Supervision Exercised:
No, this position does not have direct reports.
Essential Duties & Responsibilities:
Contribute towards the maintenance and enhancement of an effective Internal Audit Program, including executing audits and controls testing
Maintain current knowledge of internal audit techniques, best practices, and professional standards. Conduct planned and ad hoc internal audits and follow-up validations of internal processes and vendors, as assigned. Apply auditing expertise to report on compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
Completes audit work papers by documenting audit plan, risks, methodology, tests, findings, recommendations, executive summary, and validation. Maintain the audit documentation module for all audit work papers and make recommendations for enhancements to the module when identified.
Complete testing of defined internal controls as it relates to the CCA controls framework and make determinations on the effectiveness of controls
Communicates audit findings by maintaining open and transparent communication with auditees, management, and stakeholders; preparing interim and final reports; presents findings to auditees, management, and stakeholders
Contribute towards developing CCA’s Annual Internal Audit Plan based on identified risks and identifying beneficial and value-added audits.
Maintain current knowledge of and identify business and compliance risks using various sources and methods.
Make recommendations if needed towards enhancement of the Internal Audit Program processes, templates, and tools.
Assist in the completion of regulator and other external reviews as assigned
Communicate project deliverables and deadlines to internal stakeholders, points of contact, and vendors
Collect and track deliverables to ensure timely and quality completion
Gain and/or maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common findings, and best practices. Support and contribute towards CCA education on these topics.
Contribute towards Department documentation and reporting
Maintain and update documentation in coordination with colleagues of current processes and controls.
Support Internal Audit reporting through dashboard updates to team and management.
Participate and contribute to development and enhancement of metrics for reporting key performance indicators.
Additional Responsibilities
Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source programs above and recommended.
Present updates and reports as requested.
Provide support to team members or manager when requested.
Other duties as assigned.
Secondary Responsibilities
Contribute towards the overall Department Regulatory Affairs and Compliance infrastructure at CCA.
Promote compliance in CCA’s business operations with all Medicare and Medicaid contractual and regulatory requirements.
Working Conditions:
Standard office conditions.
Must be able to travel locally to CCA/CCC offices and conferences via public transportation and/or personal vehicle, as needed
Minimal travel may be required
Required Education (must have):
Bachelor’s degree from an accredited institution is required.
Desired Licensing (nice to have):
CIA, CPA, CISA, CHIAP or active progression towards the designation preferred
Desired Experience (nice to have):
3+ years’ work experience in auditing is preferred.
1+ year work experience in health care preferred.
Required Knowledge, Skills & Abilities (must have):
Strong written, verbal, listening, presentation, and communication skills – having the ability to understand and communicate appropriately to the targeted audience.
Strong analytical skills – having the ability to identify an issue, conduct an analysis to determine business impact (including gap analyses), troubleshoot and identify solutions.
Ability to influence team members and business owners to resolve issues in a timely manner.
Ability to work independently and with minimal supervision.
Self-directed with proven initiation skills.
Ability to present information clearly in meetings and to communicate with team members and senior leadership.
Excellent interpersonal skills in order to communicate and work with staff of all skill and experience levels.
Attention to detail.
Strategic thinking and planning for Programs assigned to this position - ability to initiate and develop new solutions to problems, to identify new opportunities; and have organizational perspective to see how the pieces fit and reflect that perspective in day-to-day decisions.
Must be able to effectively communicate with colleagues, internal customers, and vendors
Required Language (must have):
English
Desired Knowledge, Skills, Abilities & Language (nice to have):
Proficient technical skills (MS Excel) preferred.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
Position Summary:
Under direction of the Director of Internal Audit, the primary functions of this position are to:
Contribute towards the maintenance and enhancement of an effective Internal Audit Program, including executing audits and controls testing
Assist in the completion of regulator and other external reviews as assigned
Contribute towards Department documentation and reporting
Supervision Exercised:
No, this position does not have direct reports.
Essential Duties & Responsibilities:
Contribute towards the maintenance and enhancement of an effective Internal Audit Program, including executing audits and controls testing
Maintain current knowledge of internal audit techniques, best practices, and professional standards. Conduct planned and ad hoc internal audits and follow-up validations of internal processes and vendors, as assigned. Apply auditing expertise to report on compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
Completes audit work papers by documenting audit plan, risks, methodology, tests, findings, recommendations, executive summary, and validation. Maintain the audit documentation module for all audit work papers and make recommendations for enhancements to the module when identified.
Complete testing of defined internal controls as it relates to the CCA controls framework and make determinations on the effectiveness of controls
Communicates audit findings by maintaining open and transparent communication with auditees, management, and stakeholders; preparing interim and final reports; presents findings to auditees, management, and stakeholders
Contribute towards developing CCA’s Annual Internal Audit Plan based on identified risks and identifying beneficial and value-added audits.
Maintain current knowledge of and identify business and compliance risks using various sources and methods.
Make recommendations if needed towards enhancement of the Internal Audit Program processes, templates, and tools.
Assist in the completion of regulator and other external reviews as assigned
Communicate project deliverables and deadlines to internal stakeholders, points of contact, and vendors
Collect and track deliverables to ensure timely and quality completion
Gain and/or maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common findings, and best practices. Support and contribute towards CCA education on these topics.
Contribute towards Department documentation and reporting
Maintain and update documentation in coordination with colleagues of current processes and controls.
Support Internal Audit reporting through dashboard updates to team and management.
Participate and contribute to development and enhancement of metrics for reporting key performance indicators.
Additional Responsibilities
Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source programs above and recommended.
Present updates and reports as requested.
Provide support to team members or manager when requested.
Other duties as assigned.
Secondary Responsibilities
Contribute towards the overall Department Regulatory Affairs and Compliance infrastructure at CCA.
Promote compliance in CCA’s business operations with all Medicare and Medicaid contractual and regulatory requirements.
Working Conditions:
Standard office conditions.
Must be able to travel locally to CCA/CCC offices and conferences via public transportation and/or personal vehicle, as needed
Minimal travel may be required
Required Education (must have):
Bachelor’s degree from an accredited institution is required.
Desired Licensing (nice to have):
CIA, CPA, CISA, CHIAP or active progression towards the designation preferred
Desired Experience (nice to have):
3+ years’ work experience in auditing is preferred.
1+ year work experience in health care preferred.
Required Knowledge, Skills & Abilities (must have):
Strong written, verbal, listening, presentation, and communication skills – having the ability to understand and communicate appropriately to the targeted audience.
Strong analytical skills – having the ability to identify an issue, conduct an analysis to determine business impact (including gap analyses), troubleshoot and identify solutions.
Ability to influence team members and business owners to resolve issues in a timely manner.
Ability to work independently and with minimal supervision.
Self-directed with proven initiation skills.
Ability to present information clearly in meetings and to communicate with team members and senior leadership.
Excellent interpersonal skills in order to communicate and work with staff of all skill and experience levels.
Attention to detail.
Strategic thinking and planning for Programs assigned to this position - ability to initiate and develop new solutions to problems, to identify new opportunities; and have organizational perspective to see how the pieces fit and reflect that perspective in day-to-day decisions.
Must be able to effectively communicate with colleagues, internal customers, and vendors
Required Language (must have):
English
Desired Knowledge, Skills, Abilities & Language (nice to have):
Proficient technical skills (MS Excel) preferred.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.