Internal Auditor I

Company: Fallon Community Health Plan
Location: Worcester
Posted on: August 7, 2022

Job Description:

Internal Auditor IUS-MA-WorcesterJob ID: 6975Type: Full Time# of Openings: 1Category: Internal AuditFallon Health - Corp HQOverviewAbout Fallon Health:Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation's top health plans, and is the only health plan in Massachusetts to have been awarded "Excellent" Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org. Brief Summary of Purpose:The Internal Audit Department (IA) at Fallon Health is committed to protecting Fallon Health by conducting independent and objective internal audits and assessments of its operational, financial and compliance controls. IA reports administratively to the Chief Compliance Officer and functionally to the Audit & Compliance Committee and plays a key role in auditing risks identified in the organization. The Internal Auditor plays a key role in th execution of the annual audit plan. The Internal Auditor I will work under the direction of the Audit Manager. ResponsibilitiesJob Responsibilities:Supports the internal audit department by participating in a wide variety of audits such as: Model Audit Rule (MAR - internal controls), financial and operational internal audits, claims testing for payment and financial accuracy, and other special projects as assigned. Gathers and analyzes data through a variety of methods including interviews, financial research, etc. This consists of testing key controls, analyzing data to form reasonable conclusions, and preparing audit reports.Assist in developing and presenting findings and recommendations based on audit work performed to improve internal controls and other financial and operational processes. This includes drafting the scope, objectives, risks, and issues identified, recommendations and management action plans by working under the direction of the Lead Auditor or Audit Manager.Prepare detailed work papers for each project assigned.Analyze data obtained for evidenceInteracts and communicates with business process owners and upper-level management as needed during internal audit activities. Learn and apply Internal Audit's established policies, procedures, and work paper standardsManage time effectively and efficiently to ensure assigned work is completed within established time framesDevelop and maintain technical audit skills through performing research and attending industry relevant training coursesAbility to work in a fast-paced environment and can readily adapt to changes within the organization or departmentThe primary focus of this role will be to assist the department on audits, projects, as well as special requests.Perform all aspects of audits following departmental standards and procedures.QualificationsEducation:Bachelor's degree in accounting, finance, or business administration is required. License/Certifications:Willingness to pursue a CIA, or other industry certification. Experience:Entry-level to 2 years of audit or industry accounting experience. Possesses a high degree of integrity and confidentiality based on exposure to personal and confidential information.Strong interpersonal, analytical, and organizational skills Fallon Health Vaccination Requirements:To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as "Remote" require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.PI187960577

Keywords: Fallon Community Health Plan, Worcester , Internal Auditor I, Accounting, Auditing , Worcester, Massachusetts