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Internal Auditor I - Growing Healthcare Organization !

Company: Fallon Community Health Plan
Location: Worcester
Posted on: September 25, 2022

Job Description:

Internal Auditor I - Growing Healthcare Organization !


Job ID: 6975
Type: Full Time
# of Openings: 1
Category: Internal Audit
Fallon Health - Corp HQ


About Fallon Health: Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon delivers equitable, high-quality coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter, and LinkedIn. 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. Responsibilities

Job 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 evidence
  • Interacts 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 standards
  • Manage time effectively and efficiently to ensure assigned work is completed within established time frames
  • Develop and maintain technical audit skills through performing research and attending industry relevant training courses
  • Ability to work in a fast-paced environment and can readily adapt to changes within the organization or department
  • The 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.


    Education: 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. PM16 PI191368391

Keywords: Fallon Community Health Plan, Worcester , Internal Auditor I - Growing Healthcare Organization !, Other , Worcester, Massachusetts

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