Company :Highmark HealthJob Description :
JOB SUMMARY
This job is responsible for developing, directing, and executing a comprehensive internal audit and advisory services program for the Enterprise. This includes planning and conducting audits and internal control assessments in a manner in which all relevant risks are assessed in an efficient manner to determine completeness, accuracy, validity, and restricted access and/or effectiveness of the control environment. The incumbent oversees the delivery of independent and objective assurance to business areas and at the same time, directs the coordination of assessments that deliver sustainable strategies that integrate project governance, risk management, control design, and compliance activities. The Internal Audit department is dedicated to providing objective assurance and consultation designed to add value and improve enterprise-wide operations and support compliance. Internal Audit helps the organization to accomplish its objectives by bringing a systematic, disciplined approach to evaluating and improving the effectiveness of risk management, control and governance processes by providing insight and recommendations based on analyses and assessments of data and business process. The scope of audit and advisory engagements is broad, and includes the efficiency of operations, the reliability of financial reporting, deterring and investigating fraud, safeguarding assets, and compliance with laws and regulations, including but not limited to control design and testing in support of compliance requirements. Audit and advisory projects often address management requests and consultation to provide comfort over identified risks, new business processes, strategic initiatives and vendor reviews.
ESSENTIAL RESPONSIBILITIES
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Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
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Audit & Advisory Engagement & Issue Management - Effectively directs engagements on the Internal Audit & Advisory Services Plan by developing a staffing model and addressing delays, removing barriers, and appropriately communicating results to leadership within the Enterprise. Accountable for ensuring that audit engagements are completed in conformance with International Standards for the Professional Practice of Internal Auditing.
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Audit & Advisory Engagement Planning - Provides leadership and collaborates with peers, managers and other members of the Enterprise Risk and Governance group, as well as external stakeholders to plan and execute audits in an efficient and effective manner.
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Leads the development and maintenance of a risk based Internal Audit & Advisory Services Plan which is flexible, agile and connected to newly emerging risks changing business needs.
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Audit & Advisory Reporting and Monitoring - Directs and consults on the completion of remediation efforts and ensure timely follow-up audits as necessary.
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Partnership & Communication - Interacts and maintains productive business relationships with Senior Management, business leaders and individual contributors at all levels. effective and efficient execution of audit and advisory engagements.
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Seeks out opportunities to create innovative, efficient and value added audit procedures through the use of tools supporting enhanced data analytics and robotic process automation.
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Ensures synergy with other Enterprise Risk and Governance Department efforts to facilitate appropriate communication, and leverage work performed where practical and possible.
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Other duties as assigned or requested.
EDUCATION
Required
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Bachelor's Degree in Accounting, Finance or related field
Substitutions
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6 years of related and progressive experience in lieu of Bachelor's degree
Preferred
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Master's Degree in Accounting, Finance or related field
EXPERIENCE
Required
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7 years of progressive Audit and/or Accounting work
To Include
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5 years of Project Management
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3 years in a leadership role
Preferred
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2 years of audit leadership of moderate to large sized teams OR
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2 years with a Insurance/Healthcare provider
LICENSES or CERTIFICATIONS
Required
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None
Preferred
(Any of the following)
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Certified Public Accountant (CPA)
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Certified Internal Auditor (CIA)
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Certified Fraud Examiner (CFE)
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Certified Information Systems Auditor (CISA)
SKILLS
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Excellent written and verbal communication skills. Ability to appropriate package information and tailor message to respective audiences
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Demonstrates and applies a thorough understanding of complex financial and operational processes and/or complex information systems
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Proven management and leadership skills with the ability in influence and motivate others while managing strict project and reporting deadlines
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Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve complex problems
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Stays abreast of changing Institute of Internal Auditor standards and leading audit practices, leading internal audit technologies, as well as relevant business and industry trends
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements
Pay Range Minimum:
$108,000.00
Pay Range Maximum:
$201,800.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.