[Remote] Auditor (Remote)

Note: The job is a remote job and is open to candidates in USA. CareFirst BlueCross BlueShield is seeking an Auditor to assess operational, financial, regulatory, and compliance controls. The role involves performing a variety of internal audit projects, analyzing operations for improvement opportunities, and documenting audit findings and recommendations.

Responsibilities

• Assess the organization's operational, financial, regulatory and compliance controls to ensure processes function efficiently and remain in compliance with CareFirst policies, procedures and regulations
• Evaluates internal control processes to identify potential control deficiencies
• Report audit findings to the supervisor or manager and recommend solutions to improve overall processes and control governance
• Perform a variety of internal audit projects including operational, financial, regulatory and compliance, consulting projects, special reviews and management requests
• Analyze and evaluate operations and strategies to identify opportunities for improvement in processes
• Participate in the development of the risk assessment for the business process or project under review
• Perform process walkthroughs and participate in the Entrance and Exit meetings
• Assist in drafting audit findings, management action plans and draft report for management review
• Maintain audit documentation in automated workpaper repository of business processes and related risks
• Support with follow-up activities to validate completion of action plans
• Support project monitoring initiatives by tracking audit and project milestones, identifying emerging risks, and coordinating with stakeholders to ensure timely completion of audit activities and related deliverables
• Perform Model Audit Rule (MAR) activities, including testing and evaluating internal controls in accordance with regulatory requirements, documenting results, supporting issue identification and remediation tracking, and reporting MAR-related results and trends to audit leadership
• Assist in monitoring the progress of operational, financial, regulatory and compliance audits as assigned, including participation in project monitoring activities to track project timelines, dependencies, risks and issue resolution
• Contribute to the development of efficient and effective audit objectives, programs and testing procedures
• Document walk-throughs of business processes utilizing flowcharting application (e.g., VISIO)
• Advise and consult on risk management and controls for new processes associated with the assigned projects, as appropriate, and demonstrate willingness to learn and apply IT General Controls (ITGCs) in support of technology-enabled processes
• Follow-up with business owner/management to resolve identified issues, including internal control testing
• Maintain a repository of operational, financial, regulatory and compliance audit issues and related corrective action plans
• Monitor and provide periodic updates to the Senior and Lead auditors on the status of outstanding management action plans
• May assist with monitoring remediation efforts related to technology and IT-enabled controls as experience and training are obtained
• Assist in the coordination of external vendor audit, as well as operational, financial, regulatory and compliances audits as assigned

Skills

• Bachelor's Degree in Business Administration, Management Sciences, Finance, Accounting or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
• 1 year Experience in accounting, finance, auditing, insurance or relevant work experience in an operational capacity in the health care industry
• Some knowledge of operational processes, state and federal regulatory and compliance guidelines, accounting principles and practices, with data analytic tools (e.g., Excel)
• Knowledge of various auditing methods, practices, standards (e.g., IIA)
• Recognize, analyze, and provide possible solutions for a variety of problems
• The ability to communicate effectively both oral and written
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence
• Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
• Must be eligible to work in the U.S. without Sponsorship
• Certified Internal Auditor (CIA)
• Certified Public Accountant (CPA)
• Certified Fraud Examiner (CFE)
• Preferred that individual possess or is in the process of obtaining a professional certification in one of the following CPA, CIA, CFE, or other relevant professional certifications

Benefits

• Comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans

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