Auditor (Remote)

Purpose

Evaluate operational, financial, regulatory, and compliance controls to ensure processes function efficiently and comply with CareFirst policies, procedures, and regulations.

Responsibilities

• Evaluate internal control processes to identify potential deficiencies and report audit findings to supervisor or manager.
• Develop and execute audit projects including operational, financial, regulatory, and compliance audits, consulting projects, special reviews, and management requests.
• Analyze operations and strategies to identify opportunities for improvement in processes.
• Participate in the development of risk assessments for business processes or projects under review.
• Perform process walkthroughs and participate in entrance and exit meetings.
• Assist in drafting audit findings, management action plans, and reports for management review.
• Maintain audit documentation in an automated workpaper repository and support follow-up activities to validate completion of action plans.
• Support project monitoring initiatives by tracking audit and project milestones, identifying risks, and coordinating with stakeholders to ensure timely completion of audit activities and deliverables.
• Contribute to the development of efficient and effective audit objectives, programs, and testing procedures.
• Document walk-throughs of business processes using flowcharting applications (e.g., VISIO).
• Advise and consult on risk management and controls for new processes associated with 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 owners/managers 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 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 audits and operational, financial, regulatory, and compliance audits as assigned.

Qualifications

• Education: Bachelor's Degree in Business Administration, Management Sciences, Finance, Accounting, or related field OR 4 years of relevant work experience in lieu of a degree.
• Licenses/Certifications: Preferred Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Fraud Examiner (CFE).
• Experience: 1 year of experience in accounting, finance, auditing, insurance, or operational capacity in the healthcare industry.
• Knowledge, Skills, and Abilities: Knowledge of operational processes, state and federal regulatory and compliance guidelines, accounting principles and practices, data analytic tools (e.g., Excel), auditing methods, practices, standards (e.g., IIA), problem recognition and analysis, communication skills (oral and written), meeting deadlines, handling multiple customer service demands, providing positive customer service, and familiarity with IT General Controls (ITGCs).