JOB SUMMARY
This job executes operational, regulatory and compliance audits and advisory engagements to determine whether Highmark Health and its subsidiaries controls and governance processes, as designed and operated by management, are adequate and functioning. Plans and conducts complex audit procedures, including identifying and defining issues, developing audit criteria, reviewing and analyzing evidence, and documenting the financial status and operating procedures of the organization. Leads and provides guidance to team members, and mentors less experienced team members, prioritizing and assigning tasks to team members within the audit plan. Additionally, reviews work of others to ensure audit is completed in accordance with departmental standards, and ensures that issues are escalated appropriately. Includes the oversight of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business. Analyzes complex data and prepares reports on findings and recommends improvements in policies, procedures, and internal controls and assists outside auditors in audits of organization's operations. Recognized as subject matter expert in field, knowledgeable of emerging trends and industry practices.
ESSENTIAL RESPONSIBILITIES
EDUCATION
Required
EXPERIENCE
Required
Preferred
LICENSES AND CERTIFICATIONS
Required
Preferred (one or more of the following)
SKILLS
Language (Other than English)
None
Travel Required
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
Does Not Apply
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:
$78,900.00Pay Range Maximum:
$147,500.00Base 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.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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