Internal Auditor II

🕒 May 30

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $89.4k - $114k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🔎 Auditor

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Alliance Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

Healthcare Insurance

Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.

📋 Description

• The Internal Auditor II provides senior level staff advisory, consultative, and audit work to include the preparation of audit programs and independent review of various functions, policies, and programs for soundness, adequacy, and application. • The Internal Auditor II ensures resources are efficiently and effectively employed and operate in compliance with the Institute of Internal Auditors Global Internal Audit Standards. • The Internal Auditor II brings a systematic and disciplined approach to evaluating and improving governance, risk management, and internal controls in the achievement of Alliance’s objectives. • Drive internal audit initiatives, special projects, and improvement initiatives in accordance with the Institute of Internal Auditors (IIA) Global Internal Audit Standards, including requirements for planning, performing, and communicating results. • Develop and apply audit criteria and performance measures for assigned engagements. • Apply IIA-aligned audit methodology when evaluating the adequacy, effectiveness, and efficiency of internal controls and ongoing operations. • Provide task assignments, guidance, and initial workpaper review for Internal Auditor I staff. • Perform detailed reviews of workpapers to ensure IIA expectations for evidence quality, analysis, and documentation are met. • Conduct periodic audit follow-ups to assess and report on progress or completion of management’s corrective actions. • Conduct other audit and compliance activities, such as internal investigations, as assigned. • Prepare audit and advisory reports for Director of Internal Audit review.

🎯 Requirements

• Bachelor’s degree in accounting, business administration, human services, or other appropriate areas from an accredited college or university plus a minimum of seven (7) years’ auditing experience, or experience related to the field. • Or Master’s degree in accounting, business administration, human services, or other appropriate areas from an accredited college or university plus a minimum of five (5) years’ auditing experience, or experience related to the field. • Contract review and/or delegation oversight experience is required, along with demonstrated experience developing audit criteria in situations where no prior audit framework exists. • Must possess an active professional certification as a Certified Internal Auditor (CIA); a Certified Public Accountant (CPA); or a Certification in Risk Management Assurance (CRMA). • At least three years of experience in managed care or government in an audit capacity is strongly preferred. • Knowledge in auditing standards, compliance standards, enterprise risk management, and audit best practices. • Knowledge of state and federal Medicaid laws, administrative rules, state policies, and other guidelines. • General understanding of all major MCO functions. Particularly as they relate to claims processing, utilization reviews, grievance management, provider credentialing, and contracting. • Ability to interpret contractual agreements and other business documents. • Ability to maintain confidentiality and handle highly sensitive information with discretion. • Ability to evaluate financial documents for accuracy, completeness, and compliance. • Ability to communicate professionally and succinctly with various stakeholders. • Excellent analytical, decision-making, and time management skills. • Ability to analyze financial data and identify concerning trends, patterns, and other risks. • Knowledge of investigative techniques and methods, such as interviewing, gathering evidence, etc. • Advanced computer skills in Microsoft Office (e.g., Word, Excel).

🏖️ Benefits

• Medical • Dental • Vision • Life • Long and Short Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote options • Paid time off including vacation, sick leave, holiday, management leave • Dress flexibility