Internal Audit Manager

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🐊 Florida – Remote

🐊 Florida – Remote

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👔 Manager

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Polaris Pharmacy Services

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2015

💼 Beratung

🏭 Fertigung

📦 Logistik

Consulting • Manufacturing • Logistics

Polaris Pharmacy Services ist eine privat geführte Apotheke für Langzeit- und post-akute Pflege, die sich der Bereitstellung hochwertiger Apothekendienstleistungen, außergewöhnlicher Kundenerfahrungen und branchenführender Werte verschrieben hat. Wussten Sie, dass Polaris die fünftgrößte LTC-Apotheke in den USA ist und hochwertige Pflege für Langzeitpflege-, PACE- und Justizeinrichtungen bietet? Gegründet im Jahr 2015, betreibt Polaris 21 Apotheken in 29 Bundesstaaten, bedient über 80.000 Bewohner und bietet innovative Lösungen in den Bereichen Verpackung, Erstattung, Arbeitsabläufe und finanzielle Leistung.

Beschreibung

• Develop and execute an annual risk-based internal audit and monitoring plan in coordination with the Senior Director of Compliance and relevant stakeholders • Lead audits, reviews, and monitoring activities across healthcare compliance risk areas, including billing and coding, claims, documentation, privacy, conflicts of interest, vendor oversight, exclusion screening, licensure, credentialing, quality, and other operational compliance domains • Evaluate the design and operating effectiveness of internal controls, policies, procedures, and business processes against applicable federal and state healthcare requirements, payer rules, accreditation standards, and company policies • Prepare clear, accurate, and timely audit reports that summarize scope, methodology, findings, root causes, risk levels, recommendations, and management action plans • Track corrective action plans through completion, validate remediation, and escalate overdue or high-risk items as appropriate • Partner with Compliance leadership to maintain audit workpapers, evidence, risk assessments, dashboards, and reporting materials for executive leadership, committees, and regulatory inquiries • Support compliance investigations, special reviews, and data analytics projects by gathering records, interviewing stakeholders, testing controls, and documenting findings • Identify emerging compliance risks, trends, and control gaps, and recommend practical improvements to policies, training, processes, and systems • Coordinate with operational leaders to provide audit education, feedback, and guidance that promotes a culture of accountability, transparency, and continuous improvement • Supervise, coach, and develop internal audit staff or project resources, including assigning work, reviewing workpapers, providing feedback, and supporting professional development • Maintain current knowledge of healthcare laws, regulations, enforcement trends, OIG guidance, CMS requirements, HIPAA, state requirements, payer expectations, and internal audit standards • Perform other compliance, audit, monitoring, and risk management duties as assigned.

🎯 Anforderungen

• Bachelor’s degree in accounting, finance, business administration, healthcare administration, health information management, nursing, public health, or a related field • Minimum of five years of experience in internal audit, compliance auditing, healthcare compliance, revenue cycle auditing, risk management, public accounting, or a related control function • Experience planning and executing audits, documenting workpapers, testing controls, identifying root causes, and presenting findings to management • Working knowledge of healthcare regulatory and compliance requirements, such as HIPAA, CMS rules, federal healthcare program requirements, Anti-Kickback Statute, False Claims Act, Stark Law, OIG guidance, payer requirements, and applicable state laws • Demonstrated ability to manage multiple audits or projects simultaneously, prioritize risk, meet deadlines, and maintain confidentiality • Strong written and verbal communication skills, including the ability to communicate findings clearly to both technical and non-technical audiences • Proficiency with Microsoft Office applications and experience using data analysis, audit management, compliance management, or governance/risk/compliance tools.

🏖️ Vorteile

• competitive pay • robust benefits • genuine opportunities for career advancement