GEHA Health

Manager

• Lead audits and supervise claim audit team members and external third-party auditors.
• Conduct audit planning and supervise fieldwork ensuring compliance with Global Internal Audit Standards and G.E.H.A Internal Audit methodologies.
• Provide expertise in review, research, and analysis of claim exceptions; present audit findings and recommendations.
• Prepare and review draft audit reports with clear, constructive, actionable recommendations.
• Coordinate and oversee healthcare claim audits with third-party claim administrators and external claim auditors.
• Monitor open audit findings, remediation plans, and follow-ups; facilitate communications with internal/external partners.
• Perform quality review of workpapers and audit deliverables; lead postmortem sessions to capture lessons learned.
• Manage multiple projects, prioritize assignments, and proactively identify needs and solutions.
• Deliver training to less experienced team members and assist with Ad Hoc projects as requested.

Manager, External Audit

Software Engineer

• Serve as the technical expert on Salesforce.com implementations
• Design elegant user experiences, utilizing advanced functionality, while ensuring long-term maintainability
• Develop, test, deploy and maintain high-quality solutions
• Work closely with Team Lead and Solution Architect to develop these solutions
• Create technical specifications for new projects based on business unit requirements
• Make recommendations to the business unit
• Administrator work will also be required, i.e. managing user permissions and access
• Provide technical support to business units by answering questions about product features or helping with use cases
• This may include training
• Provide recommendations for Salesforce process improvements
• Operate within the devops process, create roll back contingencies and manage backup solutions
• Handle multiple projects simultaneously
• Work closely with business analysts, project managers, and other developers
• Communicates work progress and status to the Team Lead
• Manage applications after they have been launched to ensure that they are performing as expected
• Create and maintain documentation for new and existing applications to ensure that business units and other members of the development team can effectively use them
• Participates in sessions, presentations and meetings
• Learn new/enhanced features and grow your Salesforce expertise
• Mentor less-experienced ed roles with responsibility for their technical development
• Stay up to date on Salesforce releases and new/enhanced features related to declarative development tools
• Other duties as assigned

Manager, External Audit

Senior Developer