Audit Manager
Gravie
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $107,250 - $178,750 per year
About the role
- Coordinate and lead all internal and external audits, including SOC 1, SOC 2, and critical healthcare regulatory audits (e.g., CMS, HIPAA, state Department of Insurance)
- Facilitate timely and effective fulfillment of complex audit requests, acting as the primary liaison between auditors and internal stakeholders
- Oversee the development, implementation, and rigorous execution of remediation and corrective action plans to address audit findings
- Report audit progress, findings, and outcomes to senior leadership and relevant committees
- Develop and execute a risk-based internal audit plan with a strong focus on core health plan operations such as claims processing, provider data management, member enrollment/eligibility, and payment integrity
- Ensure adherence to state and federal healthcare regulations (including the Affordable Care Act, CMS requirements, DOL requirements, and specific state mandates) across all audited functions
- Conduct operational audits to evaluate the design and operating effectiveness of key business processes within the health plan
- Facilitate the annual enterprise risk assessment and subsequent quarterly updates, focusing on risks unique to the highly-regulated healthcare industry
- Drive accountability for the development and execution of corrective action plans stemming from risk assessments
- Maintain detailed, organized documentation on audit outcomes, risk mitigation activities, and follow-up actions
- Provide regular, insightful progress reports to leadership on risk exposure and audit status
Requirements
- Bachelor's degree or equivalent work experience
- 7+ years of experience in a highly regulated industry such as healthcare or finance, and demonstrated familiarity with regulatory compliance
- Experience in internal audit and risk management
- Strong analytical skills and ability to interpret complex regulatory requirements
- Proven ability to work independently and prioritize multiple competing demands
- Strong project management and organizational skills
- In-depth knowledge of SOC 1 and SOC 2 controls (extra credit)
- Experience designing and implementing internal audit and enterprise risk management programs (extra credit)
- Certified Internal Auditor (CIA) certification (extra credit)
- Health plan experience (extra credit)
Benefits
- Alternative medicine coverage
- Flexible PTO
- Up to 16 weeks paid parental leave
- Paid holidays
- 401k program
- Cell phone reimbursement
- Transportation perks
- Education reimbursement
- 1 week of paid paw-ternity leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
internal auditrisk managementSOC 1SOC 2regulatory complianceclaims processingprovider data managementmember enrollmentpayment integrityaudit remediation
Soft Skills
analytical skillsindependent workprioritizationproject managementorganizational skillscommunicationleadershipliaisonreportingaccountability
Certifications
Bachelor's degreeCertified Internal Auditor (CIA)