Auditor

• Conduct quality control audits of mortgage loan originations and servicing activities to ensure compliance with company policies, investor requirements, and regulatory guidelines.
• Review loan files, underwriting decisions, and processes to identify deficiencies, monitor trends, and support corrective actions.
• Partner with third-party vendors and cross-functional teams to gather information, resolve audit findings, and strengthen quality throughout the mortgage loan lifecycle.
• Analyze audit results, assist with root cause analysis, and prepare clear, actionable reports that support continuous process improvement.
• Prepare responses to external audit findings and assist with self-reporting to investors and agencies when required.
• Stay current on federal and state regulations, investor requirements, and agency guidelines that impact mortgage operations.

Quality Control Auditor

• Collaborate with audit team members as well as members of IT to develop audit objectives, engagement scopes, and testing strategies aligned with departmental standards and risk priorities.
• Assist in the planning, execution, and reporting of IT audit engagements, including SOX ITGC testing, risk-based technology reviews, and issue validation procedures.
• Analyze and summarize data to identify control deficiencies, process inefficiencies, or noncompliance with policies, procedures, or regulations.
• Communicate findings and recommendations to audit leadership and business stakeholders in a clear manner.
• Monitor issued audit findings, perform validation testing over defined remediation plans, and present remediation statuses to stakeholders.
• Identify opportunities to strengthen controls, improve operational effectiveness, and reduce risk exposure across technology and business processes.
• Other duties as assigned

IT Auditor I

• Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including: Charge entry and charge capture accuracy, CPT, HCPCS, and ICD-10 coding compliance, Modifier usage, Workers’ compensation billing rules and state-specific fee schedules, Claim submission accuracy and clean claim rates, Payment posting and adjustment accuracy, AR follow-up effectiveness and denial resolution workflows
• Conduct pre-bill and post-bill audits to identify trends impacting reimbursement and compliance
• Denial & Revenue leakage analysis: Analyze denial trends across WC, Medicare, and commercial payers, Identify root causes of denials and recommend corrective actions, Quantify revenue impact from: Coding errors, Missed charges, Underpayments, Inefficient workflows
• Ensure adherence to: CMS guidelines and Medicare billing requirements, NCCI (CCI edits) and payer-specific edits, State Workers’ Compensation regulations, Documentation standards for pain management procedures
• Support internal and external audit readiness (RAC, MAC, payer audits).
• Reporting & KPI development through audit dashboard Maintain monthly & quarterly records of all RCM, clinical, and provider audit scores and training requirements
• Partner with all BHC teams to develop and deliver targeted education based on audit findings.
• Assist in creating and updating SOPs and workflows to reduce errors and improve efficiency
• Establish and maintain quality assurance programs across RCM functions
• Perform routine QA reviews of staff productivity and accuracy
• Recommend automation opportunities and system enhancements
• Assumes other responsibilities as appropriate to the position and organizational needs

RCM Auditor

• Coordinates the review and audit of completed SBA and business banking loan packages post-closing in compliance with policies and procedures, regulatory guidelines, and investor standards by gathering and reviewing necessary documents and information within designated time frames.
• Communicates with internal staff, customers/clients, lenders, SBA partners, counsel, and other stakeholders to respond to inquiries, resolve post-close exceptions, and obtain additional documentation needed to complete the file.
• Ensures compliance with internal policies, SBA SOP requirements, regulatory and investor requirements, and quality control standards.
• Reviews files for completeness, accuracy, and adherence to SBA eligibility, documentation, and closing requirements.
• Identifies documentation deficiencies, collateral exceptions, or compliance gaps and works to resolve or escalate issues as appropriate.
• May support post-close audit reporting, file certification, and reconciliation activities, including reviewing final loan terms, fees, and disbursements for accuracy.

SBA Post Close Auditor

• Independently executes audit test work timely and with high quality
• Executes and may lead as Auditor in Charge (AIC) for audit engagements throughout the audit life cycle, to include understanding of horizontal and vertical business impacts, integrating audits with Information Technology (IT), analytics, and projects
• Ensures engagements are completed objectively, professionally, timely and in accordance with corporate and industry audit standards, when AIC
• Manages day to day engagement-related efforts including work delegation to audit team members with varying degrees of expertise and experience when conducting engagements, when AIC
• Completes audit team end of engagement evaluations, when AIC
• Assists in updating the risk & control matrix for each engagement with oversight from the Auditor-in-Charge and/or other Audit leadership
• Identifies control weaknesses and opportunities for improvement in the current operating environment; develops recommendations for corrective action
• Assists AIC in drafting related issues and audit reports for review by audit leadership
• Participates and provides feedback during team audit activities on planning and scoping, business understanding/walkthroughs, and review of risk assessment and testing and demonstrates critical thinking ability
• Executes on audit documentation techniques including key risks and controls alignment to audit test objectives and conclusions; is accountable for completing work paper documentation within quality standards
• Utilizes analytical skills to conduct or assist team members with continuous monitoring activities, advisory activities, special reviews and/or investigations
• Develops internal and business leader and partner relationships while also beginning to effectively challenge, communicate and deliver risk-based, difficult messages regarding issues and control weaknesses to ensure proper risk assurance coverage
• Provide coaching and guidance to less experienced team members to ensure quality and timely completion of audit test work

Senior Auditor – Liquidity and Interest Rate Risk

• Provide utility and invoice management services for a portfolio of clients
• Ensure accurate and timely processing of community utility bills and individual resident invoices
• Work closely with internal teams and external utility providers to resolve escalated invoice issues
• Conduct system-generated audits
• Maintain high standards of accuracy and efficiency while managing utilities on behalf of clients

Utility Auditor

• Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources
• Collaborate with multi-disciplinary teams to determine if there are other resources, BCBSAZ programs, or community resources that can curtail benefit spend or improve outcomes
• Focus on enhancing customer relationship and service as the primary clinical point of contact

Nurse Auditor, High-Cost Claimant Review Unit

• Coordinates the review and audit of completed SBA and business banking loan packages post-closing in compliance with policies and procedures, regulatory guidelines, and investor standards by gathering and reviewing necessary documents and information within designated time frames
• Communicates with internal staff, customers/clients, lenders, SBA partners, counsel, and other stakeholders to respond to inquiries, resolve post-close exceptions, and obtain additional documentation needed to complete the file
• Ensures compliance with internal policies, SBA SOP requirements, regulatory and investor requirements, and quality control standards
• Reviews files for completeness, accuracy, and adherence to SBA eligibility, documentation, and closing requirements
• Identifies documentation deficiencies, collateral exceptions, or compliance gaps and works to resolve or escalate issues as appropriate
• May support post-close audit reporting, file certification, and reconciliation activities, including reviewing final loan terms, fees, and disbursements for accuracy

Post Close Auditor

• Complete onsite audits and associated pre-audit and post-audit work in special process areas like Calibration, Heat Treat, Machining, Chemical Processing/Plating, Thermal Spray, Welding, and Shot Peening.
• Responsible for auditing Special Processes at key Aerospace customer’s manufacturing sites and suppliers.
• Perform audits per customer requirements using industry/customer specific checklists
• Document opportunities and findings against noncompliance’s, work with sites to ensure robust corrective actions are completed on time and effective

Special Process Auditor

• Support issue resolution in the Oscar claim environment.
• Responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis.
• Report into the VP, Payment Integrity.
• Develop and maintain expertise on CPT, HCPCS, and ICD-10 Coding guidelines.
• Perform thorough and complex policy updates or audits of assigned documentation on both a prepayment and/or post payment basis.
• Document findings including reference to sources used to support decision making.
• Create reports and reference guides for other team members.
• Assist in drafting written communications to providers.
• Participate in educational calls with providers.
• Assist in the training of new team members.
• Develop and document processes to improve efficiency and effectiveness.

Senior Coding Auditor

• Assist in the planning for and assessing of design and operating effectiveness of controls for various audits
• Prepare for and attend or lead process walkthrough meetings
• Document process narratives and test high risk or complex controls for adherence to bank policies and procedures
• Report to an Associate Audit Director and work with audit leaders across the department
• Create audit documentation using audit software (Wdesk/Workiva)
• Test the design and operating effectiveness of higher risk/complex controls to established policies & procedures

Senior Auditor – Credit and Lending

• Planning and executing various financial audits and advisory engagements for Boeing businesses and functions using the Agile project management methodology
• Developing work papers that adequately support audit findings and work performed
• Evaluating highly complex processes, risks, and internal controls, including summarizing conclusions and findings independently
• Documenting key observations and recommendations, and presenting those findings to Senior Audit Leadership and executive level stakeholders
• Performing and overseeing internal control testing and documentation
• Reviewing work papers and conducting closing meetings under limited oversight
• Assisting Audit Management by conducting risk assessments and developing audit programs and test procedures
• Participating in special projects, internal consulting work, and improvement workshops on an as-needed basis
• Attending seminars/training courses for professional development
• Leading teams in execution of assurance and advisory engagements
• Coaching, developing and providing feedback to less senior staff

Auditor, Team Lead – Leadership Development Program

• Complete assigned audits at automotive repair facilities in accordance with OEM and manufacturer guidelines, based on site availability and scheduling
• Complete monthly vehicle inventory at dealerships by the assigned deadline, which offers flexibility to determine when work is completed
• Conduct required visual inspections while accurately documenting vehicle and audit information
• Ensure timely, accurate data is submitted to support our audit programs, reporting, and automotive market valuation
• Work independently while meeting quality standards and assigned deadlines

Vehicle Inventory Representative, Auditor

• Conduct intermediate to complex internal audits and assessments
• Review processes, systems and related data
• Identify areas of improvement
• Lead internal audit projects focused on financial, operational, and compliance areas of the university

Senior Internal Auditor

• Conduct routine internal audits and assessments
• Review processes, systems and related data
• Support internal audit projects focused on the university's financial, operational, and compliance areas
• Interact with key process owners and leaders across the university

Internal Auditor

• Assist in assessing the design and operating effectiveness of IT controls within integrated audits
• Prepare for and attend process walkthrough meetings, document process narratives, and test controls
• Report to an IT Associate Audit Director and participate in integrated audits primarily in banking operations
• Understand risk management frameworks to help in internal control evaluation of audit assignments
• Create audit documentation for process narratives and test the design and operating effectiveness of internal controls

Senior IT Auditor

• Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
• Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
• Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
• Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
• Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
• Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
• Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
• Manage the implementation process improvements that will maximize risk adjustment factor increases.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Auditor, Risk Adjustment

• Serve as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
• Audit records on a routine basis, as well as records for audits (requested on an ad hoc basis) for all lines of business, in order to ensure coding and documentation meet regulatory standards.
• Coordinate audit documentation and reports for review for internal and external staff and stakeholders.
• Identify aberrant billing patterns and potential FWA, reporting this to internal staff.
• Assisting with further investigation and/or reports to state regulators through the utilization of developed critical thinking skills.
• Assist with the development and implementation plan for prospective and retrospective FWA avoidance, detection, and referral.
• Assist with the creation and submission of regulator deliverables through completion of timely audit activities.
• Provide technical assistance and education to providers including training on regulatory requirements, as well as coding and documentation rules.
• Maintain compliance with company policies and procedures.
• Perform other duties as assigned.

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