Auditor

• Assisting the audit team management in planning audit engagements
• Performing or supervising staff auditors in the testing of controls based on audit program directions
• Interviewing auditees; identifying and analyzing business processes; and documenting work performed in TeamMate Audit Solutions to support audit scope/conclusions and meet CAS Policies, Standards and Guidelines
• Drafting audit issues under the supervision of the audit team management
• Assisting the audit team management in the reporting and wrap-up phases of audits
• Learning from and applying coaching received
• Building and maintaining relationships with stakeholders, establishing a culture of engagement while adding value
• Maintaining a good understanding of key processes within the Centralized Operations area
• Performing other duties as requested by management

Senior Auditor – Payment Operations, Money Movement

• Execute portions of the Risk & Control Services plan, including audit activities and SOX/MAR/FDICIA compliance activities.
• Present objectives and results to various levels of management.
• Execute on a structured approach to evaluate and improve the effectiveness of risk management, control and governance processes.
• Identify control deficiencies, assess exposure and significance, and propose cost effective recommendations.
• Monitor and validate Management Action Plan status and recommend closure of Management Action Plans when actions are complete and identified deficiencies have been addressed.
• Coordinate with appropriate control groups in planning and executing assigned work.
• Complete work within established timelines.
• Proactively communicate/escalate challenges and roadblocks that impact ability to meet established timelines.
• Gather information and provide input into risk assessments in conformance with department standards.

IT Staff Auditor

• Completing audit engagement assignments with minimal supervision from the audit team management
• Understanding risk and risk management techniques, identify and analyze business processes, key risks and critical controls
• Evaluating control design adequacy
• Performing or supervising control testing
• Documenting work performed in conformance with internal audit policies and procedures
• Assisting the audit team management in planning audit engagements
• Interviewing auditees
• Drafting audit issues under the supervision of the audit team management
• Assisting with drafting audit reports
• Performing other duties as requested by management

Senior Auditor – Payment Services

• Conduct premium audits for Workers’ Comp, General Liability, Garage, and Auto policies
• Review financial records and apply audit standards
• Schedule and perform on-site audits within assigned territory
• Communicate with policyholders to gather required documentation
• Identify discrepancies and ensure compliance
• Prepare and submit audit reports

Premium Insurance 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

• ensuring compliance with the NMDP/CIBMTR Research Database Protocol by independently conducting audits at Transplant and Cellular Therapy Centers.
• Requires working autonomously with center staff, interpreting complex reporting guidelines, making real-time decisions during audits, and exercising professional judgment to assess data reporting compliance without direct supervision.
• Leads site audits with a focus on data verification and regulatory review, utilizing independent judgment to identify, prioritize, and directly resolve data reporting issues in partnership with transplant center staff.
• Builds strong relationships with transplant center staff by leveraging mentoring and professional guidance, while effectively managing complex challenges through independent problem-solving and a commitment to continuous improvement.
• Analyzes patterns and root causes in audit findings, synthesizing trends into actionable insights and authoring follow-up reports that drive corrective and preventative strategies to support transplant center staff.
• Cultivates clear, constructive communication with site teams, providing technically sound guidance and confidently facilitating discussions that encourage collaboration and quality of the date being reported to CIBMTR.
• Assists in the development and testing of electronic data capture (EDC) systems, clinical trial management systems (CTMS), and other applications as required.
• Other duties as assigned, often involving special projects that require the individual to plan, organize, and execute tasks with minimal supervision. These projects may necessitate creative problem solving, cross-functional collaboration, and the ability to adapt quickly to changing priorities.

Clinical Research Auditor I

• Supports the Corporate Audit Services (CAS) Compliance team by executing audit engagements to assess business processes, identify key compliance risks and controls, and evaluate control design and effectiveness.
• Performs or oversees control testing and documenting results in accordance with internal audit standards.
• Partners with Lines of Business and RCA stakeholders to strengthen risk management practices and ensure compliance with applicable laws and regulations.
• Identifies control gaps, recommends mitigation strategies, escalates risks as appropriate, and serves as a liaison across the Lines of Defense.
• Assists the audit team management in planning audit engagements.
• Performs or supervises staff auditors in the testing of controls based on audit program directions.
• Drafts audit issues under the supervision of the audit team management.
• Assists the audit team management in the reporting and wrap-up phases of audits.
• Applies insights and guidance gained through coaching.
• Performs other duties as requested by management.

Senior Auditor - Compliance

• Assist the audit team management in planning audit engagements.
• Perform or supervise staff auditors in the testing of controls based on audit program directions.
• Draft audit issues under the supervision of the audit team management.
• Assist the audit team management in the reporting and wrap-up phases of audits.
• Apply feedback and coaching to improve performance and outcomes.
• Perform other duties as requested by management.

Senior Auditor – Banking Products

• Responsible for delivering BSI’s audit services to assigned clients
• Manage a portfolio of assigned clients based on location
• Conduct various types of audits as Team Leader or Team Member
• Monitor the client accounts to ensure client satisfaction is maintained
• Follow the training plan developed by the Scheme Director
• Lead teams when necessary, mentor, and coach new or inexperienced colleagues

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