Auditor

• Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services
• Conduct internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls
• Identify, document, and evaluate business risks
• Develop written audit programs
• Conduct testing and analysis of existing controls to determine adequacy and effectiveness
• Prepare written work papers to document testing results and conclusions reached
• Document issues, the causes of those issues, and their effects on the process/function and the corporation
• Serve as Lead Auditor on more complex audit assignments
• Draft recommendations to limit risks and improve processes, functions, and activities
• Write audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations
• Collect and analyze data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies
• Conduct testing of corrective actions as identified
• Develop detailed reports on each audit conducted

Auditor III

• Conducts audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance.
• Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings.
• Develops detailed reports on each audit conducted.
• Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes.
• Conducts testing of corrective actions as identified.
• Conducts special audit studies for management, such as those required to discover controls for prevention of fraud.
• Prepares reports of finding and recommendations for management.
• Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

Auditor I, Medicare

• Conducts internal and/or external timely operational, financial, and/or compliance audits
• Identifies, documents, and evaluates business risks
• Develops written audit programs
• Conducts testing and analysis of existing controls
• Prepares written work papers to document testing results and conclusions
• Serves as Lead Auditor on more complex audit assignments
• Drafts recommendations to limit risks and improve processes
• Writes audit reports for corporate executive management
• Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws
• Conducts testing of corrective actions
• Develops detailed reports on each audit conducted
• Conducts special audit studies for management
• Provides training to and assists or leads other auditors

• Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls
• Identifies, documents, and evaluates business risks
• Documents issues, the causes of those issues, and their effects on the process/function and the corporation
• Drafts recommendations to limit risks and improve processes, functions, and activities
• Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations
• Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies
• Conducts testing of corrective actions as identified
• Develops detailed reports on each audit conducted
• Reports include a review of findings and an identification of recommendations to correct any deficiencies and methods for improvement to processes
• Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity
• Conducts special audit studies for management, such as those required to discover controls for prevention of fraud
• Prepares reports of findings and recommendations for management
• Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel

Durable Medical Equipment Accreditation Auditor

• Conducts internal and external timely operational, compliance, and financial audits
• Evaluates internal controls
• Identifies, documents, and evaluates business risks
• Documents issues, the causes of those issues, and their effects on the process/function and the corporation
• Drafts recommendations to limit risks and improve processes
• Writes audit reports for corporate executive management
• Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance
• Conducts testing of corrective actions
• Develops detailed reports on each audit conducted
• Examines and evaluates financial and information systems
• Conducts special audit studies for management
• Prepares reports of findings and recommendations for management
• Assists other auditors in completing their assignments

Durable Medical Equipment Auditor

• Leads and performs complex internal audits and coordinates related large-scale projects.
• Identifies, documents, and analyzes audit findings and develops audit programs that address and test identified key risks.
• Performs follow-up audits and monitoring to ensure appropriate adherence to policies and procedures.
• Monitors compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation.
• Evaluates opportunities for improvement, develops recommendations, and presents improvement opportunities/audit findings to leadership.
• Acts as a resource to educate, consult and collaborate with staff on various audit related topics.
• Guides and educates departments on methods to decrease risk and increase compliance in organizational-wide programs, policies, and procedures.
• Assists the independent external auditors by gathering information, answering questions, executing testing, coordinating any further assistance needed, and performing related projects.
• Assists with establishment of annual audit plans by leading discussions with management to identify timing, scope and objectives of audits.
• Assists with the coordination of risk models/assessments to identify and develop an audit plan to address potential risks for specific audit scope areas.
• Ensures alignment of audit and project plans with risk assessment.

Senior Internal Auditor – Compliance

• Verifies merchandise and cash in each of the Company stores by conducting a physical count using a hand held computer.
• Notifies store manager of wrong prices and pulls out-of-code merchandise.
• Count and record cash, checks and food stamps in the register, TACC tubes and safe.
• Verify money orders, lottery ticket inventory and bank deposits.
• Verify gasoline inventory by sticking tanks and checking for water.
• Performs various surveys to verify compliance with operational and financial procedures.
• Works in safe manner by complying with procedures, rules and regulations.
• Able to work independently with little supervision.
• Performs multi-tasks in a fast paced environment.
• Contributes to team effort by accomplishing related results as needed.

Field Inventory Auditor

• Conducts audit work based on established audit plans and executes the audit in accordance with established standards ensuring completion
• Executes testing of controls such as but not limited to walkthroughs (documentation), test scripts (development and execution), and issue identification
• Helps coordinate communication with the stakeholders throughout the audit process
• Supports the team in reviewing internal controls and sharing findings and suggestions with both the stakeholders and audit leadership

Senior Auditor

• Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation
• Identifies, documents, and evaluates business risks
• Develops written audit programs
• Conducts testing and analysis of existing controls to determine adequacy and effectiveness
• Prepares written work papers to document testing results and conclusions reached
• Documents issues, the causes of those issues, and their effects on the process/function and the corporation
• Serves as Lead Auditor on more complex audit assignments
• Drafts recommendations to limit risks and improve processes, functions and activities
• Writes audit reports for corporate executive management
• Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws
• Conducts testing of corrective actions as identified
• Develops detailed reports on each audit conducted
• Prepares reports of findings and recommendations for management
• Provides training to and assists or leads other auditors in completing their assignments

• Conduct audits based on company compliance metrics
• Conduct full audits of Home Centers using the Audit Scorecard and associated Audit Scorecard Rules and Guidelines
• Ensure compliance to all CMH operations policy and procedures
• Travel extensively – generally three-four nights per week away from home (40+ weeks out of the year)
• Ensure Home Center Managers are operating within company policies and procedures

Retail Field Auditor

• Develop and execute audit project plans
• Validate processes for effectiveness and efficiency
• Validate compliance to requirements and identify non-compliance and improvement opportunities
• Conduct opening and closing meetings with audit stakeholders, including executive management and their assigned leaders
• Document audit findings and write final reports
• Communicate the results of the audits to assigned management teams
• Work with audit stakeholders to ensure timely and effective corrective actions are submitted and perform audit follow-up activity to verify effectiveness of corrective actions
• Work with the audit stakeholder or corrective action plan assignee to provide consultation on root cause analysis pertaining to process non-compliance
• Analyze process data, metrics, models and flows to identify risk based, root causes of problems
• Conduct research and compile and analyze performance reports, process controls and business analytics/statistics to continuously improve process capability

Quality Systems Specialist – Internal Auditor, Mid-Level/Senior

• Perform and document audit test steps for assigned audits
• Assess control design and operating effectiveness during audits
• Provide on the job training for staff auditors
• Execute and lead audit engagements based on established audit plans
• Support audit engagements through evaluating, documenting, and testing internal controls
• Deliver high-quality audit workpapers and reporting

Senior Auditor – Compliance

• Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards.
• Prepare for the audit by identifying the necessary information and type of records needed.
• Prepare schedule to maximize optimal use of time.
• Correspond with insured via phone, email and mail to setup audit appointments.
• Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations.
• Prepare complete audit document, explain results to insured and communicate the results to the home office.
• Travel to multiple audit locations.

Premium Auditor

• Verifies merchandise and cash in each of the Company stores by conducting a physical count using a hand held computer
• Notifies store manager of wrong prices and pulls out-of-code merchandise.
• Count and record cash, checks and food stamps in the register, TACC tubes and safe.
• Verify money orders, lottery ticket inventory and bank deposits.
• Verify gasoline inventory by sticking tanks and checking for water.
• Performs various surveys to verify compliance with operational and financial procedures.
• Works in safe manner by complying with procedures, rules and regulations.
• Able to work independently with little supervision.
• Performs multi-tasks in a fast paced environment.
• Contributes to team effort by accomplishing related results as needed.

• Performs validation reviews of Diagnosis Related Groups (DRG), Ambulatory Procedure Codes (APC), and Never Events for all lines of business
• Coordinates rate adjustments with claims areas
• Provides monthly and quarterly reports outlining trends
• Serves as a resource in resolving coding issues
• Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department
• Determines methodology to identify cases for validation review
• Conducts validation reviews/coordinates rates adjustments with appropriate claims area
• Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates
• Manages records retrieval, release, HIPAA compliance, and all aspects of document management
• Serves as expert resource on methodology and procedures for medical records and coding issues

Quality Medical Auditor

• Test controls and prepare audit work papers
• Lead and execute all areas of audits including audit planning, audit testing, control evaluation, and issue remediation
• Mentor Staff level IT auditors on assigned projects
• Work closely with business units to identify and assess risk and controls
• Test and report on the adequacy and effectiveness of management controls.

Senior IT Auditor

• Performs independent, objective, information systems audits and consulting services
• Conducts timely information systems audits and drafts written reports upon completion of each audit assignment
• Monitors and evaluates information system projects from a risk and control perspective
• Makes recommendations to mitigate risks and improve internal controls
• Reviews disaster recovery plans for all computing environments to ensure they are up to date and functional
• Assists external auditors in completing their audit tasks as a means of maximizing audit efficiency

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Auditor III

Auditor I, Medicare

Auditor III

Durable Medical Equipment Accreditation Auditor

Durable Medical Equipment Auditor

Senior Internal Auditor – Compliance

Field Inventory Auditor

Senior Auditor

Auditor III

Retail Field Auditor

Quality Systems Specialist – Internal Auditor, Mid-Level/Senior

Senior Auditor – Compliance

Premium Auditor

Field Inventory Auditor

Quality Medical Auditor

Senior IT Auditor

IS Auditor II