This position is responsible for conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, Par Plans and contractors of the company.
Conduct audits/reviews of BCBSM, its subsidiaries, vendors, suppliers, Par Plans and contractors of the company which include identifying risks and controls to mitigate risks, testing of controls, writing audit reports and conducting exit conference meetings.
Conduct various audit and administrative projects on behalf of the corporation to assess the control environment of each audit unit under minimal supervision within assigned time and budget deadlines.
Leads and/or participates in divisional or departmental infrastructure projects per year. Communicate the results of audits and/or projects to management (includes senior management) or Par Plans and subsidiaries.
Assist in the development of the annual audit plan.
Maintain knowledge and comprehensive understanding of auditing principles, processes, methodologies (applicable to BCBSM, BCN, DenteMax, other Blues Plans and similar institutions), standards for the professional practice of internal auditing and code of ethics (developed by the Institute of Internal Auditors, the Information Systems Audit and Control Association and the Project Management Institute) statistical theory and application, BCBSM policies and procedures, group and provider contracts, risk management, and project management.
Educate BCBSM employees and management about internal controls and encourage change that promotes an effective and efficient control environment.
Educate BCBSM project staff in BCBSM''s business risk management standards, and in particular, train the project staff in business risk management responsibilities and the implementation and application of a project risk control process.
Conduct management action planning workshops to discuss business risks, prioritize control issues and develop corrective action plans.
Other duties may be assigned.
"Qualifications"
Bachelor''s Degree in Business Administration, Accounting, Finance, Management Information Systems, Healthcare Administration or closely related field required. Advanced degree preferred.
Four (4) years related work experience required, which includes two (2) years of auditing experience.
Basic project management and operational/compliance auditing background required.
Excellent analytical, organizational, problem solving, conflict resolution, time management, verbal and written skills are required.
High level of proficiency in use of Microsoft Office Suite, fax, copiers, and printers.
Proficiency in use of audit software tools (i.e., automated work papers, ACL, etc.)
Ability to work independently or within a team environment.
Ability to effectively interface with operating management at all levels, executive management of BCBSM, BCN, and DenteMax, other Blues Plans and our external auditor (Deloitte and Touche).
Must be able to travel to various BCBSM and subsidiary locations around the State, BCBSA (Chicago), other Blues Plans and vendor sites.
Other related skills and/or abilities may be required to perform this job.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Numbers & Facts
Location
Detroit, MI
Industry
Insurance
Company Size
2,000 to 2,499 employees
Website
https://www.bcbs.com/about-us/careers
About Company
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
Skills
Accountingunmatched
Accounting Audit Softwareunmatched
Analysis Skillsunmatched
Auditingunmatched
Budgetingunmatched
Business Administrationunmatched
Conflict Resolutionunmatched
Copying Machinesunmatched
Corrective Actionunmatched
Establish Prioritiesunmatched
External Auditunmatched
Fax Machinesunmatched
Financeunmatched
Financial Auditunmatched
Financial Complianceunmatched
Health Information Managementunmatched
ISACA (Information Systems Audit and Control Association)unmatched
Information Systems/Technology IS/IT Administrationunmatched
Institute of Internal Auditors (IIA)unmatched
Internal Auditunmatched
Maintain Complianceunmatched
Management of Information Systems/Technology (MIS)unmatched
Medical Treatmentunmatched
Microsoft Officeunmatched
Operational Auditunmatched
Organizational Skillsunmatched
People Managementunmatched
Presentation/Verbal Skillsunmatched
Printersunmatched
Problem Solving Skillsunmatched
Project Controlunmatched
Project/Program Managementunmatched
Provider Contractingunmatched
Regulatory Complianceunmatched
Reporting Skillsunmatched
Risk Analysisunmatched
Risk Managementunmatched
Staff Trainingunmatched
Testingunmatched
Time Managementunmatched
Vendor/Supplier Planningunmatched
Willing to Travelunmatched
Writing Skillsunmatched
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