Internal Auditor II (Full-time Hybrid/Remote, North Carolina Based)

The Internal Auditor II provides senior level staff advisory, consultative, and audit work to include the preparation of audit programs and independent review of various functions, policies, and programs for soundness, adequacy, and application. The position ensures resources are efficiently and effectively employed, operating in compliance with the Institute of Internal Auditors International Standards and brings a systematic and disciplined approach to evaluating and improving governance, risk management and internal control in the achievement of business objectives.

This position will allow the successful candidate to work primarily remote schedule with expectation to be onsite the first week of hire for orientation, and as needed for meetings. The selected candidate must reside in North Carolina.

Responsibilities & Duties

Auditing

• Drive internal audit initiatives, special projects, and improvement initiatives
• Design and implement key metrics
• Evaluate the adequacy, effectiveness and efficiency of the systems of internal control of ongoing operations
• Oversee the work of Internal Auditor I, to include task assignment, providing guidance, initial work review, etc
• Perform detailed review of work files
• Review audit responses and action plans developed by the auditee/management
• Conduct periodic audit follow-up reviews to assess and report on progress or completion of management’s corrective actions
• Conduct other audit and compliance activity, such as internal investigations, as assigned
• Prepare internal audit and consulting reports for completed engagements for Director of Internal Audit review

Design and Implement Internal Controls, Strategy, Policies, and Procedures 

• Implement and promote internal audit policies and standards
• Define and implement audit methodology procedures, tools, etc.
• Align audit activities with internal audit strategy, goals, and objectives
• Design and review audit work programs, testing strategies, and detailed testing procedures
• Assist in defining and managing content for the internal audit manual
• Develop and review engagement scope and objectives
• Contribute to the development of the internal audit training program; work with supervisor to establish training goals

Risk Management

• Actively participate in all phases of risk assessment and annual audit planning and execution
• Assist in the annual system-wide Enterprise Risk Management risk assessment cycle

Staff Advisor

• Provide first level of review on audit issue and report write-ups completed by internal audit staff
• Provide mentoring and coaching to internal auditor staff and compliance auditors (analysts)

Communication & Relationship Management

• Effectively communicate with internal audit staff, Director of Internal audit, and Alliance management
• Build relationships with key constituents and serve as a resource of professional advice, as appropriate
• Build and nurture key management and business relationships.
• Manage external relationships – external auditors, regulators and consultants
• Efficiently document audit findings, including accurate and complete documentation using internal audit software
• Communicate the results of audit activities via written reports and oral presentations to auditee management when needed, to other specified stakeholders 

Minimum Requirements

Education & Experience

Bachelor’s degree in accounting, business administration or other appropriate area from an accredited college or university plus a minimum of seven (7) years’ auditing experience, or experience related to the field, including three (3) years in managed care or government in a compliance or audit capacity; 

Or 

Master’s degree in accounting, business administration or other appropriate area from an accredited college or university plus a minimum of five (5) years’ auditing experience, or experience related to the field, including three (3) years in managed care or government in a compliance or audit capacity. 

Contract review and/or delegation oversight experience is required.

One of the following professional certifications is required:

• Certified Internal Auditor (CIA)
• Certified Public Accountant (CPA)
• Certified Fraud Examiner (CFE)
• Certified in Healthcare Compliance (CHC)
• Accredited Healthcare Fraud Investigator (AHFI)
• Certification in Risk Management Assurance (CRMA)

Knowledge, Skills, & Abilities

• Knowledge in auditing standards, compliance standards, enterprise risk management, and audit best practices.
• Knowledge of state and federal Medicaid laws, administrative rules, state policies, and other guidelines.
• General understanding of all major MCO functions. Particularly as they relate to claims processing, utilization reviews, grievance management, provider credentialing, and contracting.
• Ability to interpret contractual agreements and other business documents.
• Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Ability to evaluate financial documents for accuracy, completeness, and compliance.
• Ability to communicate professionally and succinctly with various stakeholders.
• Excellent analytical, decision-making, and time management skills.
• Ability to analyze financial data and identify concerning trends, patterns, and other risks.
• Knowledge of investigative techniques and methods, such as interviewing, gathering evidence, etc.
• Advanced computer skills in Microsoft Office (e.g., Word, Excel)
• Ability to maintain professional competencies related to the internal audit profession, internal control issues, and other relevant topics.

Salary Range

$86,800 - $110,670/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. 

An excellent fringe benefit package accompanies the salary, which includes:  

• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility