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Cyber Detection Specialist/Auditor

Mantech International Corporation
McLean, VA
Secure our Nation, Ignite your Future

General Cyber-related duties: The Cyber Auditor supports an operational Cybersecurity team in monitoring security tools, assessing threats, and identifying risks involving client infrastructure. This position provides vulnerability scans, reports, and metrics to Security, Program, and Customer management. The Cyber Auditor helps determine the current risks, provides mitigations strategies, and communicates with system owners, data owners, and security management to ensure risks are appropriately identified and mitigated within operational schedules. The role follows standard operating procedures for detecting, classifying, and reporting incidents under the supervision of the Cybersecurity Manager and in partnership with Cyber Analysts.

Experience in vulnerability scanners, report generation, and effective communication with leadership is required.

Experience in technical writing, using Security and Incident Event Management (SIEM) technologies, Intrusion Detection/Prevention Systems (IDS/IPS), host-based intrusion detection systems (HIDS), network mapping, and Linux is preferred.

Required Skills, Experience, and Education:

Candidate must have a total of 7 years of applicable experience. The experience can be a combination of degree and work history. This can be a High School degree and 7 years of work history OR an Associate's and 5 years, a Bachelors' and 5 years, a Masters and 1 years or a PhD and 0 years of work history.

Candidate must have one of the following certifications: Security+, CEH, GCIA, CISSP or similar

Required Clearance: TS/SCI with Poly

ManTech International Corporation, as well as its subsidiaries proactively fulfills its role as an equal opportunity employer. We do not discriminate against any employee or applicant for employment because of race, color, sex, religion, age, sexual orientation, gender identity and expression, national origin, marital status, physical or mental disability, status as a Disabled Veteran, Recently Separated Veteran, Active Duty Wartime or Campaign Badge Veteran, Armed Forces Services Medal, or any other characteristic protected by law.

If you require a reasonable accommodation to apply for a position with ManTech through its online applicant system, please contact ManTech's Corporate EEO Department at (703) 218-6000. ManTech is an affirmative action/equal opportunity employer - minorities, females, disabled and protected veterans are urged to apply. ManTech's utilization of any external recruitment or job placement agency is predicated upon its full compliance with our equal opportunity/affirmative action policies. ManTech does not accept resumes from unsolicited recruiting firms. We pay no fees for unsolicited services.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access http://www.mantech.com/careers/Pages/careers.aspx as a result of your disability. To request an accommodation please click careers@mantech.com and provide your name and contact information.
38d ago

Cyber Detection Specialist/Auditor

Mantech
McLean, VA
**Secure our Nation, Ignite your Future**

General Cyber-related duties: The Cyber Auditor supports an operational Cybersecurity team in monitoring security tools, assessing threats, and identifying risks involving client infrastructure. This position provides vulnerability scans, reports, and metrics to Security, Program, and Customer management. The Cyber Auditor helps determine the current risks, provides mitigations strategies, and communicates with system owners, data owners, and security management to ensure risks are appropriately identified and mitigated within operational schedules. The role follows standard operating procedures for detecting, classifying, and reporting incidents under the supervision of the Cybersecurity Manager and in partnership with Cyber Analysts.

Experience in vulnerability scanners, report generation, and effective communication with leadership is required.

Experience in technical writing, using Security and Incident Event Management (SIEM) technologies, Intrusion Detection/Prevention Systems (IDS/IPS), host-based intrusion detection systems (HIDS), network mapping, and Linux is preferred.

**Required Skills, Experience, and Education** :

Candidate must have a total of 7 years of applicable experience. The experience can be a combination of degree and work history. This can be a High School degree and 7 years of work history OR an Associate's and 5 years, a Bachelors' and 5 years, a Masters and 1 years or a PhD and 0 years of work history.

Candidate must have one of the following certifications: Security+, CEH, GCIA, CISSP or similar

**Required Clearance:** TS/SCI with Poly

ManTech International Corporation, as well as its subsidiaries proactively fulfills its role as an equal opportunity employer. We do not discriminate against any employee or applicant for employment because of race, color, sex, religion, age, sexual orientation, gender identity and expression, national origin, marital status, physical or mental disability, status as a Disabled Veteran, Recently Separated Veteran, Active Duty Wartime or Campaign Badge Veteran, Armed Forces Services Medal, or any other characteristic protected by law.

If you require a reasonable accommodation to apply for a position with ManTech through its online applicant system, please contact ManTech's Corporate EEO Department at (703) 218-6000. ManTech is an affirmative action/equal opportunity employer - minorities, females, disabled and protected veterans are urged to apply. ManTech's utilization of any external recruitment or job placement agency is predicated upon its full compliance with our equal opportunity/affirmative action policies. ManTech does not accept resumes from unsolicited recruiting firms. We pay no fees for unsolicited services.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access http://www.mantech.com/careers/Pages/careers.aspx as a result of your disability. To request an accommodation please click careers@mantech.com and provide your name and contact information.
60d+ ago

Audit Specialist

Ciox Health
Remote
Job purpose The Auditing Specialist will respond to consulting and education needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management and coding workflow operations reviews. Offer meaningful information to meet customer expectations including identifying and proposing solutions for customer issues. Develop and maintain account relationships through responsiveness and calm, reflective work practices. Work cooperatively with the Data Quality & Coding Compliance leadership and scheduling for optimal services outcome. Responsibilities Duties and responsibilities Performs inpatient and outpatient coding audits medical records and abstracts using ICD-10-CM CPT and appropriate coding references for appropriate DRG and APC assignment. Reviews non-CC/MCC records to determine if record was properly coded or if additional documentation is needed. Reviews all HCPCS and CPT codes impacting APC assignment Provides coder education via the auditing process Prepares preliminary results for review by the facility or CCS HIM director Reviews APC/DRG change disagreements with appropriate manager Prepares the final reports for the coding audit. Participates in settlement of audit findings. Provides coder education via email and/or conference call using the audit spreadsheet findings and comments Attends coding workshops as necessary Keeps abreast of regulatory changes Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution Shows versatility and exemplary work including a wide range of services coded Meets with client facility representatives to discuss issues and trends identified in audit Develops and implements education for physician, nursing, and other clinical staff to improve documentation Demonstrate initiative and judgment in performance of job responsibilities Communicates with co-workers, management, and hospital staff regarding clinical and reimbursement issues Function in a professional, efficient and positive manner Adhere to the American Health Information Management Association's code of ethics Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession Audits external coding staff as needed and provides reports to manager as directed High complexity of work function and decision making Strong organizational, teamwork, and leadership skills Qualifications Qualifications Minimum of 3 years experience coding or auditing CCS and RHIA or RHIT credentials preferred Recent experience in academic/level 1 trauma centers Experience coding or auditing inpatient and outpatient records for various facilities Track record of acceptable productivity standards Maintain 95% accuracy rate for APC assignment and 95% productivity rate Experience with various software including EMR, Encoder and Auditing software Working conditions Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations. Physical requirements Sitting, talking, hearing and near vision are required over 90% of the time, while walking is required about 10% of the time. Standing is required over 30% of the time. The sense of touch is required 90% of the time and reaching is required about 50% of the time. Bending, twisting, and climbing are required, as is far vision, but only for 10% or less of the time. Low levels of lifting (10 pounds or less) are required about 25% of the time, while medium levels (20 to 40 pounds) of lifting and carrying are required less than 5% of the time. High levels (52 pounds) of lifting are required under 2% of the time. Driving is a considerable portion of the position. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. #ZR We can recommend jobs specifically for you! Click here to get started.
New
1d ago

Systems Audit Specialist - Remote

Blue Cross Blue Shield of Florida
Remote or Florida
We are interested in every qualified applicant who is eligible to work in the United States. However, we are not able to sponsor VISAs.
This position is offered as a Remote Opportunity

Job Summary

Specialists are staff professionals who apply specialized knowledge, typically as individual contributors, in assisting management in matters that require special interpretation or expertise. Incumbents utilize their professional (i.e., discipline-specific) and/or institutional knowledge, including theories, practices and techniques, to perform department activities.

The Skills You Bring

* The essential functions listed represent the major duties of this role, additional duties may be assigned.
* Utilizes an understanding of the Company's information technology environment and how systems support business activities to coordinate and/or conduct audits as assigned, including specialized activities.
* Identifies opportunities and makes recommendations to improve efficiency, security and effectiveness of internal controls and operating processes within IT.
* Coordinate with key stakeholders and business partners throughout the audit projects. Completes audits in accordance with the industry standards and guidelines. Supports IT audit projects to achieve the scope, timelines and objectives of each assignment.
* Strong project management skills and the ability to deliver high-quality work products in a timely manner.
* Prioritize tasks and activities to meet defined timelines
* Working knowledge of MS Office and Visio.
* General understanding of a variety of technical platforms, such as operating systems, databases, applications, web services, etc.
* General understanding of system security concepts (e.g., user, group, role, authentication)
* General understanding of system development lifecycle methodology

Required Qualifications

* 0-1 year of experience as a Systems Audit Specialist
* Required Management Experience: No supervisory/management experience required
* Required Education: Bachelor's degree in a related field: Accounting, Accounting Information Systems, Computer Science, Statistics, Mathematics, Actuarial Science, Data Science or related field.

Additional Required Skills

* Ability to work towards the Certified Information Systems Auditor (CISA) designation.
* Demonstrated knowledge and proper application of sampling techniques.
* Ability to maintain confidentiality regarding sensitive information.

Preferred Education

* Master's degree in a related field: Accounting, Accounting Information Systems, Computer Science, Statistics, Mathematics, Actuarial Science, Data Science or related field.

Additional Preferred Qualifications

* Experience with the insurance industry including products, claims, and/or enrollment and billing.
* Working knowledge of Structured Query Language (SQL).
* Experience leveraging tools and techniques to perform data analytics testing.

General Physical Demands

* Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Opportunity Employer/Protected Veteran/Disabled.
22d ago

Customer Quality Compliance/Audit Specialist (MN or remote within the U.S.)

Medtronic Inc.
Remote or Georgia
Open to remote within the United States with preference to Minnesota.

Careers that Change Lives

A career at Medtronic is like no other. We're purposeful. We're committed. And we're driven by our Mission to alleviate pain, restore health and extend life for millions of people worldwide.

In this exciting role as a Customer Quality Compliance/Audit Specialist you will have responsibility to execute our complaint, field corrective action (FCA) and product hold order (PHO) quality assurance process to demonstrate process capability. You will also conduct topical based auditing with a goal of self-identifying improvement opportunities for our Customer Quality Experience Management (CQXM) and FCA/PHO teams. In this role you will also be responsible for compilation and presentation of monthly, quarterly, and annual trends.

A Day in the Life

Responsibilities may include the following and other duties may be assigned:

* Coordinates and/or completes internal/external risk assessments and/or audits and compliance in accordance with regulatory standards, which may include US and/or international regulatory agencies / authorities.
* Manages and oversees internal audit activities, which may include conducting and/or overseeing audits, investigations, and/or interviews; and preparing corresponding reports and documents.
* Interprets and implements applicable regulations as they apply to products, processes, practices and procedures.
* May counsel stakeholders about these requirements as necessary.
* Ensures compliance with internal and external regulatory agencies, which may include investigating and resolving compliance violations, questions, or concerns.
* Analyzes audit data and presents findings to management and/or regulatory bodies in support of Corrective Action Plans, which may include coaching business partners on compliance gaps, data, and/or resulting corrective actions.
* Develops and implements programs, communications, and/or training designed to increase employee awareness and knowledge of compliance policies and/or processes.
* Executes CQ Quality Assurance and topical audit process, including documentation of results and necessary actions.
* Proactively monitors leading and lagging metrics, identify potential issues within daily operations / business / regions, and escalate per procedural requirements.
* Presents quality assurance and late regulatory reporting results to Customer Quality Leadership team at defined intervals.
* Develops and maintain local procedures.

Must Have: Minimum Requirements

* Bachelor's degree with 2 years of work experience in Quality or regulated industry OR Advanced degree with 0 years of work experience in Quality or regulated industry

Nice to Have

* Lead auditor certification or experience in auditing
* Knowledge of Medical Device complaint handling, FCA and PHO worldwide regulations
* Experience in Complaint Handling, Medical Device and Vigilance Reporting, FCA/PHO, Regulatory Affairs, Quality Assurance, Reliability, Product Development, or Clinical Research
* Exceptional problem-solving skills and experience with CAPA, root cause analysis, and/or DMAIC methodologies.
* Strong oral and written communication, team, and interpersonal skills.
* Strong analytical skills.
* Working knowledge of complaint handling, FCA/PHO, document control, and CAPA systems
* Lean Sigma Green belt certification

About Medtronic

Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Let's work together to address universal healthcare needs and improve patients' lives. Help us shape the future.

Physical Job Requirements

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. (ADA-United States of America)
New
3d ago

Claims Audit Specialist

Bind
Remote or Minneapolis, MN
Bind was formed in 2016 by veteran health insurance innovators passionate about making health insurance personal - with the clarity, flexibility and power people deserve.
Want to move mountains?

Bind took the old model of health insurance apart and is rebuilding it - from floor to ceiling, from studs to rafters. We're not iterating a tired design or nudging a change-resistant industry, we're delivering what people want now - clear prices, timely support, personal choice and flexibility and an awesome, intuitive experience.

Where different wins.

Help build different and make a difference. Become a Binder and help us revolutionize health insurance.

Claims Audit Specialist

Summary

Bind is actively seeking a highly skilled, motivated, and experienced Medical Claims & Configuration Auditor to play a critical role in auditing the configuration of a new claim platform. In addition, you will support the ongoing auditing of medical claims processed in the system.

A Bind Claims & Configuration Auditor will partner with Technology, Operations, and Plan Design teams to ensure the Bind claim platforms align with the benefit plan.

Responsibilities

* Audit and testing of new business initiatives, benefits, and contract reimbursement configuration to ensure that the claims adjudication system is functioning according to business requirements
* Develop best practices and standard operational procedures for quality assurance and the auditing of medical claims
* Perform claims UAT on new and revised benefit and pricing configuration
* Identify improvements in configuration auditing process to enhance quality and efficiency
* Prepare and present monthly and quarterly audit reports to leadership
* Review medical claims (Random, High Dollar, Focus) to measure standards and service levels are met and that claims are being processed according to the benefit Plan
* Work with subject matter experts to resolve exceptions, review supporting documentation and make final claim error determination

Requirements

* A minimum of five (5) years' service as a medical claims' auditor and/or claim examiner in the health care field, preferably in the payer space
* Deep understanding of payer operations, claim processing, and experience deploying a software product in the healthcare payer space
* Excellent analytical skills with ability to read and understand complex data and make thoughtful, articulate recommendations
* Excellent project management skills
* Experience working as a liaison between business and technical teams
* Knowledge of ICD-10, CPT, HCPCS, revenue codes and medical terminology
* Demonstrated proficiency with Excel and SQL
* Strong problem-solving skills and impeccable attention to detail
* Knowledge and experience in a healthcare environment with HIPAA, ERISA and ACA requirements
* Flexible and able to adapt to changing priorities and deadlines
* Excellent communication skills, both written and spoken
* A bachelor's degree in a related field or equivalent experience

Preferred Qualifications

* Knowledge of state(s) insurance regulations
* Startup experience
* Working in an ambiguous, fast-paced environment
* Agile, ready to change direction on the fly

What We're Offering

* Empowerment to shape new solutions disrupting healthcare while providing benefits and choice to its members
* Flexible work-from-home schedule to support work-life balance
* Opportunity to work with people who are motivated to go to work every day and make a difference
* Competitive pay, generous PTO, and the opportunity to be a part of a new health insurance plan powered by the consumer, you!

Diversity creates a healthier atmosphere. Bind is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Bind is a drug-free workplace.

Bind sponsors H-1B visas for current H-1B visa holders on a limited basis, other visa sponsorship not available.

#LI-GH1
40d ago

Certified Coder/Audit Specialist

Summa Western Reserve Hospital
Remote or Chagrin Falls, OH
Certified Coder / Audit Specialist

Summa Health Medical Group

1077 George Blvd

Akron, OH 44310

Can work from home if living within the state of Ohio!

Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:

Audits medical records per compliance measures for all SPI Physicians and providers; prepares and distributes recommendations and result findings including detailed reports of medical chart documentation issues. Provides education and training to providers and staff. Functions as a resource on coding related issues for SPI areas.

Formal Education Required:

* Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified Professional

Medical Auditor (CPMA).

* Passing score of 70% or better on an outpatient/inpatient coding test administered by the Manager

Experience and Training Required:

* Two (2) years of work experience in a physician's office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology

Other Skills, Competencies and Qualifications:

* Ability to understand and follow the all policies for Chart Reviews/Audits by Insurance Carriers, any government, state or local entity including HEDIS, CERT and RAC.
* Knowledge in compliance to all guidelines including Medicare and Medicaid Standards.
* Ability to review medical documentation written or within an EMR.
* Understands and can perform job duties with the utmost level of confidentiality.
* Understands and exhibits work practices to support HIPAA Regulations and abides by all measures of Compliance.
* Knowledge in HIM, traditional medical charts and record storage.
36d ago

Audit Specialist

Selectquote
Remote
Founded in 1985, SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. The company pioneered the model of providing unbiased comparisons from multiple, highly rated insurance companies allowing consumers to choose the policy and terms that best meet their unique needs. Two foundational pillars underpin SelectQuote's success: a strong force of highly trained and skilled agents, who provide consultative needs analysis for every consumer, and proprietary technology that sources and routes high-quality leads. The company has three core business lines: SelectQuote Senior, SelectQuote Life and SelectQuote Auto and Home. SelectQuote Senior, the largest and fastest-growing business, serves the needs of a demographic that sees 10,000 people turn 65 each day with a range of Medicare Advantage and Medicare Supplement plans.
Job Summary and Objectives:

The objective of the Audit Specialist is to validate data from one of SelectQuote's internal systems against another, or against external reporting. The audit specialist will work with several departments across the company, including sales, finance/accounting, and operations.

The ideal candidate is detail-oriented and possesses strong intellectual curiosity. This position will leverage many competencies such as: verbal communication, proficiency or ability to become proficient with a variety of computer software including Excel, and strong organizational and time management skills.

Essential Functions:

+ Ensure accuracy of data within SelectQuote's internal customer relationship management and accounting systems (SelectCare and SRTS)

+ Match carrier data to SelectQuote systems

+ Verify account and policy dispositions in SelectQuote's system match external (carrier) data

+ Regularly pull data from carrier systems and/or validate that automated data processes are occurring on schedule

+ Provide feedback on potential process improvements regarding carrier data

+ Collaborate with application development and/or operations analyst teams to implement technology and process improvements

Knowledge, Skills, and Abilities:

+ Excellent oral and written communication skills.

+ Strong organizational and time management skills

+ Ability to multi-task.

+ Detail oriented.

+ Good interpersonal skills.

+ Team player.

+ Works well under pressure

+ Results driven.

+ Strong computer skills.

+ Ability to learn new software quickly.

Training and Experience:

+ No prior experience required

Benefits:

It's an exciting time to join SelectQuote. We became a publicly traded company in 2020 with the first 100% virtual IPO (non-biotech) in American history. We have also been recognized nationally on the 2021 Top Workplaces USA list and by the Kansas City Business Journal as a 2020 Best Places to Work honoree.

Full-time employees are eligible for medical, dental, vision, voluntary short-term disability, company-paid long term disability, company-paid life insurance and accidental death & dismemberment (AD&D), 401(k) + company match and 100% vesting after 4 years, discretionary profit sharing, employee stock purchase program (espp), paid time off, floating holidays, paid maternity leave, paid parental bonding leave, tuition reimbursement, jury duty pay, work from home stipend, and other paid leaves vary based on work location
60d+ ago

Sr. Audit and Advisory Specialist

Blackhawk Network
Remote
At Blackhawk Network, we shape the future of global branded payments through the prepaid products, technologies and network that connect brands and people. Our collaborative innovation and scalable, security-minded solutions help our partners to increase reach, loyalty and revenue. We believe our future holds great things for Blackhawk Network and its partners. We believe that together, we can shape the future. Our beliefs? Win as one team, be innovative, global excellence and be inspiring!
So, what are you waiting for? Shape your career and join our global network.

We are looking for an operational and financial auditor to join our Global Internal Audit and Advisory team. As a senior internal auditor and advisor, you will be providing a systematic and disciplined approach to internal audits and advisory services. The selected individual will work with individuals across the company and at all levels. In this role, you will be responsible for evaluating and reporting the effectiveness of BHN internal control structure, compliance with company policies and procedures and industry requirements risk based internal audit reviews and Sarbanes-Oxley (SOX) testing. You will need to apply the IIA audit methodology consistently to all audits. In addition, you will work closely with various lines of business to present audit findings and recommendations to management.

Location: This position may be performed remotely anywhere within the United States except for the State of Colorado, Alaska, North Dakota, or South Dakota.

in this role, you will be responsible for the following:

+ Perform and coordinate internal audits (operational and financial) of the highest complexity, including planning, performing risk assessments, building audit programs

+ Prepare work papers to assess compliance with established control procedures and identify potential issues and control gaps

+ Evaluate and quantify exceptions, deficiencies, and audit issues for risk magnitude (impact and likelihood)

+ Report issues and concerns verbally and in writing to Internal Audit & Advisory and Accounting management

+ Ability to analyze processes and controls to identify efficiency opportunities and partner with various business unit management to implement improvements

+ Liaise with the external auditor and the accounting and settlement teams to help drive an efficient financial audit

+ Coordinate internal and external PBC requests

+ Conduct walkthroughs and document or update detailed workflow documentation, including flowcharts and narratives

+ Conduct substantive financial testing procedures for reliance by external auditor

+ Perform regular follow up with management to monitor the adequacy and timely completion of remediation plans that address deficiencies and audit issues

We are looking for some that has a minimum of three (3) years of experience in public auditing or five years of industry internal audit experience or 7+ years accounting experience

+ Ability to prioritize multiple responsibilities and meet established milestones and deadlines

+ Ability to work in a dynamic and changing environment

+ Knowledge of and experience with internal controls and Sarbanes-Oxley (SOX) required

+ Knowledge of generally accepted accounting principles (GAAP) and IIA standards

+ Excellent problem solving, analytical and critical thinking skills

+ Ability to influence cross-functionally

+ Strong attention to detail

+ Strong communication skills (written and oral)

+ Excellent computer skills including MS Outlook, Excel, Word, Visio or Lucidchart and PowerPoint

+ Big 4 public audit experience preferred

+ CPA/CIA strongly preferred

+ Ability to travel up to 20% of time

Education

Bachelor's degree in accounting, finance, economics or related discipline. Master's degree preferred.

#LI-Remote

#GLDR

Blackhawk Network provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Blackhawk Network believes that diversity leads to strength. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Requisition ID: 2021-15338

External Company URL: www.blackhawknetwork.com
36d ago

Specialist, Premium Audit

Nationwide
Remote or Addison, TX
If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you!
Compensation Grade (for internal use only): E3

This individual will review, classify, compute, and process the routinely assigned policies through physical audits with members, agents and accountants for the basic lines of coverage to determine the individual risk exposures. S/he will conduct on-site, in person audits with insureds, accountants, and/or agents to obtain audit figures in order to determine the actual earned premium, and will handle the more general member and agent audit disputes by providing detailed audit classification and exposure analysis and explanations.

This is a work-from-home position involving heavy travel to standard commercial lines insureds' locations within the respective territory, typically 4-5 days per week. Includes virtual audits, depending on capacity and business needs. Company car eligible.

Territory: TX, Dallas. Might cover other parts of TX based on business needs.

Key duties include:

* Conduct on-site visits of insureds, accountants, and proxies. Review and analyze policyholder operational and financial information necessary to properly classify risk, identify exposure, and compute the premium. Financial information may be obtained from a review of income tax returns, business financial statements, state unemployment records, quarterly state filings, etc.
* Perform analysis of audit results to ensure accuracy and compliance with state and bureau requirements. When necessary, may travel as a Company representative with full authority for settlement in trials, arbitration, settlement hearings and depositions pertaining to audit premium due.

Job Description Summary

Our top performers think strategically, understand insurance premium dynamics and know how to build great partnership relationships. We value our customers and use analytics, financial information, data and outstanding service to bring value to every interaction. Our associates enjoy the fast-paced, diverse experience that they receive. If this sounds like a place where you would thrive, we want to know more about you!

As a Senior Specialist, you'll review, classify and process the largest policies with the most complex auditable exposures to resolve individual risk premiums. You'll conduct on-site, in-person audits with insureds, accountants, and/or agents to acquire audit figures needed to determine the actual earned premium. You'll handle more challenging insured and agent audit disputes by providing detailed audit classification and exposure analysis and explanations.

Job Description

Key Responsibilities:

* Reviews and analyzes policyholder operational and financial information necessary to accurately classify risk, identify exposure and compute the premium. Financial information may be obtained from a review of income tax returns, business financial documents, state unemployment records, quarterly state filings, etc.

* Analyzes audit results to ensure accuracy and compliance with state and bureau requirements. When necessary, may travel as a company representative with full authority for settlement in trials, arbitrations, settlement hearings and depositions about audit premium due.

* Helps manager with the training and education of new and current audit staff members. Updates the audit unit about new underwriting products and programs or state or bureau changes. Identifies audit issues and additional training opportunities, and may conduct sessions for the staff.

* Helps develop, implement and administer audit procedures used by premium auditors, agents, and internal partners. Regularly updates the procedure manual.

* Resolves complex audit problems.

* Participates in special projects as assigned by management.

May performs other responsibilities as assigned.

Reporting Relationships: Reports to Manager, Premium Audit.

Typical Skills and Experiences:

Education: Undergraduate studies in a business administration and/or relevant professional experience.

License/Certification/Designation: Completion of technical audit courses such as IIA - Associate in Premium Audit, PAAS - Technical Achievement Program for GL, WC and Auto and insurance designations such as CPCU or CIC preferred.

Experience: Six years of related experience in premium audit and accounting. Experience in leading premium audits and/or training audit associates preferred.

Knowledge, Abilities and Skills: Knowledge of assigned line of business and agents receivables required. Working knowledge of the regulatory climate in audits preferred. Knowledge of Bureau and Company rating coding systems, policy issuance procedures, Bureau rating manuals and circulars. Knowledge of insurance agency accounting and understanding of the accounting cycle. Knowledge of all Property/Casualty policies and all forms.

Excellent verbal and written communication skills to interact with agents, attorneys, policyholders and others, demonstrating tact and diplomacy. Ability to negotiate a positive resolution. Ability to accurately work with numbers; Ability to interpret and apply auditing rules and regulations per Company and Bureau guidelines.

Other criteria, including leadership skills, competencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the hiring manager's leader and the Human Resources Business Partner.

Values: Regularly and consistently demonstrates the Nationwide Values.

Job Conditions:

Overtime Eligibility: Exempt (Not eligible)

Working Conditions: May spend significant time in car traveling to insured locations. May be a work from home position or normal office environment. Must be able to work outside of the normal workday including occasional weekends to meet deadlines and complete special projects; handle a high volume and variety of work within time constraints; some out-of-state business travel. Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards.

ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.
60d+ ago

Principal Compliance/Audit Specialist (REMOTE)

Medtronic
Remote
60d+ ago

Inpatient Coding and Auditing Specialist

Parallon
Remote or Franklin, TN
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New
4d ago
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Quality AUDITOR Specialist I (RN) SWHR CIN - (Remote)

Southwestern Health Resources CIN
Remote or Pittston, PA
16d ago

Audit Liaison Specialist

XLA
Washington, DC
21d ago

Grant Audit Specialist

Pae Government Services Inc.
Washington, DC
23d ago

Inpatient Coding and Auditing Specialist

HCA
Remote or Nashville, TN
60d+ ago

Inpatient Coding and Auditing Specialist

HCA, Hospital Corporation of America
Remote or Nashville, TN
60d+ ago

Specialist, Premium Audit

Nationwide
Remote or Pennsylvania
60d+ ago

Sr. Audit and Advisory Specialist (Remote)

Blackhawk Network
Remote
36d ago

Audit and Advisory Specialist II (Remote - CA/NV/WA/OR)

Blackhawk Network
Remote
36d ago

Grant Audit Specialist

Pae Government Services Inc.
Washington, DC
23d ago

Jr. Grants Audit Specialist

Pae Government Services Inc.
Washington, DC
23d ago

Senior Grant Audit Specialist

Pae Government Services Inc.
Washington, DC
23d ago

Grants Audit Specialist, Mid-Level

Pae Government Services Inc.
Washington, DC
23d ago

Grants Audit Specialist, Mid-Level

Pae Government Services Inc.
Washington, DC
23d ago

Grants Audit Specialist, Mid-Level

Pae Government Services Inc.
Washington, DC
23d ago

Quality Auditor (Nights)

Idemia North America
Chantilly, VA
8d ago

Performance Quality Auditor I, II, III

Anthem, Inc.
Reston, VA
23d ago

Internal Auditor

NVR, Inc.
Reston, VA
10d ago

IT Audit Supervisor - REMOTE

Webster Financial Corporation
Remote or Southington, CT
20d ago

Veterans Preferred - Internal Auditor

GSK
Rockville, MD
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19d ago
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Auditor, Clinical Quality (DaVita IKC)

Davita
Remote
11d ago

Quality Improvement Auditor (Clinical and BH) -- Remote Available

Centene
Remote or Atlanta, GA
9d ago

Internal Audit Supervisor, Government Compliance

KBR
Remote or Huntsville, AL
60d+ ago

Quality Improvement Auditor (Clinical and BH) -- Remote Available

Centene Corporation
Remote or Atlanta, GA
16d ago

Secret Clear Internal Auditor

Insight Global
McLean, VA
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New
3d ago
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Internal Auditor

Glaxosmithkline
Rockville, MD
New
2d ago

Remote Quality Auditor

Wipro Ltd.
Remote or Tampa, FL
51d ago

Quality Auditor - Minneapolis or Home Based

Be The Match
Remote or Minneapolis, MN
58d ago

Internal Auditor II - Information Technology

Carillion Health System
Remote or Roanoke, VA
New
Easy Apply
5d ago

Average Salary For an Audit Specialist

Based on recent jobs postings on Zippia, the average salary in the U.S. for an Audit Specialist is $57,840 per year or $28 per hour. The highest paying Audit Specialist jobs have a salary over $92,000 per year while the lowest paying Audit Specialist jobs pay $36,000 per year

Average Audit Specialist Salary
$57,000 yearly
$28 hourly
Updated October 19, 2021
36000
10 %
57000
Median
92000
90 %

Highest Paying Cities For Audit Specialist

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
San Francisco, CA
$79,834
$38.38
New York, NY
$79,406
$38.18
Parsippany-Troy Hills, NJ
$67,629
$32.51
Greenwich, CT
$66,225
$31.84
Washington, DC
$64,407
$30.96
San Antonio, TX
$62,623
$30.11

5 Common Career Paths For an Audit Specialist

Accountant

An accountant is a professional whose primary task is to prepare, keep, examine, and interpret financial records. Most accountants are in charge of a wide scope of finance-related tasks, either for private individuals or for large-scale businesses and organizations they are employed with. They make sure that financial statements and records are accurate and comply with laws and regulations. They also compute for taxes, prepare tax returns, and ensure being paid properly and on time. As they keep track and record the flow of money, they can offer guidance on how to reduce costs, enhance revenue, and help in profit maximization.

Team Leader

Team leaders are responsible for managing a team for a specific project or work component. They primarily guide the team members and ensure that they are still working towards the set goals. Team leaders create strategies to reach goals, cascade the goals and strategies to team members, assign tasks, conduct periodic check-ups on the roadmap towards the goals, foster an engaging work environment, motivate and coach team members, monitor team performance, evaluate the strategies and come up with mitigating plans as needed. They are also responsible for reporting the team's progress to higher management.

Senior Auditor

Senior auditors have a vital role to play in the financial auditing process. They hold more responsibilities compared to staff auditors and report to an auditing manager directly. They have varied duties and responsibilities, including assigning tasks to staff auditors, overseeing compliant and precise auditing processes, and performing control and risk assessments. Senior auditors also are responsible for presenting audit findings, coordinating periodical audits, and submitting reports to the manager. If you are looking to apply for this role, you need to have a bachelor's degree in accounting or finance, strong analytical and mathematical skills, and proficiency in MS Office.

Analyst

Analysts are employees or individual contributors with a vast experience in a particular field that help the organization address challenges. They help the organization improve processes, policies, and other operations protocol by studying the current processes in place and determining the effectiveness of those processes. They also research industry trends and data to make sound inferences and recommendations on what the company should do to improve their numbers. Analysts recommend business solutions and often help the organization roll out these solutions. They ensure that the proposed action plans are effective and produce the desired results.

Manager

Managers are responsible for a specific department, function, or employee group. They oversee their assigned departments and all the employees under the department. Managers are responsible that the department they are handling is functioning well. They set the department goals and the steps they must take to achieve the goals. They are also in charge of assessing the performance of their departments and their employees. Additionally, managers are responsible for interviewing prospective candidates for department vacancies and assessing their fit to the needs of the department. Managers also set the general working environment in the department, and they are expected to ensure that their employees remain motivated.

Illustrated Career Paths For an Audit Specialist