Income tax auditor jobs near me - 245 jobs

Back Audit Staff - Audit #51-8453 Multiple Locations Apply X Facebook LinkedIn Email Copy Location This position is 100% remote within the Bank's footprint. Employee will work full time remote outside of a WesBanco location (may occasionally attend in person meetings, although primary functions of the role are performed remotely). Market Wheeling Work Hours per Week 37.5 Requirements Bachelor's degree with a preference in Accounting, Finance or related field; or an Associate's Degree and two years of related Accounting, Audit (External or Internal) and/or Risk Management work experience required. Job Description SUMMARY: Responsible for completing various risk-based internal audits, interacting with various levels of management, and assisting with other audit and special projects, all in accordance with the annual audit plan and global internal audit standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works under the supervision of the Audit Manager(s). Performs assigned work within the structure of the departmental procedures and the Global Internal Audit Standards published by the Institute of Internal Auditors. Conducts audit testing of assigned areas within established/modified timelines. Assists in the completion of risk-based audit programs. Evaluates or assists in the evaluation of the adequacy and effectiveness of the company's internal control processes. Completes assigned audit procedures that test the accuracy and effectiveness of policies, procedures, risk assessments and other documentation. Prepares work papers that record and summarize assigned audit procedures. Assists in the development of recommendation(s) for corrective action/improvement. Maintains and adheres to information security and confidentiality requirements. OTHER REQUIREMENTS: Banking is a highly regulated industry and you will be expected to acquire and maintain a proficiency in the Bank's policies and procedures, and adhere to all laws, rules and regulations that are applicable to your conduct and the work you will be performing. You will also be expected to complete all assigned compliance training in a timely manner. Ability to adapt to corporate-wide systems routinely utilized by internal audit staff. Display personal initiative to foster professional development through formal education and cross training of department functions. Ability to complete multiple tasks while meeting assigned deadlines. Ability to complete and comprehend audit processes such as system documentation walk-throughs, source documentation, internal control questionnaires, yield analysis, and lead schedules. Ability to execute assigned audit areas including inquiry/observation, substantive procedures, analytical review procedures, attribute testing, and concluding on assigned test work. Possess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas, and concepts to management and bank employees in a collaborative and solutions oriented manner. Possess strong analytical abilities and skills. Ability to utilize information systems hardware and information systems applications. Proficient in Microsoft Office including Word, Excel and Outlook. Full-Time/Part-Time Full-time Area of Interest Audit All Locations Uniontown, Ohio, United StatesAnn Arbor, Michigan, United StatesCincinnati, Ohio, United StatesIndependence, Ohio, United StatesColumbus, Ohio, United StatesDefiance, Ohio, United StatesFairmont, West Virginia, United StatesFindlay, Ohio, United StatesFort Wayne, Indiana, United StatesFrankfort, Kentucky, United StatesHuntington, West Virginia, United StatesIndianapolis, Indiana, United StatesIronton, Ohio, United StatesNew Albany, Indiana, United StatesParkersburg, West Virginia, United StatesPittsburgh, Pennsylvania, United StatesToledo, Ohio, United StatesWheeling, West Virginia, United StatesYoungstown, Ohio, United States Show more

Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us. Whether you intend to specialize or you'd rather gain exposure across many service lines, the sky's the limit. From day one, we invite you to make a difference-to be remarkable. Your role. You'll instillconfidence in organizations large and small by assuring their financial health.We'll give you theflexibilityto craft business solutions, not just spreadsheets.Your work will include, but notbelimited to: Participating indifferentphases of the auditand/ortaxengagement. Planning, testing, researching,and reporting. Working withcompilations, reviews, compliance, financialstatements,andbenefit plans. Engaging in corporate, partnership, individual, international federal, and state & local taxes. Meaningful interactions with staffat all levels as well aswith ourimpressive repertoire of clients. Experience working with a wealth of business opportunities throughoutaprofessional services firm. The qualifications. Detail-orientedleader withproblem solving, communication,andanalytical skills. Bachelor's degree with an emphasis in accounting; or Master's degree in accounting or tax. Academicsuccess(a minimumcumulative GPA of 3.0). Completion of therequisite degree and supporting credits to sit for the CPA exam,with the goal of successfully obtaining your CPA license. This is an exempt position that may require some local, national, and occasional international travel. What makes us different? On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities.At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So,what are you waiting for? Apply now. Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day. Plante Moran is committed to a diverse workplace.We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize - and celebrate - our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work.Plante Moran is an Equal Opportunity Employer. Plante Moran maintains a drug-free workplace. Interestedapplicantsmust submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran. The specific statements above are not intended to be all-inclusive. We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits vary based on the number of hours staff work per week. Highlights include health, dental, vision, disability, and life insurance. In addition to this, eligible staff are able to take advantage of our Flexible Time Off and various pre-determined holidays, as well as a 401(k) plan, flexible benefits plans, business-related travel expense, lodging, and meal reimbursement for business-related use. A pension plan is also available for eligible administrative and paraprofessional staff. A discretionary bonus plan is available for eligible staff. Plante Moran also offers some contingent staff positions the option to elect health insurance in addition to limited paid sick time. The compensation range reflects the base salary we reasonably expect to pay for this position across our offices in the following regions: CO, IL, OH, and MA. Please review theposition description for theapplicable geographic location. Generally, experienced hires are not hired at or near the maximum salary range, as compensation decisions take into account a wide variety of factors, including but not limited to: responsibilities, education, experience, knowledge, skills, and geography. For early career roles, including campus hires, we offer standardized, market-based starting salaries among individuals within the same hiring group. This approach ensures fairness and reflects current industry benchmarks for entry-level talent. Under Colorado's Job Application Fairness Act, you have the right to redact, from any documents that you submit in connection with your application, information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution. Should you wish to exercise your right to redact such information, please redact it prior to submitting documentation. The compensation range for this role in CO, IL, OH, and MA is: $74,000.00 - $83,000.00

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits and Perks include: * Affordable Medical/Dental/Vision insurance options * Generous paid time-off program and paid holidays for full time staff * TeleMedicine 24/7/365 access to doctors * Optional short- and long-term disability plans * Employee Assistance Plan (EAP) * 401K retirement accounts * Employee Referral Bonus Program ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. * Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials * Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards * Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment * Work assigned claim projects to completion * Provide a high level of customer service to internal and external customers; achieve quality and productivity goals * Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures * Maintain production and quality standards as established by management * Participate in and support ad-hoc audits as needed * Other duties as assigned JOB REQUIREMENTS: * Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations * Current experience with both Institutional and Professional claim payments * Knowledge of automated claims processing systems * Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office. REQUIRED QUALIFICATIONS: * Experience: * Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed healthcare environment related to claims processing/audit * Two (2) years' experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS * Two (2) years' experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations * Two (2) years' experience processing/auditing claims for Medicare and Medicaid plans * License/Certification(s): * Coding certification preferred EQUAL OPPORTUNITY EMPLOYER Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.

Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project * Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist * Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements * Evaluate product nonconformance related to product processes and specifications * Establish and maintain strong professional relationships with customers * Maintain and expand technical expertise in specific product fields * Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities * Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives * Ability to read and interpret documentation for compliance with procedures, standards and regulations * Ability to communicate with client's highly specialized engineers, scientists and regulatory employees * Must be highly organized and able to work independently * Technical expertise in product field * Ability to travel domestically and internationally. Valid passport and driver's license required. Education * Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience * 2 years of experience in conducting global regulatory compliance audits * 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs * Computer literacy required including Microsoft Office applications. Certifications * Commodity approved ISO 9001, ISO 14001, and ISO 4500 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: * Office, manufacturing and laboratory environments. Equipment Used: * Laptop Computer Travel Required: * Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client's plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner Participate in client presentation of findings, when requested Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Distribute individual claim/work queues to team in a timely manner Efficiently utilize audit-specific analytic techniques, tools and processes Ensure that Professional Excellence protocols are followed Meet billable hours target Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery Role will be working remotely within the posted locations. Qualifications 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare Detailed knowledge of ICD-10 and CPT codes and coding protocols Excellent oral and written communications skills Team player with strong work ethic Self-directed; requiring very little supervision Previous internal audit experience at a carrier or third-party external audit experience a plus Bachelor's Degree preferred; High School Diploma required Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets

Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements Evaluate product nonconformance related to product processes and specifications Establish and maintain strong professional relationships with customers Maintain and expand technical expertise in specific product fields Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives Ability to read and interpret documentation for compliance with procedures, standards and regulations Ability to communicate with client's highly specialized engineers, scientists and regulatory employees Must be highly organized and able to work independently Technical expertise in product field Ability to travel domestically and internationally. Valid passport and driver's license required. Education Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience 2 years of experience in conducting global regulatory compliance audits 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs Computer literacy required including Microsoft Office applications. Certifications Aerospace approved AS9100, AS9110 or AS9120 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: Office, manufacturing and laboratory environments. Equipment Used: Laptop Computer Travel Required: Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities * Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings * Understand client's plans and apprise team of unique provisions/issues prior to audit * Adjust workloads as necessary to achieve successful completion of project * Clearly communicate and professionally interact with vendor and audit team * Review documentation of potential discrepancies for thoroughness and accuracy * Resolve post-audit activities in an accurate and timely fashion * Write quality value-added draft report in a timely manner * Participate in client presentation of findings, when requested * Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work * Develop working relationship with vendor counterparts * Distribute individual claim/work queues to team in a timely manner * Efficiently utilize audit-specific analytic techniques, tools and processes * Ensure that Professional Excellence protocols are followed * Meet billable hours target * Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery * Role will be working remotely within the posted locations. Qualifications * 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment * Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment * Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care * Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare * Detailed knowledge of ICD-10 and CPT codes and coding protocols * Excellent oral and written communications skills * Team player with strong work ethic * Self-directed; requiring very little supervision * Previous internal audit experience at a carrier or third-party external audit experience a plus * Bachelor's Degree preferred; High School Diploma required Qualifications Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): * Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. * Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off * Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets

As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. **The Responsibilities** + Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings + Understand client's plans and apprise team of unique provisions/issues prior to audit + Adjust workloads as necessary to achieve successful completion of project + Clearly communicate and professionally interact with vendor and audit team + Review documentation of potential discrepancies for thoroughness and accuracy + Resolve post-audit activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner + Participate in client presentation of findings, when requested + Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work + Develop working relationship with vendor counterparts + Distribute individual claim/work queues to team in a timely manner + Efficiently utilize audit-specific analytic techniques, tools and processes + Ensure that Professional Excellence protocols are followed + Meet billable hours target + Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery + Role will be working remotely within the posted locations. **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment + Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment + Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills + Team player with strong work ethic + Self-directed; requiring very little supervision + Previous internal audit experience at a carrier or third-party external audit experience a plus + Bachelor's Degree preferred; High School Diploma required **Qualifications** **Compensation and Benefits** Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. **Compensation** The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. **Company Benefits** WTW provides a competitive benefit package which includes the following (eligibility requirements apply): + **Health and Welfare:** Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. + **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (*********************************************************************************************************** + **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. **EOE, including disability/vets**

Lead Auditor: Come join our Audit & Compliance Team where we are committed to promoting a culture of ethics and integrity amongst our employees, suppliers, and the communities in which we operate. Be a part of a multidisciplinary team, filled with collaborative, resourceful and determined professionals who play a vital role in our business activities. As an Engineering Lead Auditor, you will play a critical role in assessing compliance, evaluating internal controls, and identifying opportunities for continuous improvement in engineering processes that shape our innovative automotive products. Job responsibilities include but are not limited to: Develop and execute detailed audit plans in Product Development & Technology/Engineering areas to identify potential risks by assessing internal controls, compliance with regulations and policies, and evaluating operational efficiency. Conduct detailed process reviews, including pre-implementation assessments, to identify improvement opportunities and implementation targets. Demonstrate a strong appetite for analyzing complex processes and diving into granular details to uncover risks and improvement opportunities. Use advanced data analytics and AI to identify risks, uncover trends, and provide actionable insights that drive business improvements. Demonstrate the ability to manage ambiguity and prioritize effectively in a fast-paced, deadline-driven environment, handling multiple projects while delivering on commitments with ownership and accountability. Build and maintain strong working relationships with team members and management to gather information, communicate audit findings, and provide recommendations for business and process improvements using both informal and formal reporting channels. Participate in risk assessment activities across the organization using analytics, process interviews, and internal/external research. Coach and develop other audit team members. Contribute to special projects including department initiatives, trainings, and investigations.

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $51,800 -$75,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our industry recognition includes being named a Best Places to Work in Insurance for five years (2018-2022) and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Pay Range: 51,800 - 75000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ******************************** Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.

Lead Auditor: Come join our Audit & Compliance Team where we are committed to promoting a culture of ethics and integrity amongst our employees, suppliers, and the communities in which we operate. Be a part of a multidisciplinary team, filled with collaborative, resourceful and determined professionals who play a vital role in our business activities. As an Engineering Lead Auditor, you will play a critical role in assessing compliance, evaluating internal controls, and identifying opportunities for continuous improvement in engineering processes that shape our innovative automotive products. Job responsibilities include but are not limited to: Develop and execute detailed audit plans in Product Development & Technology/Engineering areas to identify potential risks by assessing internal controls, compliance with regulations and policies, and evaluating operational efficiency. Conduct detailed process reviews, including pre-implementation assessments, to identify improvement opportunities and implementation targets. Demonstrate a strong appetite for analyzing complex processes and diving into granular details to uncover risks and improvement opportunities. Use advanced data analytics and AI to identify risks, uncover trends, and provide actionable insights that drive business improvements. Demonstrate the ability to manage ambiguity and prioritize effectively in a fast-paced, deadline-driven environment, handling multiple projects while delivering on commitments with ownership and accountability. Build and maintain strong working relationships with team members and management to gather information, communicate audit findings, and provide recommendations for business and process improvements using both informal and formal reporting channels. Participate in risk assessment activities across the organization using analytics, process interviews, and internal/external research. Coach and develop other audit team members. Contribute to special projects including department initiatives, trainings, and investigations.

Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate. Eurofins is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. Eurofins is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. The Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products. In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to 55,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 50 countries. Eurofins offers a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products. Job Description Position Summary: The core responsibility of the Consumer Products Assurance Social Compliance Lead Auditor will be to execute assigned social compliance audits for Eurofins' clients - primarily in the US. As a lead auditor, the role will involve managing and developing social compliance auditors - in addition to leading audit executions. Objectives: Audit Execution Lead auditor will support the operating results of the business through the execution of audit services - with approximately 14 billable days per month. In audit execution, the lead auditor will be responsible to for supporting the training and development of junior auditors - participating in audits as a team member. Technical Support and Governance As a member of the audit team, the lead auditor will contribute technical input and perspective to the development of operating procedures and methodologies to ensure audit service delivery capabilities support client service delivery objectives - enhancing satisfaction among clients. Customer Service Provide customer support as the audit service stream program managers for selected large global accounts and collaborative programs. Roles and Responsibilities: Audit Execution and Reporting Perform audits consistent with Eurofins' client and program instructions in accordance with established protocols Prepare audit reports in a complete, accurate and timely manner for submission to the Eurofins ARCC Respond timely to any post audit queries from ARCC to close and finalize audit report Technical Support and Governance Ensure the integrity and consistency of the delivery of CPA audit services though support for the continuous improvement of operating procedures and methodologies to ensure service delivery capabilities support client service delivery objectives on a global basis. Provide subject matter support for the effective and timely resolution of issues and problems with audits related in other key sourcing markets. Qualifications Bachelors or advanced degree in Business, Finance or a related field of study. At least 5 years' experience in professional services and/or auditing. At least 3years' experience managing teams of professionals. APSCA CSCA certificate/license Key Skills Subject Matter Significant knowledge of audit subject matter - particularly social audits, service delivery methodologies for audit services and the demonstrated ability to implement them General knowledge of risk management, auditing, and process management consulting concepts and the demonstrated ability to implement them Client interaction Demonstrated ability to work with clients and facilities to be audited, understand their requirements, define and assist in solving problems, and generally ensure client's total satisfaction with Eurofins Management/Leadership Effective oral and written communications skills including professional English presentation Strong skills as a team leader and ability to work well with peers. Highly developed organizational and interpersonal skills. Ability to interpret regulations and standards. Technical aptitude, the ability to quickly assimilate and assess new information and develop plans to capitalize or react to it Additional Information Schedule: 40 hours per week What we offer: Excellent full time benefits including comprehensive medical coverage, dental, and vision options Life and disability insurance 401(k) with company match Paid vacation and holidays Eurofins USA Consumer Product Testing is a Disabled and Veteran Equal Employment Opportunity employer.

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $51,800 -$75,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our industry recognition includes being named a Best Places to Work in Insurance for five years (2018-2022) and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Pay Range: 51,800 - 75000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ******************************** Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.

AUDITOR GENERAL The Arizona Auditor General serves as an independent source of impartial information concerning State and local governmental entities and provides specific recommendations to improve the operations of those entities. We achieve our mission through the thoroughly specific research, audits, and investigations of our professional team members who educate stakeholders through our reports, alerts, and reviews. Since 1969, our office has continued to innovate, grow, and become one of the most highly regarded leaders in our field. Join our team and make a positive difference in your community by promoting better government for all Arizona's citizens. We look forward to working with you! Experienced Financial Auditor (Auditor II) AUDITOR GENERAL YOU MUST APPLY ON OUR WEBSITE FOR THIS POSITION. Job Location: Address: 2910 N. 44th Street Phoenix, AZ 85018 Posting Details: YOU MUST APPLY ON OUR WEBSITE FOR THIS POSITION. Starting Salary Depending on Experience: With Bachelor's degree $68,000-$71,000 With Master's degree $71,000-$74,000 With CPA $74,000-$77,000 Key Responsibilities: Conduct financial and compliance audits of the State of Arizona and its agencies, universities, counties, and community colleges following AICPA's generally accepted auditing standards, the U.S. GAO's Government Auditing Standards, and other federal auditing requirements. Provide guidance and supervision to Auditor Is. Assist audit managers and seniors with administrative tasks such as time budgets and performance evaluations. Occasionally travel out of town to conduct audits. YOU MUST APPLY ON OUR WEBSITE FOR THIS POSITION. You will be able to upload your resume, unofficial transcripts, and cover letter explaining how your skills are a good fit for the position. Qualifications: Bachelor's or master's degree with 24 completed semester hours of accounting. Two years' or more financial statement audit experience. Ability to work independently and collaboratively and prioritize under tight deadlines. Knowledge and understanding of the AICPA's auditing standards and the Governmental Accounting Standards Board's accounting and reporting standards at an intermediate level. Strong interest in public service and improving State government. Ability to evaluate an auditee's internal controls, including IT general controls, and determine auditee's compliance with laws, regulations, and other applicable standards. Excellent analytical, research, critical thinking, time management, and verbal and written communication skills. Must have valid Arizona driver's license and reliable transportation. Pre-Employment Requirements: If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements. All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The Arizona Auditor General offers a comprehensive benefits package to include: • Generous paid vacation and sick leave with 10 paid holidays per year. • Medical insurance, with the employer covering 88% of the premium cost. • Retirement plan with 100% employer match of the 12.17% employee contribution and additional deferred compensation options. • Business casual dress. • Flexible Monday through Friday work schedules and telecommuting options. • Continuing education provided and paid for by the employer. • Tuition assistance program for those who qualify. • Clear path to advance your career. • Dental and vision insurance. • Long-term disability insurance and optional short-term disability insurance. • $15,000 life insurance policy and options to purchase additional coverage and supplemental coverage for dependents. • Optional flexible spending accounts. A hybrid remote work schedule is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Retirement: Arizona State Retirement System Contact Us: If you have any questions, please contact *********************** for assistance. AN EQUAL EMPLOYMENT OPPORTUNITY AGENCY

About Us All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 401k plan. Additional employee paid coverage options available. Job purpose The Claims Auditor is responsible for performing detailed audits of institutional and professional claims to ensure accuracy, compliance, and adherence to regulatory and contractual requirements. This role supports the integrity of the claims process by identifying errors, trends, and opportunities for process improvement. Duties and responsibilities Conduct retrospective and concurrent audits of claims to verify accuracy of payment, coding, and rate application. Review claims for proper application of Division of Financial Responsibility (DOFR), benefit matrix interpretation, and regulatory compliance. Validate application of DRG, APC, ASC, and PPS payment methodologies. Identify trends and root causes of claim processing errors and recommend corrective actions. Assist with preparation of audit findings and reports for management review. Support internal quality control by providing feedback and training recommendations. Collaborate with the Claims Audit Director to ensure consistent audit methodology and reporting standards. Maintain knowledge of current CMS, DMHC, and DHS regulations as well as company policies related to claims adjudication. Participate in special projects, focused audits, or process improvement initiatives as assigned. Qualifications Minimum 5-7 years of experience in HMO or managed care claims processing, including experience with both institutional and professional claims. Strong understanding of ICD-10, CPT, and HCPCS coding principles. Knowledge of payment methodologies including DRG, APC, ASC, PPS, and other applicable rate structures (Medicare, Medi-Cal, and Commercial). Familiarity with regulatory requirements (CMS, DMHC, DHS) and claims settlement practices (AB1324, AB1455). Proficient in interpreting benefit matrices and DOFR. Strong analytical, problem-solving, and documentation skills. Proficiency in Microsoft Excel and Word. Excellent written and verbal communication skills.

The Medical Claim Auditor (Claim Department Auditor) will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. ESSENTIAL FUNCTIONS Logging/Tracking all Claims/Tasks to be audited Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows Assist with all audit programs currently in place as well as identifying issues for future audit programs Assist with other tasks as needed and identified by Claims Management Monthly meetings with Claims Management to report on audit trends and training suggestions Other duties as assigned EDUCATION High School Grad or GED required EXPERIENCE & SKILLS Applicant should be proficient in the use of the Excel and Word programs. Communicate effectively verbally & electronically. Applicants must have 5 years of comprehensive experience with the processing or auditing of medical, dental and vision claims. Applicants must have a history of excellent quality results and the desire to take on a new challenge. Auditing experience is preferred, but not required. COMPETENCIES Job Knowledge Time Management Accountability Communication Initiative Customer Focus PHYSICAL DEMANDS Ability to sit for long periods of time. Ability to communicate via telephone. WORK ENVIRONMENT: Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

Job Description We are experts at conducting very niche searches for Columbus' coolest start-ups, fastest growing companies, Fortune 500, and cutting-edge organizations' investing in hiring the best + the brightest the market has to offer. Our searches are narrowly focused in: Finance, Accounting, Data Science, Financial Analytics, Audit, Tax, Treasury + M&A If you're a professional with a career in one of the above areas and you'd like to be considered for roles with our clients please share your resume in confidence here. If your background is one we believe our clients would like to know about we will be in touch to learn more about you and your career search! It's all about WHO you know and we'd love to know YOU, to introduce you to others that should!

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As an Audit Lead, you'll support audit engagements of varying complexity, often participating in cross-functional, risk-based assurance and advisory projects, contributing to the quality of audit work. A key aspect of this role involves testing models and model-related tools as part of audit engagements. You will support Auditor-In-Charge (AIC) responsibilities and maintain knowledge of financial services regulations, effectively responding to and interacting with regulators. This role provides support and oversight to multiple audit engagements and participates in the review of engagement planning, fieldwork, and reporting. You will also manage strategic initiatives and assist with the development and implementation of a risk-based audit plan. You will serve as, and/or partner with, subject matter expert(s) within audit or the business to analyze issues, establish collaborative client relationships, and proactively work with client management to assess risk and improve internal controls. You will also adhere to the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Standards) and Code of Ethics. We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, or Charlotte, NC. Relocation assistance is available for this position. What you'll do: Contribute to continuous monitoring, advisory activities, special reviews, and investigations. Ensure assigned audit engagements are completed objectively, professionally, and timely, adhering to audit standards. Identify control weaknesses and recommend improvements, drafting audit issues and reports for client leadership and conducting follow-up. Support quality of audit reviews and propose updates to the universe risk assessment based on audit results. Build client relationships to drive strategic objectives. Communicate effectively with business/clients, delivering risk-based and difficult messages, and potentially with regulators and executive leaders. Provide coaching and guidance to other auditors, ensuring timely and quality deliverables, and may provide engagement evaluations. Provide input into the internal audit universe and risk profiles, updating risk assessment information. Participate in the development and execution of the annual audit plan, assessing and covering risks. What you have: Bachelor's degree in Business or relevant field such as Finance, Accounting, Business, or Information Technology. Four additional years of related experience beyond minimum required may be substituted in lieu of a degree. 8 years of audit, financial, insurance, banking, information technology or related business and/or leadership experience. Experience performing internal audits, external audits, or applying audit, risk, or compliance acumen in a complex operational and regulatory environment. Broad and comprehensive experience in Audit theory, internal audit principles with demonstrated experience in audit examining, analyzing, assessing, and drawing conclusions from audit work. Demonstrated experience effectively communicating and challenging Controls with business partners and influencing business outcomes. Understanding of risks and internal controls and the ability to evaluate and determine adequacy and efficiency of controls. Experience in a support role, mentoring, and providing feedback to audit team members throughout the audit. Experience in overseeing work with both internal and external partners in a highly collaborative environment Demonstrated critical thinking and knowledge of data analysis tools and techniques and decision-making abilities. Demonstrated experience in highly dynamic environment undergoing change; ability to deal with competing priorities. What sets you apart: ACAS or FCAS designation. Proven background in P&C model frameworks, ranging from pricing, reserving, and catastrophe modeling to enterprise risk, across development, validation, or oversight risk. Advanced degree (e.g., Master's, PhD) in a quantitative field, such as Economics, Mathematics, Statistics, Actuarial Science, Data Science, Engineering, Computer Science, or Related Field with Core Quantitative Curriculum. Deep knowledge and experience with SR 11-7 and/or ASOP 56. Compensation range: The salary range for this position is: $143,320 - $273,930. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Auditor, Payment Integrity role conducts pharmacy claim audits for Independence Blue Cross to ensure accurate provider payments, detect fraud, waste, or abuse, and improve audit processes. It requires a Certified Pharmacy Technician with at least four years of experience, including pharmacy and audit work, strong analytical skills, and proficiency in Microsoft Office and pharmacy claims systems. Conduct audits of claims submitted to Independence Blue Cross (IBX) to ensure accuracy of provider payments and charges. Analyze provider billing patterns to detect potential fraud, waste, or abuse. Perform audits through daily reviews, live audits, and desk audits to identify inappropriate billing practices. Review and verify provider billing records, collaborating with CFID audit analysts, auditors, investigators, internal, and external sectors Execute standard provider audit assignments using sound audit methodologies to uncover patterns of abuse or fraud. Screen and audit claim samples-both summary and detailed-to select cases for further review. Initiate and validate claim adjustments, maintain comprehensive audit documentation, and prepare statistical reports. Identify and escalate potential provider fraud or abuse to management. Contribute to the development and implementation of new audit processes and functions. Qualifications • Certified Pharmacy Technician (CPhT) required. • Minimum of four (4) years of relevant experience, including: • At least two (2) years in retail or hospital pharmacy. • At least two (2) years in pharmacy audit. • Extensive understanding of healthcare provider audit practices and medical terminology. • Familiarity with fraud, waste, and abuse detection methodologies. • Strong written and verbal communication skills for reporting and presenting audit findings • Proficiency in Microsoft Office applications, including Excel, Word, Outlook, SharePoint, and Access. • Advanced Excel skills (pivot tables, VLOOKUP, data analysis). • Experience with pharmacy claims systems such as RxTrack and RxClaim is preferred but not required. Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device that is compatible with the free Microsoft Authenticator app.