Virginia Premier Health Plan, Inc.

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Staff Auditor

Staff Auditor

Job Locations 
US-VA-Glen Allen
Job ID 
2017-4060

Job Description

Overview

The Staff Auditor will effectively perform audit testing on a wide variety of Compliance, Operational and IT audits, including special projects to ensure that risks are managed and to determine compliance with internal policies and procedures, Federal, State, local and regulatory laws/agencies. The Staff Auditor will work closely with other Auditor(s) on the team to assist in establishing an oversight framework for the Health Plan.

 

Responsibilities

  • Execute testing on routine and non-routine audits; perform and document audit procedures in work papers including testing on follow up issues.
  • Completely and accurately document audit workpapers by stating the audit testing performed, findings/exceptions and recommendations.
  • Assist in preparing written audit reports to inform management of audit findings and appropriate action plans to address Program Integrity or internal control matters.
  • Track all audit issues identified during the audits and ensure appropriate follow up activities are being performed to validate implementation of management action plans.
  • Assist in internal audit engagements, including: scheduling; planning; coordinating kick-off meetings, auditee weekly status update, and exit/closing meetings and ensure timely completion of those internal audits.
  • Develop an understanding of the operations, processes, and procedures in accordance to State and Federal contracts.
  • Review and test compliance with policies and procedures, laws and regulations through the inspection of operations, processes, retrieval and review of documents and investigation of irregularities and errors.
  • Perform analysis of data to evaluate the audit environment and determine risks, trends, and outliers.
  • Other duties/projects as assigned.

Qualifications

 

MINIMUM EDUCATION REQUIREMENTS

  • Bachelor’s degree in Finance, Accounting or a Healthcare related discipline.

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Knowledge of Microsoft software (Word, PowerPoint and Excel)
  • Excellent organizational and interpersonal skills.
  • Ability to follow instructions accurately and efficiently; proactive in asking clarifying questions to ensure timely and effective completion of the annual Audit Work Plan.
  • Ability to work effectively with co-workers as a team member.
  • Ability to communicate effectively and professionally, both orally and in writing.
  • Working knowledge of generally accepted auditing standards.

WORK BACKGROUND EXPERIENCE

  • Minimum 0-2 years auditing or business experience, preferably in Healthcare industry.

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

About Us

Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 

 

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  

 

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

 

Our mission is to inspire healthy living within the communities we serve!

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