Senior Insurance Manager, Internal Audit

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

and assess entity risks.
in developing and maintaining an audit plan that supports MGB HPs and MGBs strategic plan and internal control needs.
conduct manage and supervise financial/regulatory/operational audits and special projects as well as make internal control recommendations during audits/projects including discussion of audit matters with Department and Entity management.
management with Model Audit Rule support.
consultation to the Medicare Advantage and other government compliance auditors in the MGB HP Legal Regulatory Affairs and Compliance department.
to Senior Management cost effective recommendations for improving controls and operating efficiency in key areas of the company.
in developing internal audit (IA) procedures to ensure consistent application of IA policy.
recommendations on projects/activities follow up and monitor the implementation of Audit Recommendations.
quarterly Audit & Compliance Committee reports.
key audit findings and recommendations including status of prior Audit recommendations at quarterly Audit Committee (AC) meetings.
the day to day operations of the Internal Audit Services Insurance Operations Internal Audits including: Plan conduct coordinate and supervise a variety of value added reviews including reviews of business processes; maintain and review comprehensive files on the work conducted and findings noted; discuss audit findings with auditees; prepare audit/other reports; Communicate audit/other results to management; and ensure that recommendations are complied with.
in management requested special projects to help resolve exceptional company challenges.
the appropriate and timely completion of follow-up audits.
the day to day activities of audit staff and conduct appraisals of audit using MGB HR guidelines (no current staff at this time).

Education:

• BS/BA in Accounting or related field from an accredited school

Experience:

• 5-7 years of experience in auditing (healthcare experience/healthcare insurance company experience).

• CPA/CIA and/or advanced degree are a plus.

• Advanced knowledge of the operation procedures and policies of assigned business units. Strong familiarity with their specific business processes and transactions.

• Strong knowledge of generally accepted auditing standards IIA standards accounting and auditing sampling and testing methodologies Model Audit Rule or Sarbanes Oxley requirements risk management and statutory reporting. Knowledge of regulatory requirements of the Medicare Advantage and Part D insurance programs. Ability to identify risk areas and develop and execute on audit plans to address Medicare Advantage and Part D program risks is a plus. Information system audit experience and experience using Artificial Intelligence during audits is a plus.

• Demonstrate self-initiative be proactive and collaborative and have comfort working in a high-performing environment able to adapt to changing needs and priorities.

• Advanced communication (oral and written) and interpersonal skills are also required to effectively communicate interact and build strong working relationships with various process owners and senior management.

• A service-focused attitude is essential.

• The ability to work with large amounts of data and perform analyses is strongly desired.

• Demonstrate Mass General Brigham Health Plans core brand principles of always listening challenging conventions and providing value. Management experience.

• Strong relationship management skills working with key business clients and executive level management

Audit Skills:

• Ability to evaluate risks in order to develop and manage an annual audit plan under the direction of department leadership and in cooperation with the senior management of the company Ability to plan coordinate and direct the activities of others in order to accomplish predetermined objectives.

• Ability to train and supervise Auditors in the principles of internal auditing standards.

• Demonstrated ability to motivate staff.

• Strong technical skills in the fields of accounting and internal audit and obtain a comprehensive understanding of the companys operations and strategic objectives.

• Ability to conduct oneself in a manner appropriate to the situation and individuals involved

• Ability to communicate effectively (both oral and written) with auditees and Senior MGB management.

• Ability to establish priorities and anticipate problems.

Other Details:

• Hybrid Schedule 1-2 days per week in office at Assembly Row

• No direct reports; may indirectly provide leadership and guidance to less seasoned and new staff

• No direct budgetary responsibility

• Demonstrates fiscal responsibility by effectively using Mass General Brigham resources

• Work is normally performed in a typical office work environment.

• Position is based in Assembly Row Somerville MA in a building which is T-accessible.

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework