Lead Business Auditor @ Horizon NJ Health

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Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

This position is an extended member of the departments leadership team and is responsible for the supervision and the execution of assigned audits and strategic initiatives. These responsibilities include ensuring the appropriateness of the scope, quality and execution of testing and reporting, and the identification as well as tracking of issues to closure.

Responsibilities:

For assigned audits, initiatives or program tasks, develops scope and work programs, assigns tasks, and ensures that assigned audit planning, data gathering, analysis and testing tasks are accomplished in the timeframe established.
Identifies, develops and documents control issues. Monitors ongoing performance of deficient systems or processes and develops updates or modifications to recommendations and findings.
Reviews work products for assigned audits.
Prepares formal written reports or conclusions expressing opinions on the adequacy and effectiveness of the system of internal control as needed.
Develops and exhibits a good understanding of Horizons business model and risks. Establishes buy in with management, clients and audit teams by learning and exhibiting persuasion and motivation techniques.
Builds strong relationships with, interviews and gathers information from management regarding business risk and system of internal control. Offers value-added recommendations to management on internal controls.
Oversees work of staff (employee or co-sourced partner) to ensure overall quality and client satisfaction, and provides guidance and feedback to staff on their performance and work products.
Reports progress of assigned audit or program work and seeks input from the Audit Manager and Director.
Develops expertise of the business environment and industry practices, internal audit professional practices and specific Horizon business decisions

Education/Experience:

High School Diploma/GED required
Bachelor degree preferred or relevant experience in lieu of degree
CPA, CIA or CISA preferred
Big 4 Expertise a plus
5 + years of Internal or External Audit Experience or equivalent leadership experience

Additional Licensing, Certifications, Registrations:

CPA, CISA or CIA preferred

Knowledge:

Requires knowledge of sound business practices
Requires knowledge of accounting or technology practices
Prefer knowledge of the insurance industry
Prefers knowledge of insurance-related regulatory environment

Skills and Abilities:

Customer Focus- Make internal and external customer and their needs a primary focus of ones actions; develop and sustain effective working relationships;
Drive for Results- Set high performance standards for self and others; assume responsibility and accountability for successfully completing assignments or tasks on time; monitor performance against established standards;
Adaptability-Maintain effectiveness when experiencing major changes in the organization, work tasks or the work environment; adjust effectively to work with new organization/work structures, processes, requirements or cultures;
Communicating with Impact-- Express thoughts, feelings and ideas in a clear, succinct, compelling, appropriate and organized manner in both individual and group situations; tailor message and language to the audience;
Developing Self and Others-- Demonstrate and encourage an eagerness and acquire necessary knowledge, skills and judgment to accomplish a result and perform the job more effectively;
Critical Thinking: Apply process analysis, business intelligence and problem solving techniques;
Professional Standards: Apply the standards and practices of the profession and Horizon Internal Audits policies and procedures;
Internal Audit Delivery: Delivers internal audit engagements;
Internal Audit Leadership: Develop and lead the Internal Audit function including the ability to advocate for the function and speak to its value to the organization.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

$96,300 - $131,565

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Lead Business Auditor

Horizon NJ Health

Compensation Overview

Responsibilities:

Education/Experience:

Additional Licensing, Certifications, Registrations:

Knowledge:

Skills and Abilities:

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