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The Internal Audit Professional will be responsible for executing risk-based audits of business processes, operational activities, and key controls across the organization. This individual will assess the design and effectiveness of controls within critical business processes, identify areas of risk, and evaluate opportunities to enhance operational efficiency and governance.
This role is strictly involved in business analysis, requirements documentation, and healthcare reference data support activities and does not involve direct access to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential client data. The work is limited to analysis of healthcare claims, reference code sets, and system configurations using governed datasets and does not include handling or processing of sensitive health or personal information.
In this role, the Internal Audit Professional will conduct process walkthroughs, document process narratives and detailed testing procedures to gain an understanding of business operations and evaluate the effectiveness of risk management practices. The individual will analyze business processes and relevant data to identify control weaknesses, process inefficiencies, and emerging risks, and will develop practical recommendations to strengthen the overall control environment.
The Internal Audit Senior Professional will prepare clear, concise, and well-supported audit documentation, reports, and presentations that effectively communicate audit observations, risk implications, and recommendations to management. The role requires building strong relationships with process owners to facilitate constructive discussions around risk mitigation, process improvement, and control enhancements.
Additionally, this position will monitor and validate the implementation of corrective actions resulting from audit findings and will support enterprise risk assessments, annual audit planning activities, and other strategic initiatives as needed.
Preferred Skills:
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