Oct 14, 2021

Lead Controls Auditor - Remote Nationwide

  • OneTrust
  • Atlanta, GA, United States

✍🏾Job Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

UHC may delegate claims processing to a provider entity to perform on our behalf.  In those situations, UHC provides oversight to ensure that the delegated entity is supporting a constituent experience on par with UHC. 

This position will lead the process for incorporating internal control and risk management evaluations into the standard delegate claims processing oversight audits. They will also be responsible for conducting internal control evaluation procedures and audits to assess the existence, effectiveness and efficiency of the business controls, financial information, and compliance with laws and regulations on certain delegated entities. In addition, they will assist with special projects to improve the operational oversight and monitoring processes of our delegated provider entities.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Lead the development of internal control and risk assessment procedures to incorporate into the standard operational claims processing monitoring and audit programs
  • Lead the development of audit tools that will validate key delegate system configurations such as the division of financial responsibility (DOFR) and benefit plan set up
  • Execute specific internal control evaluation assignments on selected delegated entities to determine the effectiveness of their operating environments.  This includes audit planning, detailing control procedures and the related testing and reporting in accordance with professional standards (such as Sarbanes-Oxley testing)
  • Prepare clear, accurate and complete audit workpapers in accordance with department quality standards; meet project timelines and deliverable due dates
  • Identify audit issues and perform root cause analysis with practical corrective solutions – act a key resource on complex issues
  • Collaborate with internal and external management to review the impact of internal control deficiencies and recommendations
  • As necessary, perform follow-up on assigned audit report action plans to ensure that the delegated provider partners have completed agreed upon action
  • Participate on special projects undertaken by the department and/or the Company and conduct ad hoc investigations into identified or reported risks or potential key control deficiencies
  • Prepare/update the risk assessment/internal control evaluations of selected delegated entities as necessary

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Certified Public Accountant
  • Bachelor’s degree in accounting, finance, technology, or related discipline
  • 2+ years of public accounting experience
  • 2+ years of auditing and internal control assessment experience, including Sarbanes-Oxley internal control evaluations
  • 2+ years of experience in communication, internal and external executive level

Preferred Qualifications:

  • Deep understanding of auditing and internal control concepts and principles, and how to apply them.  
  • Intermediate proficiency with Microsoft office, including Word and Excel, (Create, Edit, Pivot, formulas, VLOOKUP, run reports)
  • Experience in the Health Care industry
  • Experience working with regulatory compliance or quality adherence

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: remote, work at home, work from home, WAH, WFH, #RPO, GO-ECO