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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform operational and compliance risk based audits for the health plan. <ul><li>Develop schedule and perform health plan audits and specialty care company (subcontractor) audits for either federal or state managed care programs</li><li>Evaluate processes and performance through audits for scalability, effectiveness, efficiency, and risk mitigation</li><li>Provide written audit documentation regarding state and/or federal managed care programs and process audit observations</li><li>Review and analyze responses to audit observations and findings and facilitate corrective action plans</li><li>Facilitate Health Plan and specialty care company (subcontractor) compliance through corrective action process.</li><li>Identify, develop and implement corrective actions and training materials to improve program performance based on audit outcomes</li><li>Provide education and training to internal and external entities as needed on programs, compliance, and fraud, waste and abuse</li><li>Serve as a resource related to the health plan and specialty care company (subcontractor) programs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor's degree in, Business, Accounting, Finance, Healthcare related field or equivalent experience. 2+ years of compliance experience, preferably with State or Federal managed care programs. Please note: candidate must reside within the state of California. Pay Range: $54,000.00 - $97,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Compliance Auditor (Non Clinical)

ABOUT WHIRLPOOL CORPORATION Whirlpool Corporation (NYSE: WHR) is a leading kitchen and laundry appliance company, in constant pursuit of improving life at home and inspiring generations with our brands. The company is driving meaningful innovation to meet the evolving needs of consumers through its iconic brand portfolio, including Whirlpool, KitchenAid, JennAir, Maytag, Amana, Brastemp, Consul, and InSinkErator. In 2023, the company reported approximately $19 billion in annual sales, 59,000 employees, and 55 manufacturing and technology research centers. Additional information about the company can be found at WhirlpoolCorp.com. The team you will be a part of The Audit team develops, plans, and evaluates internal audit programs for the organization's accounting and statistical records and the activities of various departments to ensure compliance with the organization's policies, procedures and standards. Prepares reports for management on the results of audits, providing recommendations on improvements. This role in summary As an Internal Audit Manager, you are responsible for organizing, planning, and leading audit teams to conduct financial and operational audits, and/or consulting projects across a variety of functions, processes, or business units within Whirlpool. In addition, as a member of our global internal audit team, you may participate in global audits and/or lead strategic projects to enhance the quality of audit work and/or drive efficiencies in our audit processes and SOX testing. You will also be responsible for unleashing talent, including coaching and development of audit team members. This role is located at our Global Headquarters in Benton Harbor, Michigan. #LI-DD1 Your responsibilities will include <ul><li>Conduct risk assessments to ensure audit coverage is thorough and addresses highest risk areas. This includes periodic assessment of enterprise risks as well as risks within each audit area</li><li>Manage up to 15 audits and/or advisory projects per year, with full responsibility for the planning, fieldwork and report issuances phase of each audit, including resource/timeline management, quality assurance and performance assessments for the team</li><li>Interface with management, including executive management, regularly to communicate audit results and assess business risks</li><li>Oversee annual SOX testing strategy for North America, Corporate and Small Domestic Appliances which is primarily conducted by an external third-party and reviewed by external auditors.</li><li>Effectively communicate SOX testing results to management and ensure remediation if applicable.</li><li>Lead and develop staff and senior auditors through ongoing coaching and mentoring; training and development; and career development planning </li><li>Leverage technology/tools to drive continuous improvement in process to improve the efficiency and effectiveness of operations within the department (e.g. automation, data analysis...etc)</li><li>Be a change agent for internal audit strategic Initiatives, data analysis journey and business portfolio transformation</li><li>Some travel may be required within this role (&lt;20%)</li></ul>Minimum requirements <ul><li>Bachelor's Degree or Master's Degree in Economics, Business, Accounting, Finance or Information Systems</li><li>4+ years of experience in internal or operational audit or analyzing business processes and controls</li></ul>Preferred skills and experiences <ul><li>Professional accounting or finance certification (i.e., CPA, CIA, CFE)</li><li>Public accounting experience</li><li>2+ years leading or supervising a team</li><li>Experience with SAP and audit management tools (TeamMate+, Auditboard, Workiva...etc)</li><li>Understanding of data analytics tools/techniques and applications throughout the audit lifecycle</li><li>Understanding of compliance/enterprise risk management environment </li><li>Demonstrated experience directing and implementing strategic or operational initiatives</li><li>Excellent written and verbal communication skills, including experience writing audit reports</li><li>Ability to promote inclusive behaviors, show empathy, and demonstrate integrity in all activities</li><li>Ability to participate within a multidisciplinary team and be a strong team player </li><li>Demonstrated ability to prioritize and manage multiple activities and resources to meet deadlines</li><li>Thought leader; leveraging strong business/operations understanding to identify and mitigate risks</li><li>An ability to thrive in a changing environment and drive improvements that lead to a best-in-class internal audit function</li></ul>What we offer Generous benefits package, Whirlpool employee discount, fitness &amp; educational reimbursement programs, kitchenettes, and more! Saint Joseph/Benton Harbor locations: Beautiful, recently renovated office space, free coffee, biking/walking trails, and access to The Eddy - Early Childhood Center (depending upon availability - additional costs required). Additional information Whirlpool's Ways of Working Our goal is to provide an environment that helps you bring your best to Whirlpool every day. While employees in this role work in-person Monday through Friday. We offer flexibility and industry-leading time-off benefits that will help you balance what's important at work and at home, including: <ul><li>Always On Flexibility - You will have the autonomy to manage personal, family, and outside-of-work commitments as needed. </li><li>Two-Week Work from Anywhere - Minimum of one-week increments for a total of two weeks per year.</li><li>Sabbatical - Four weeks paid leave after every five years of service.</li></ul>Connect with us and learn more about Whirlpool Corporation See what it's like to work at Whirlpool by visiting Whirlpool Careers. Additional information about the company can be found on Facebook, Twitter, LinkedIn, Instagram and YouTube. At Whirlpool Corporation, we value and celebrate diversity. Whirlpool Corporation is committed to equal employment opportunity and prohibits any discrimination on the basis of race or ethnicity, religion, sex, pregnancy, gender expression or identity, sexual orientation, age, physical or mental disability, veteran status, or any other category protected by applicable law.

Internal Audit Manager

WPP is the creative transformation company. We use the power of creativity to build better futures for our people, planet, clients, and communities. Working at WPP means being part of a global network of more than 115,000 accomplished people in 110 countries. WPP has headquarters in New York, London and Singapore and a corporate presence in major markets worldwide. We create transformative ideas and outcomes for our clients through an integrated offer of communications, experience, commerce, and technology. WPP and our award-winning agencies work with most of the world's biggest companies and organisations - from Ford, Unilever and P&amp;G to Google, HSBC, and the UN. Our clients include 61 of the FTSE 100, 307 of the Fortune Global 500, all 30 of the Dow Jones 30 and 62 of the NASDAQ 100. WPP are the leader in the Bloomberg Gender Equality Index and 20th in the FTSE 100 rankings for Women on Boards. Why we're hiring: Are you ready to apply your audit, risk and compliance expertise to WPP's unique and changing environment? We are seeking an experienced Audit Manager to support our Americas Audit team, who can apply broad operational knowledge and sound business judgment to execute operational audits across our diverse businesses. This is a high visibility opportunity where you will gain valuable exposure to many areas within our business and be able to make important improvements that make a real difference to our business. We are seeking those with broad experience in Operations, Financial, Commercial, and Compliance auditing. In this position, you will dig deep into the details of your audits to develop meaningful findings. You must be able to understand complex business processes and identify the full range of risks related to processes, regulatory compliance, organization, policy, and technology. You should be comfortable interacting with a range of roles. You need a sound technical and commercial understanding and the ability to learn new concepts quickly. Location - Based in New York Travel - Available to travel - up to 30% Main Activities Reporting to the Joint Heads of Internal Audit, Americas, the main responsibilities of the position are: <ul><li>Develop/plan and execute internal audits to assess the risk and control environments, whether in group functions, operating companies, or major business change programs</li><li>Assess and document key risks for audit areas</li><li>Create audit programs and testing steps based on the risks identified</li><li>Prepare and communicate observations and recommendations based on audit results</li><li>Understand and document the root cause of observations</li><li>Develop relationships with senior local finance and operational staff</li><li>Work on special investigations as needed</li><li>Monitor remediation of audit findings</li></ul>What you'll need: We want someone who can not only identify risks, but also translate those risks into business issues. You will provide consultative support to business partners to identify opportunities for control improvements. You must help prioritize findings and recommendations in tune with our corporate strategy. You should be able to facilitate multiple stakeholders to agree on appropriate solutions and verify that risks are mitigated appropriately. We value personality, insight, intellectual flexibility, teamwork and sound business judgment. You must be an excellent writer who can succinctly communicate complicated issues in business terms. You must also be a strong project manager who can manage variable resources and conduct your own audits from beginning to end, often managing multiple projects at once. You will be a person who anticipates problems and pro-actively seeks out solutions, whether working independently or as part of a team. You will have the ability to develop and sustain relationships with both internal and external customers, have a "hands on" attitude to work; and the flexibility to work as hard as the job demands. Professional skills You must demonstrate: <ul><li>Strong risk management experience, including; performing risk assessments and audits, designing controls, and prioritizing risk.</li><li>Strong analytical skills. Proven history of analyzing data, having attention to detail, and assessing situations to identify meaningful observations.</li></ul>Personal skills <ul><li>Self-starter, possess flexibility to work in a fast-changing environment and ambiguous situations and get things done</li><li>Proven history of having built relationships and worked effectively across cross-functional teams and business functions</li><li>Excellent written and verbal communication skills. You will prepare reports and make presentations to senior level management. You will interact with various levels of employees to collect and communicate information.</li><li>Ability to work independently, but also be a team player;</li><li>Critical thinker;</li><li>Ability to manage multiple projects; and</li><li>Ability to work under pressure and meet deadlines.</li></ul>Preferred qualifications / knowledge <ul><li>Bachelor degree in Accounting/Finance/Business or related field</li><li>Advanced degree (e.g. MBA) or relevant certifications (CPA equivalent, CISA etc)</li><li>Experience with process improvement - Kaizan, and Six Sigma - would be beneficial</li><li>Familiarity with COSO frameworks</li><li>Knowledge of Sarbanes Oxley</li><li>Big Four accounting firm experience is a plus</li></ul> Relevant work experience <ul><li>5+ years of experience in operational auditing, risk management, compliance, or financial analysis, showing progression in areas for responsibility</li><li>Previous experience in an international environment;</li><li>Advanced computer skills on MS Office and exposure to data analytics tools.</li></ul>Who you are: You're open: We are inclusive and collaborative; we encourage the free exchange of ideas; we respect and celebrate diverse views. We are accepting: of new ideas, new partnerships, new ways of working. You're optimistic: We believe in the power of creativity, technology and talent to create brighter futures or our people, our clients and our communities. We approach all that we do with conviction: to try the new and to seek the unexpected. You're extraordinary: we are stronger together: through collaboration we achieve the amazing. We are creative leaders and pioneers of our industry; we provide extraordinary every day. What we'll give you: Passionate, inspired people - We promote a culture of people that do extraordinary work. Scale and opportunity - We offer the opportunity to create, influence and complete projects at a scale that is unparalleled in the industry. Challenging and stimulating work - Unique work and the opportunity to join a group of creative problem solvers. Are you up for the challenge? WPP is an equal opportunity employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability. We believe in creating a dynamic work environment that values diversity and inclusion and strives to recruit a diverse slate of candidates to help us achieve that goal. Please read our Privacy Notice for more information on how we process the information you provide. The base salary range for this position at the time of this posting is indicated below. Individual compensation varies based on job-related factors, including location, business needs, level of responsibility, experience, and qualifications. We offer a competitive benefits package, go to <a href="https://www.wpp.com/en/careers/wellbeing/benefits-at-wpp-in-the-us" target="_blank">https://www.wpp.com/en/careers/wellbeing/benefits-at-wpp-in-the-us</a> for more details. $75,000-$180,000 USD WPP is an equal opportunity employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability. We believe in creating a dynamic work environment that values diversity and inclusion and strives to recruit a diverse slate of candidates to help us achieve that goal. Please read our Privacy Notice (<a href="https://www.wpp.com/people/wpp-privacy-policy-for-recruitment" target="_blank">https://www.wpp.com/people/wpp-privacy-policy-for-recruitment</a>) for more information on how we process the information you provide.

Company Description Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to nearly 1,300 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you have what it takes to shape a better future for yourself and the automotive service industry? Our vision is to be America's leading auto and tire centers, trusted by consumers as the best place in our neighborhoods for quality automotive maintenance and repairs. We're looking for motivated individuals at every stage in their career who share our vision. Positions are available in our retail locations across our many brands, in field management, and in store operations at our Store Support Center in Rochester, New York. If you like helping others, if you enjoy being part of a team, solving problems, and building guest relationships, if you value honesty and integrity - we have a Destination for you at Monro. Destination Monro -Your Career is Here! Job Description Reporting to the Operations Support Field Manager, this individual will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store locations daily and perform regularly scheduled audits. They must effectively establish strong credibility with the Monro Field Teammates and Field Leadership. Maintaining a positive and constructive attitude is critical as this role sits at the crossroads between the Store Support Center and Field Management. Compensation: The salary range for this role is $65,000 - $70,000. This role is eligible for additional compensation and incentives. Pay will be determined based on experience level Essential Functions: Participates in the following areas of focus, including but not limited to Monro Forward initiatives, DM onboarding, inventory subject matter expert, inventory analysis, safety compliance, building and equipment maintenance, and a compliance subject matter expert for major organizational initiatives. Essential Duties: <ul><li>Complete assigned Tire Cycle Counts (TCC), Oil Cycle Counts (OCC), Physical Inventories (PI), Lift Inspections, Safety Audits and Building &amp; Equipment Inspections.</li><li>Train, as assigned, Teammates on how to complete TCC's, OCC's, PI's, and Lift Inspections and Safety Inspections.</li><li>On occasion, support Loss Prevention with Investigations.</li><li>On occasion, collaborate with the Director, Internal Audit and operational functions to develop remediation activities.</li><li>Develop recommendations for process improvements and efficiencies.</li><li>On occasion will be asked to participate in POS Testing.</li><li>Assist with other projects as assigned; perform other duties as assigned.</li><li>Schedule and prepare for Store Compliance visits up to 13 weeks in advance. </li><li>Complete Lift Inspections as assigned. </li><li>Complete Asset (building and equipment), Safety and Operational readiness Audits as you visit each location. </li><li>Communicate with Store &amp; District leadership on the audit results. </li></ul>Communication: <ul><li>Works closely with the Field Leadership to ensure compliance initiatives are communicated and executed in a timely manner.</li><li>Builds strong partnerships in both the Store Support Center and field.</li></ul>Qualifications Minimum Qualifications: <ul><li>Associates or Bachelor's degree in Business or related field preferred.</li><li>4 plus years of Retail Management experience.</li><li>Must be able to multi-task/problem solve and possess strong analytical and time management skills.</li><li>Possess strong interpersonal skills to deal effectively with a wide variety of people assertively and confidently.</li><li>Self-directed team player with the ability to manage multiple activities.</li><li>Pro-active and process driven.</li><li>Must be a result oriented, with the ability to successfully interface with all levels and areas of the organization, establish close working relationships, and build consensus for chosen solutions.</li><li>Proven influence and collaboration skills and ability to effectively interact with management to identify, develop, and implement process compliance and improvements.</li><li>Able to be flexible and adapt to different work groups, work styles, and work environments.</li><li>Ability to develop creative solutions to problem-solving.</li><li>Strong verbal and written communication and presentation skills, including presenting to large groups.</li><li>Must be skilled in the use of Microsoft suites of office products.</li><li>Enthusiastic, energetic, and highly driven.</li><li>Works well in the collaborative work environment.</li><li>Travel 75% plus in field operations.</li></ul>Closing Statement: This summary is not an all-inclusive description of job duties. Other job duties and responsibilities may also be assigned by the incumbent's Manager at any time based upon Company need. Monro Inc. is a proud Equal Opportunity employer, m/f/d/v. Additional Information Benefits <ul><li>Health Insurance </li><li>Dental Insurance </li><li>401K Retirement Plan with Company Match </li><li>Paid vacation </li><li>Paid Holidays </li></ul>Your next Destination! Growth Opportunity: At Monro we're committed to helping our teammates grow their career through the combination of coursework, demonstrating leadership skills and open opportunities. Our teammates receive on-the-job training, company sponsored certifications, as well as course curriculum in Monro University that empowers them to advance to the next level of their careers. Monro, Inc. is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Operations Support Compliance Auditor

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for a talented Billing Compliance Auditor &amp; Educator to join our Compliance team. Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, &amp; Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more! Role: The Billing Compliance Auditor &amp; Educator is responsible for the development and execution of the Billing Compliance program of Harbor Health. This includes compliance auditing, coding and billing auditing, clinical billing and coding education, as well as compliance program planning and execution. The Billing Compliance Auditor &amp; Educator performs compliance audits, coding and billing audits and serves as a subject matter expert to Harbor Health on issues related to professional coding and billing and general corporate compliance practices. Position will be hybrid and will require some travel to all other health center sites. Responsibilities: <ul><li>Coordinates independent reviews and assessments of the organization's professional coding and billing transactions, processes, and internal controls for coding completeness and accuracy.</li><li>Develops and maintains an effective Billing Compliance Program for the Community Health Center clinics of Harbor Health.</li><li>Evaluates the effectiveness of Harbor Health's current billing and coding practices, validates compliance with state and federal regulations and internal policy and procedure mandates; and recommends process, procedure, and policy improvements to mitigate against identified risks.</li><li>Identifies potential coding and billing errors, researching appropriate guidelines to support recommended improvements, and communicating these improvements to the Director and Revenue Cycle Management on a timely basis. </li><li>Provides expert compliance advice and education to coding personnel, clinical staff and physicians, along with department and practice management.</li><li>Performs a variety of audits such as: HCPCS, CPT coding, DRG coding, and medical record reviews using scientific methods, statistical processes and proven healthcare audit methodology with a focus on governmental payers, including Medicare and Medicaid.</li><li>Coordinates with clinical operations, health information management and revenue cycle departments to ensure accounts audited reflect proper documentation, charge capture, coding, billing and payment.</li><li>In a timely manner, clearly communicates audit findings with providers, the department managers and identify areas of educational opportunities or required corrective actions based on audit results, exhibits clear concise report writing and presentation skills. </li><li>Conducts follow up education and develops corrective action plans to address audit findings and/or identified risks.</li><li>Responsible for performing risk assessments to identify compliance and non-compliance concerns.</li><li>Coordinates and executes pre and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in accordance with standard state, federal, and internal reimbursement policies, principles, and mandates.</li><li>Conducts education of new providers on compliance, billing and documentation guidelines, fraud and abuse statutes, and the audit process.</li><li>Responds to billing compliance queries by clinical and non-clinical providers and/or staff while maintaining appropriate degree of confidentiality.</li><li>Maintains up-to-date knowledge of industry coding, billing and documentation guidelines and healthcare compliance regulations to ensure Harbor Health clinic wide consistency and compliance with governmental and other regulatory guidelines.</li><li>Maintains an open dialogue and good working relationship with external auditors, Revenue Cycle, IT, and Compliance Management; and clinic/department staff and their leadership in order to advance Harbor Health's compliance, audit and revenue objectives and goals.</li></ul>Requirements: <ul><li>Associate's degree in related field required; Bachelor's degree preferred </li><li>Certified Professional Coder (CPC) required or Certified Risk Adjustment Coder (CRC) preferred</li><li>Minimum of 5 years of experience in healthcare billing compliance auditing and education</li><li>Advanced user of Microsoft Office 365 applications including Word, Excel, Outlook and Teams</li><li>Project Management experience or training preferred</li><li>Excellent verbal and written communication skills.</li><li>Able to work compassionately with providers and administrative staff within the practices</li><li>Able to work independently and collaboratively</li><li>Must be able to travel between all Harbor sites in a timely manner </li></ul>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Monday -Friday Full Time - Hybrid

5 Audit Jobs in United States