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Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with L.A. Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in a timely and efficient manner. For Claims Emphasis: This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the audit report. This position is responsible for a variety of complex areas of the Medi-Cal, Medicare, Covered California, and PASC-SEIU benefit and process. This position audits focuses on contractual and regulatory compliance with timeliness and appropriateness standards. This position is responsible for other ongoing tasks as assigned by the Manager of Financial Compliance. These assignments may include claims data reporting in the Online Monitor Tool (OMT), compiling Monthly Timeliness Report (MTR), completion of the financial statement analysis, and Plan Partner oversight of their Independent Practice Association (IPA) network on a quarterly &amp; annual basis. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties Perform auditing procedures under minimal supervision during the audits of medical groups and health plans. Provide timely and accurate reports that detail whether medical groups and health plans are meeting certain regulatory and contractual requirements. Communicate issues and findings that would affect the audit results. Perform claims audits for all medical groups and health plans contracted with L.A. Care. Timely audit reports presented to supervisor with one week of the audit date. Communicate issues and findings that would affect the audit results. Perform analysis of medical groups and plan partners. Set up financial audit work papers. Perform certain administrative functions for the audit team. Set up completely and timely work papers needed prior to going on site for the claims audits. Perform other duties as assigned. Duties Continued Education Required Bachelor's Degree In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal MediConnect, and/or other managed care product lines similar to L.A. Care's, L.A. Care Covered, and PASC-SEIU programs. Skills Required: Must be self-motivated. Detail-oriented. Able to prioritize assignments, and able to work as part of a team. Excellent verbal and written communication skills. Ability to interface professionally with both internal and external customers at all levels of the organization. Must also have flexible mode of transportation for considerable amount of travel to work off-site. Knowledge and understanding of legislation and regulatory bodies affecting healthcare practices. Knowledge of medical records systems applications. Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters. Knowledge of health insurance products, market segments and marketplaces. Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Delegates: This position also conducts sub-delegation claims oversight audit of the PPGs, capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including <ul> <li>Paid Time Off (PTO)</li> <li>Tuition Reimbursement</li> <li>Retirement Plans</li> <li>Medical, Dental and Vision</li> <li>Wellness Program</li> <li>Volunteer Time Off (VTO)</li></ul>

Financial Compliance Auditor III Claims

Ideas | People | Trust We're BDO. An accountancy and business advisory firm, providing the advice and solutions entrepreneurial organisations need to navigate today's changing world. We work with the companies that are Britain's economic engine - ambitious, entrepreneurially-spirited and high-growth businesses that fuel the economy - and directly advise the owners and management teams leading them. We'll broaden your horizons As a firm our focus on delivering quality audit work for the benefit of the public interest is our key priority. Our Audit teams are essential, not just to BDO, but to the whole economy. With specialist knowledge of sectors, markets and geographies; our auditors have the business understanding necessary to deliver the high quality and robust audits that companies and their stakeholders can trust. As part of our Audit team, you'll receive the support you need to reach your potential. From completing professional qualifications to developing new skills and exploring different learning opportunities, you'll join a friendly and diverse team whose work really matters. Use your skills to build a career in Audit at BDO. We'll help you succeed The work we do is underpinned by quality. We deliver audits which are trusted and transparent which can be relied upon by companies and their stakeholders. You'll be someone who is comfortable working pro-actively and, managing your own tasks, as well as confident collaborating with others and communicating regularly with Senior Managers, Directors, and BDO's Partners. You'll help deliver accurate and transparent reporting to all relevant stakeholders as you provide long term value. You'll be someone with: <ul><li>Qualified ACA/ACCA/ICAS Qualified or overseas equivalent.</li><li>Educated up to degree level or CTS.</li><li>Experience supervising and coaching junior members of staff on site.</li><li>Working knowledge of UK and International GAAS, IFRS, UK GAAP and Financial Reporting requirements.</li><li>Working knowledge of firm services, issues regarding advice, and regulation and compliance, including anti-money laundering.</li><li>Demonstrable knowledge of current economic and market trends.</li></ul>You'll be able to be yourself; we'll recognise and value you for who you are and celebrate and reward your contributions to our business. We're committed to agile working, and we offer everyone the opportunity to work in ways that suit them, their teams, and the task at hand. At BDO, we'll help you achieve your personal goals and career ambitions, and we have programmes, resources, and frameworks that provide clarity and structure around career development. We're in it together Mutual support and respect is one of BDO's core values and we're proud of our distinctive, people-centred culture. From informal success conversations to formal mentoring and coaching, we'll support you at every stage in your career, whatever your personal and professional needs. Our agile working framework helps us stay connected, bringing teams together where and when it counts so they can share ideas and help one another. At BDO, you'll always have access to the people and resources you need to do your best work. We know that collaboration is the key to creating value and satisfying experiences at work, so we've invested in state-of-the-art collaboration spaces in our offices. BDO's people represent a wealth of knowledge and expertise, and we'll encourage you to build your network, work alongside others, and share your skills and experiences. With a range of multidisciplinary events and dedicated resources, you'll never stop learning at BDO. We're looking forward to the future At BDO, we help entrepreneurial businesses to succeed, fuelling the UK economy. Our success is powered by our people, which is why we're always finding new ways to invest in you. Across the UK thousands of unique minds continue to come together to help companies we work with to achieve their ambitions. We've got a clear purpose, and we're confident in our future, because we're adapting and evolving to build on our strengths, ensuring we continue to find the right combination of global reach, integrity and expertise. We shape the future together with openness and clarity, because we believe in empowering people to think creatively about how we can do things better.

Audit Assistant Manager - International Programme

Compliance Auditors Doncaster Full-time, permanent 2Excel Aviation Ltd is a leader in specialised and innovative solutions for aviation's most complex challenges. Our success is based on the talented and experienced people that make up our workforce. Capability Development is a division within 2Excel Aviation and is partly made up of a CAA approved Design Organisation (DOA), Production Organisation (POA) and Part 145 Maintenance Organisation (MOA) which provides design, production and maintenance services to support the other business units within the group and external organisations. We now have two exciting opportunities for the right individuals seeking to develop and expand their career within Civil Aviation. Based at Doncaster and reporting to the Capability Development Head of Compliance, we are looking for two auditors to be responsible for continuously reviewing and ensuring compliance in the following areas: <ul> <li>BS EN 9100:2018 and ISO 9001:2015 AND/OR Part 145, Part 21 G &amp; Part 21 J</li></ul>Duties will include, but not limited to: <ul> <li>Undertaking internal &amp; external auditing specifically supplier reviews, calibration, and supplier oversight.</li> <li>Maintaining the relevant Quality Management Systems.</li> <li>Investigating errors, occurrence reports and mandatory occurrence reports and preparation of associated reports.</li> <li>Liaising with regulatory authorities and customers, where necessary.</li> <li>Advising and provide guidance on technical matters.</li> <li>Supporting the development and maintenance of the approved Maintenance Organisation Exposition (MOE) &amp; approved Production Organisation Exposition (POE) and associated procedures.</li></ul>To be successful, you will have experience and sound knowledge of compliance and auditing in the Civil Aviation Industry or the equivalent, with a strong desire to develop your career. You will also have the ability and confidence to communicate at all levels and work effectively with all personnel. Relevant qualifications are desirable, but not essential. In an ideal world, the perfect candidate would be a subject matter expert in both BS EN 9100:2018 and Parts 145 and 21 but this is not essential. Therefore, we are looking for individuals who are subject matter experts in at least one of these areas and we will commit to providing training and support to develop knowledge and experience in the other areas. Applicants must be able to prove their right to work in the UK and, due to the travel requirements of the role, hold a valid driving licence. In return, we can offer a competitive salary, generous holiday allowance, company pension. Apply using our application form and upload your CV. You are encouraged to use the Covering Letter function to demonstrate how you meet the requirements of the role and tell us which role you would prefer to be considered for. 2Excel is committed to promoting equitable treatment, encouraging diversity and embracing inclusion in our recruitment processes and among our workforce. We are proud to be recognised as a Disability Confident Employer.

Aviation Compliance Auditors

More than you expected The UK member firms of Grant Thornton are part of global network of independent audit, tax and advisory firms, made up of some 76,000 in over 150 countries. We're a team of independent thinkers who put quality, inclusion and integrity first. All around the world we bring a different experience to our clients. A better experience. One that delivers the expertise they need in a way that goes beyond. Personal, proactive, and agile. That's Grant Thornton. Job Description: NEW GROUND WON'T BREAK ITSELF. Every day our teams help people in businesses and communities to do what is right and achieve their goals. Our Financial Services Business Risk Services practice focuses on helping organisation manage risk, improve operational processes and realise strategic objectives. Our team brings together a range of skills and experience across sector specialisms. Our Financial Services Business Risk Services (FS BRS) team, provide clients with support on their internal audit functions, through the provision of tailored, flexible and cost-effective solutions, that provide access to industry best practice methodology, value add insights and subject matter experts. We're happy to talk flexible working and consider reduced hours and job shares, we'll support you to balance your work and life. A look into the role As a Financial Services Business Risk Insurance Internal Audit Senior Manager within our Financial Services Business Risk Services (FS BRS) team you will: <ul><li>You'll take ownership and lead on allocated assignments (co-source internal audit) in a way that exceeds client expectations while taking responsibility for managing and developing staff.</li><li>You'll manage a portfolio of existing client relationships and build and maintain good working relationships with all clients and colleagues.</li><li>You'll agree budgets for review with Partner and/or client.</li><li>You'll monitor invoices raised and cash collected in a timely manner to ensure aged debtors don't escalate.</li><li>You'll lead client liaison meetings and attend audit committee meetings</li></ul>Knowing you're right for us Joining us as a Financial Services Business Risk Insurance Internal Audit Senior Manager, the minimum criteria you'll need is a professional qualification (CIPFA CISA, CISM, CISP, or similar) with post qualification experience and experience of internal audit within the insurance sector, be confident managing a large portfolio of internal audit clients and proven experience of leading business development. winning of new work. It would be great if you had some of the following skills, but don't worry if you don't tick every box, we'll help you develop along the way. <ul><li>Professional practice experience</li><li>Track record of leading client engagements and ensuring their effective completion/quality</li><li>Oversights of team members and personal development of direct reports</li><li>Familiarity with engaging at senior levels (CIO, CTO, CISO)</li></ul>Knowing we're right for you Embracing uniqueness, the culture at Grant Thornton thrives on the contributions of all our people, we never settle for what is easy, we look beyond to deliver the right thing, for everyone. Building an inclusive culture, where we value difference and respect our colleagues helps our people to perform at the best of their ability and realise their potential. Our open and accessible culture means you'll interact with leaders who are interested in you and everything you bring to our firm. The things that set you apart, we value them. That's why we give you the freedom to bring your whole self to work and pursue your passions inside and outside of work. Beyond the job Life is more than work. The things you do, and the people you're with outside of work matter, that's why we're happy to look at flexible working options for all our roles, and we'll always do our best to keep your work and life in balance. The impact you can make here will go far beyond your day job. From secondments, to fundraising for local charities, or investing in entrepreneurs in the developing world, you'll be giving back to societyIt's that drive to do the right thing that runs through our every move, grounded in our firm's values - purposefully driven, actively curious and candid but kind. We're looking for people who want to contribute, spark fresh ideas and go beyond expectations. People who want to be able to proudly do what's right, for the firm, our clients, our people and themselves. It's how it should be. #LI-ME1

Financial Services Business Risk Insurance Internal Audit Senior Manager

Audit Manager - International Ideas | People | Trust We're BDO. An accountancy and business advisory firm, providing the advice and solutions entrepreneurial organisations need to navigate today's changing world. Ideas | People | Trust We're BDO. An accountancy and business advisory firm, providing the advice and solutions entrepreneurial organisations need to navigate today's changing world. As a firm our focus on delivering quality audit work for the benefit of the public interest is our key priority. Our Audit teams are essential, not just to BDO, but to the whole economy. Working within a number of sectors, they verify the accuracy of our clients' financial statements for stakeholders, including shareholders, governments, tax authorities, banks and customers, ensuring the stability and authenticity of the financial market. That's why we're so committed to helping our clients, and our people to succeed. As part of our Audit team, you'll receive the support you need to reach your potential. From completing professional qualifications to developing new skills and exploring different learning opportunities, you'll join a friendly and diverse team whose work really matters. Use your skills to build a career in Audit at BDO. We'll broaden your horizons The international audit team is an industry agnostic team that specialises in providing fully coordinated secondary audit services to multinationals. Working closely with BDO Member Firms from around the world, the international audit team leverages the controls present at finance service centre locations to design high quality and highly efficient global audit strategies. The international audit team provide a fully project managed and centralised global audit offering to audited entities. Many engagements have an element of travel required, with team members often travelling overseas a number of times a year on audit engagements. We'll help you succeed The work we do is underpinned by quality. We deliver audits which are trusted and transparent which can be relied upon by companies and their stakeholders. You'll be someone with: <ul><li>ACCA/ACA/ICAS qualified or overseas equivalent</li><li>Experience in managing, supervising, supporting and coaching junior members of staff to develop their knowledge and understanding </li><li>Experience challenging Management, including experience in managing difficult conversations </li><li>Working knowledge of ISAs, IFRS, UK GAAP and Financial Reporting requirements</li><li>Working knowledge of financial products, firm services, issues regarding advice and regulation and compliance, including anti-money laundering</li><li>Experience reviewing systems, process and control environments to understand the entity and to identify risk </li><li>Experience in designing audit strategies based primarily on substantive auditing</li><li>Experience managing complex projects and teams with multiple milestones, deliverables and locations. </li><li>Experience with financial statements reviews </li></ul>Desirable <ul><li>Sector experience appropriate to BDO audited entities</li><li>Experience auditing international groups and coordinating engagements that operate cross border </li><li>Experience designing audit strategies that rely on controls and the IT environment of the audited entity</li><li>Experience in conducting Group audits under ISA 600</li></ul>You'll be able to be yourself; we'll recognise and value you for who you are and celebrate and reward your contributions to our business. We're committed to agile working, and we offer everyone the opportunity to work in ways that suit them, their teams, and the task ati hand. At BDO, we'll help you achieve your personal goals and career ambitions, and we have programmes, resources, and frameworks that provide clarity and structure around career development. We're in it together Mutual support and respect is one of BDO's core values and we're proud of our distinctive, people-centred culture. From informal success conversations to formal mentoring and coaching, we'll support you at every stage in your career, whatever your personal and professional needs. Our agile working framework helps us stay connected, bringing teams together where and when it counts so they can share ideas and help one another. At BDO, you'll always have access to the people and resources you need to do your best work. We know that collaboration is the key to creating value and satisfying experiences at work, so we've invested in state-of-the-art collaboration spaces in our offices. BDO's people represent a wealth of knowledge and expertise, and we'll encourage you to build your network, work alongside others, and share your skills and experiences. With a range of multidisciplinary events and dedicated resources, you'll never stop learning at BDO. We're looking forward to the future At BDO, we help entrepreneurial businesses to succeed, fuelling the UK economy. Our success is powered by our people, which is why we're always finding new ways to invest in you. Across the UK thousands of unique minds continue to come together to help companies we work with to achieve their ambitions. We've got a clear purpose, and we're confident in our future, because we're adapting and evolving to build on our strengths, ensuring we continue to find the right combination of global reach, integrity and expertise. We shape the future together with openness and clarity, because we believe in empowering people to think creatively about how we can do things better. #TJ-SS3 #RD-SS3

Audit Manager - International Audit Team

Ideas | People | Trust We're BDO. An accountancy and business advisory firm, providing the advice and solutions businesses need to navigate today's changing world. Our clients are Britain's economic engine - ambitious, entrepreneurially-spirited and high growth businesses that fuel the economy - and the owners and management teams that lead them. We'll broaden your horizons Our Advisory team provide a wide variety of services that deliver value-led advice and outcomes. They have an in-depth knowledge of business, industry sectors and markets and understand the constantly changing risks and opportunities at the heart of affairs. The team work across strategy, operations and improvement as well as at a transactional and defined project level. From technology to risk advisory, they're experts in following through on top-level instructions and resolving the finer details - all in one straight-forward package. When you join them, you'll work on some of the world's most exciting financial operations and business deals, building your experience and expertise alongside the brightest minds in the industry We'll help you succeed Our clients trust us because of the quality of our advice. That quality grows from a thorough understanding of their business, and that understanding comes from working closely with clients and building long-lasting relationships. You'll be someone who can work pro-actively, managing your own tasks, but you'll also be confident collaborating with others, communicating regularly with senior managers, Directors, and BDO's Partners to enable us to serve our clients effectively. You'll be encouraged to identify and draw attention to opportunities for enhancing our delivery and providing additional services to our clients. International Institutions and Donor Assurance (IIDA) works closely with global institutions such as UN agencies, the European Commission, Foundations and other Development Agencies, particularly those involved in international development. IIDA provides assurance services, including financial and systems audits, certifications, internal control assessments, technical assistance, and consultancy services to international institutions The Audit Manager will take the lead in engagement meetings (virtually and in person). You'll prepare audit plans based on a full understanding of the terms of reference and the applicable grant contractual conditions. You'll coordinate and lead audit teams, write and review audit reports. You'll be someone with: <ul><li>A professional accountancy qualification (ACA / ACCA / CIMA / DEC or equivalent) is preferred</li><li>Bilingual French with excellent verbal and written English a minimum requirement</li><li>Audit experience</li><li>A genuine interest in international development and this sector</li><li>An ability to communicate in a professional, constructive way</li><li>Proven track record in audit and assurance work</li><li>international travel for assignments (travel can include, but not be limited to, Europe, Africa, Asia and the Middle East)</li></ul>You'll be able to be yourself; we'll recognise and value you for who you are and celebrate and reward your contributions to the business. We're committed to agile working, and we offer everyone the opportunity to work in ways that suit them, their teams, and the task in hand. At BDO, we'll help you achieve your personal goals and career ambitions, and we have programmes, resources, and frameworks that provide clarity and structure around career development. We're in it together Mutual support and respect is one of BDO's core values and we're proud of our distinctive, people-centred culture. From informal success conversations to formal mentoring and coaching, we'll support you at every stage in your career, whatever your personal and professional needs. We can provide the best support for our clients and people when we're working side by side. Our agile working framework helps us stay connected, bringing teams together where and when it counts so they can share ideas and help one another. At BDO, you'll always have access to the people and resources you need to do your best work. We know that collaboration is the key to creating value for our clients and satisfying experiences at work, so we've invested in state-of-the-art collaboration spaces in our offices. BDO's people represent a wealth of knowledge and expertise, and we'll encourage you to build your network, work alongside others, and share your skills and experiences. With a range of multidisciplinary events and dedicated resources, you'll never stop learning at BDO. We're looking forward to the future At BDO, we help entrepreneurial businesses to succeed, fuelling the UK economy. Our success is powered by our people, which is why we're always finding new ways to invest in them. Across 17 UK locations, we are 6,500 unique minds coming together to help our clients reach their ambitions. We've got a clear purpose, and we're confident in our future, because we're adapting and evolving to build on our strengths, ensuring we continue to find the right combination of global reach, integrity and expertise. We shape the future together with openness and clarity, because we believe in empowering people to think creatively about how we can do things better. #LI-AM1

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