Audit Manager
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Requirements
• ● Bachelor's degree or equivalent work experience • ● 7+ years of experience in a highly regulated industry such as healthcare or finance, and demonstrated familiarity with regulatory compliance • ● Experience in internal audit and risk management • ● Strong analytical skills and ability to interpret complex regulatory requirements • ● Proven ability to work independently and prioritize multiple competing demands • ● Strong project management and organizational skills • ● In-depth knowledge of SOC 1 and SOC 2 controls • ● Experience designing and implementing internal audit and enterprise risk management programs • ● Certified Internal Auditor (CIA) certification • In order to transform health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package. • The salary range for this position is $107,250- $178,750 annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation. • Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave.
Responsibilities
• Internal and External Audit Support • ● Coordinate and lead all internal and external audits, including SOC 1, SOC 2, and critical healthcare regulatory audits (e.g., CMS, HIPAA, state Department of Insurance). • ● Facilitate timely and effective fulfillment of complex audit requests, acting as the primary liaison between auditors and internal stakeholders. • ● Oversee the development, implementation, and rigorous execution of remediation and corrective action plans to address audit findings. • ● Report audit progress, findings, and outcomes to senior leadership and relevant committees. • Health Plan Specific Audit Focus • ● Develop and execute a risk-based internal audit plan with a strong focus on core health plan operations such as claims processing, provider data management, member enrollment/eligibility, and payment integrity. • ● Ensure adherence to state and federal healthcare regulations (including the Affordable Care Act, CMS requirements, DOL requirements, and specific state mandates) across all audited functions. • ● Conduct operational audits to evaluate the design and operating effectiveness of key business processes within the health plan. • Enterprise Risk Assessment • ● At the direction of the General Counsel, facilitate the annual enterprise risk assessment and subsequent quarterly updates, focusing on risks unique to the highly-regulated healthcare industry. • ● Drive accountability for the development and execution of corrective action plans stemming from risk assessments. • ● Maintain detailed, organized documentation on audit outcomes, risk mitigation activities, and follow-up actions. • ● Provide regular, insightful progress reports to leadership on risk exposure and audit status.
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