Senior Insurance Manager, Internal Audit

Site: Mass General Brigham Incorporated

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

1. Identify and assess entity risks.
2. Develop/Assist in developing and maintaining an audit plan that supports MGB HP’s and MGB’s strategic plan and internal control needs.
3. Plan, conduct, manage and supervise financial/regulatory/operational audits and special projects as well as make internal control recommendations during audits/projects, including discussion of audit matters with Department and Entity management.
4. Provide management with Model Audit Rule support.
5. Provide consultation to the Medicare Advantage and other government compliance auditors in the MGB HP Legal Regulatory Affairs and Compliance department.
6. Present to Senior Management cost effective recommendations for improving controls and operating efficiency in key areas of the company.
7. Assist in developing internal audit (IA) procedures to ensure consistent application of IA policy.
8. Make recommendations on projects/activities, follow up and monitor the implementation of Audit Recommendations.
9. Prepare quarterly Audit & Compliance Committee reports.
10. Attend/Present key audit findings and recommendations, including status of prior Audit recommendations at quarterly Audit Committee (AC) meetings.
11. Manage the day to day operations of the Internal Audit Services Insurance Operations Internal Audits, including: Plan, conduct, coordinate and supervise a variety of value added reviews, including reviews of business processes; maintain and review comprehensive files on the work conducted and findings noted; discuss audit findings with auditees; prepare audit/other reports; Communicate audit/other results to management; and ensure that recommendations are complied with.
12. Participate in management requested special projects to help resolve exceptional company challenges.
13. Oversee the appropriate and timely completion of follow-up audits.
14. Supervise the day to day activities of audit staff, and conduct appraisals of audit, using MGB HR guidelines (no current staff at this time).

 

Education:

• BS/BA in Accounting or related field from an accredited school

Experience:

• 5-7 years of experience in auditing (healthcare experience/healthcare insurance company experience).

• CPA/CIA and/or advanced degree are a plus.

• Advanced knowledge of the operation, procedures and policies of assigned business units. Strong familiarity with their specific business processes and transactions.

• Strong knowledge of generally accepted auditing standards, IIA standards, accounting and auditing sampling and testing methodologies, Model Audit Rule or Sarbanes Oxley requirements, risk management and statutory reporting. Knowledge of regulatory requirements of the Medicare Advantage and Part D insurance programs. Ability to identify risk areas and develop and execute on audit plans to address Medicare Advantage and Part D program risks is a plus. Information system audit experience and experience using Artificial Intelligence during audits is a plus.  

• Demonstrate self-initiative, be proactive and collaborative, and have comfort working in a high-performing environment, able to adapt to changing needs and priorities.

• Advanced communication (oral and written) and interpersonal skills are also required to effectively communicate, interact, and build strong working relationships with various process owners and senior management.

• A service-focused attitude is essential.

• The ability to work with large amounts of data and perform analyses is strongly desired.

• Demonstrate Mass General Brigham Health Plans’ core brand principles of always listening, challenging conventions, and providing value. Management experience.

• Strong relationship management skills working with key business clients and executive level management

Audit Skills:

• Ability to evaluate risks in order to develop and manage an annual audit plan under the direction of department leadership and in cooperation with the senior management of the company Ability to plan, coordinate, and direct the activities of others in order to accomplish predetermined objectives.

• Ability to train and supervise Auditors in the principles of internal auditing standards.

• Demonstrated ability to motivate staff.

• Strong technical skills in the fields of accounting and internal audit and obtain a comprehensive understanding of the company’s operations and strategic objectives.

• Ability to conduct oneself in a manner appropriate to the situation and individuals involved

• Ability to communicate effectively (both oral and written) with auditees and Senior MGB management.

• Ability to establish priorities and anticipate problems.

Other Details:

• Hybrid Schedule, 1-2 days per week in office at Assembly Row

• No direct reports; may indirectly provide leadership and guidance to less seasoned and new staff

• No direct budgetary responsibility

• Demonstrates fiscal responsibility by effectively using Mass General Brigham resources

• Work is normally performed in a typical office work environment.

• Position is based in Assembly Row, Somerville, MA in a building which is T-accessible.

 

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

Pay Range

$121,908.80 - $177,351.20/Annual

Grade

10
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework