Internal Auditor - Health Plans

Samaritan Health Services
Req #: 66491
Corvallis, OR
1.0 (80 hrs/pp) - Day
SHS Compliance
Remote Status: Yes
Salary Range: $25.48 - $37.41
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  • JOB SUMMARY/PURPOSE
    • Responsible for evaluating SHPO's adherence to key financial, operational, legal, and regulatory controls. Leads specific internal audit engagements by initiating and overseeing all fieldwork, wrap-up activities and ensuring all required activities are completed. Designs audit programs in coordination with the Compliance Department to test key controls and evaluate their effectiveness. Performs internal audit investigations throughout the health plan and compiles detailed reports with recommendations to the Compliance Officer.
    •  
    • This is a remote position in which we are able to employ in the following states:Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
    •  
  • DEPARTMENT DESCRIPTION
    • Provides oversight and direction for compliance with applicable federal/state rules and regulations and internal policies and procedures. This department is responsible for all lines of business in all service locations.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor's degree in a health, business or finance related field; or equivalent combination of related education/experience required. Master's degree preferred.
    • Three (3) years related business experience required. Experience must include related healthcare or regulatory duties.
    • Experience and/or training in the following strongly preferred:
      • Internal auditing.
      • Financial and operational processes related to health insurance.
      • Project planning/scoping.
      • Government regulations specific to Centers for Medicare & Medicaid Services or the healthcare industry.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
    • Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
  • PHYSICAL DEMANDS
    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 – 100% of the time)

      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 – 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)

      STAND

      WALK – LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)

      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

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