Overview
Skills
Job Details
Title- Financial Compliance Auditor
Location- Los Angeles, CA
Duration: Contract
Work Mode: Hybrid
Job Description:
Education Required
Associate's degree in lieu of degree, equivalent education and/or experience may be considered.
Required:
At least 5 years of experience performing financial audits with the demonstrated experience on the following list of stated knowledge/experience:
Required:
- Must be self-motivated.
- Detail-oriented.
- Excellent verbal and written communication skills.
- Strong analytical and critical thinking skills.
- Able to prioritize assignments, and able to independently with minimum supervision. Ability to interface professionally with both internal and external customers at all levels of the organization.
- Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint).
- Must also have flexible mode of transportation for considerable amount of travel to work off-site.
Preferred:
- Healthcare experience
- Financial audits
- Financial analysis
Licenses/Certifications Required
At least one of the following: Certified Public Account (CPA) or Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE) or Certified Information Systems Auditor (CISA)
Duties
- This position is responsible for all aspects of financial solvency reviews including, but not limited to, the planning, execution, continuous monitoring, and reporting of annual financial audits, quarterly and annual financial analyses (ratio and trending analyses), and special projects.
- Provides timely and accurate deliverables to ensure financial solvency compliance with regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors.
- Supports the design, implementation, and reporting of special projects such as Medical Loss Ratio.
- Supports the design and implementation of reports and tools for corrective action plan issuance and non-compliance notifications.
- Supports the assessment, communication, implementation of regulatory requirements that may impact internal processes.
- Supports the formalization of key internal processes and monitoring tools with desktop procedures and applicable policies and procedures development.
- Responsible for the financial audit team's pre-delegation reviews and delivers monthly/quarterly request updates to various business units.
- Responsible for the completion and monitoring of monthly membership report.
- Accountable for the completion of requests from Legal Department, Delegation Oversight's monitoring oversight and reporting.
- Communicates issues and findings in a concise and timely manner.
- Serves as subject matter expert in assigned areas and cross training initiatives.
- Responsible for the overall communication and collaboration with interdepartmental personnel, leadership, and delegates.
- Identifies areas where technical solutions would improve business performance.
- Consults across business operations, providing mentorship, and contributing specialized knowledge.
- Ensures that the facts and details are correct so that the project's/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices.
- Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.
- Performs other duties as assigned.
About Us:
AgreeYa is a global systems integrator delivering competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,850 staff across offices. AgreeYa works with 500+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public sector, Pharma & Biotech, and others. Please visit us at Agreeya for more information.
AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics. Visit our website to learn about our Career & Culture.