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Commonwealth Care Alliance Sr Director Internal Audit in Boston, Massachusetts

Why This Role is Important to Us:

The Sr. Director of Internal Audit position is a key member of the Commonwealth Care Alliance's Internal Audit team responsible for the successful completion of external regulatory compliance audits including, external regulatory compliance audits. The position advises the Audit and Compliance leadership on key risks, provides directions to audit teams on delivering results, and executes the department strategy. Additionally, this role will oversee the management of an internal control framework.

The position reports to the SVP, Internal Audit and Enterprise Risk Management. There will be significant exposure to senior management throughout the organization. In addition, this individual will work closely with managers and partners from third-party organizations providing joint internal audit support.

Supervision Exercised:

Yes. Supervises the Audit Specialist.

What You'll Be Doing:

  • Participate in the annual risk assessments and identify high risks areas of focus for the organization and Internal Audit.

  • Ensure that recommendations are clearly presented to and agreed to by management.

  • In conjunction with the Corrective Action Plan function, ensure that all agreed-upon recommendations are subsequently implemented.

  • Be a role model for the company's values and demonstrate the highest ethical standards.

  • Develop and implement comprehensive internal audit policies, procedures, and risk assessments in alignment with the organization's goals.

  • Oversee the entire internal audit process and ensure all audits are carried out as per schedule, scope, and within the predefined timelines.

  • Evaluating the adequacy and effectiveness of internal controls and implementing improvements as necessary.

  • Directing the preparation of audit reports for senior management and the board of directors, outlining the audit's scope, process, findings, and recommendations.

  • Collaborate with both internal and external stakeholders to ensure full regulatory compliance, including compliance with healthcare specific regulations.

  • Educate and train team members and other employees about risk management and internal controls.

  • Staying updated with the latest industry regulations and changes pertinent to the healthcare industry.

  • Manage, guide and provide leadership to the internal audit team.

  • Liaise with external auditors and manage the execution of the annual audit plan.

  • Provide strategic guidance to the company's senior management about control effectiveness, potential risks and improvements needed.

  • Ensure all data privacy and IT controls are closely followed to maintain high standards of data security.

  • Regularly reviewing the organization's financial and information systems, management procedures, and internal controls to ensure their effectiveness and efficiency.

Working Conditions:

Standard office conditions.

What We're Looking For:

Required Education:

  • Bachelor's degree

Desired Education:

  • Master's degree

Required Experience:

  • Internal Audit experience of 10+ years health insurance or managed care industry.

  • Project management experience required.

  • Management experience in a senior auditing or finance role.

  • Experience in creating and implementing audit methodologies, policies, and procedures

Desired Experience:

  • Certified Internal Auditor (CIA) or Certified Publica Account (CPA) Preferred

Required Knowledge, Skills & Abilities:

  • Extremally accountable and well organized.

  • Comfortable with leading-edge risk assessment methodologies.

  • Excellent verbal and written communication and presentation skills.

  • Strong interpersonal skills--ability to work closely with people at all levels of the organization and facilitate the implementation of corrective action.

  • Advanced knowledge of accounting principles and financial statements.

  • Proficiency in auditing software like Archer.

  • Extensive experience in business process and risk control analysis.

  • Comfortable leading large teams and managing multiple workstreams.

  • Familiarity with electronic health record systems and other healthcare-related software.

  • Understanding of IT systems, data privacy regulations, and cybersecurity.

  • High ethical standards and integrity in both personal and professional dealings.

Desired Knowledge, Skills & Abilities:

  • Experience reporting to Audit Committees and creation of presentation materials

Required Language(s):

  • English

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.