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PacificSource Health Plans Internal Audit Director in Malta / Helena, Montana

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Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview: Independently examine and evaluate the ongoing control processes of the organization and provide timely counsel and recommendations for improvement whenever they are identified. Ascertain that the organization's network of control processes, as designed and represented by management, is adequate and functions in a manner to provide reasonable assurance that:
Significant financial, managerial, technological and operating information and reporting is accurate, reliable, and timely
Employees' actions comply with policies, standards, procedures, and applicable laws and regulations
The Company has a robust and effective risk management process
Resources are adequately protected
Quality and continuous improvement are fostered in the organization's control processes

Essential Responsibilities:
Manage confidential and sensitive business information in discreet and confidential manner at all times.
Develop an annual audit plan based on goals outlined above and submit the plan to management, Corporate Compliance Committee, and the audit committee of the Board of PacificSource Health Plans for review and approval.
Implement the approved annual audit plan, including any special tasks or projects assigned by management and the audit committee, by:
Accurately assessing risks and controls
Developing effective test plans
Planning and organizing work with management
Identifying significant risks and loss exposures and communicating the findings to the appropriate levels of management
Preparing reports for the appropriate levels of management with key observations and findings, recommendations for improvement, and agreed upon corrective action plans
Performs audit functions including:
The identification of high risk internal control areas,
Developing audit work plans and papers
Utilizing statistically significant sample sizes and appropriate testing methodology
Acquiring information through interviews and review of data records
Evaluate and assess significant new or changing services, processes, operations, and control processes coincident with their development, implementation, or expansion.
Prepares and presents narrative and statistical reports, findings, and recommendations to the Corporate Compliance Committee, the Audit Committee of the Board, and management summarizing results of the audit activities, including opinions reflecting relevant facts. Present results in an objective and unbiased manner.
Assist in investigating significant suspected fraudulent activities within the organization and notify management and the audit committee of the results.
Coordinate necessary activities with external auditors for the purpose of providing optimal audit coverage to the organization at a reasonable overall cost.
Complete additional projects and perform other duties as assigned.
Responsible for oversight, management, development, implementation, and communication of department programs.
Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports.
Develop annual program budget. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed.
Coordinate business activities by maintaining collaborative partnerships with key departments.
Responsible for control process improvement and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement.
Actively participate as a key team member in Manager/Supervisor meetings.
Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.
Maintains professional standing in the field of internal audit; attends seminars to keep breast of changes in accepted standards for internal audit practices.
Assists in the development of internal control policies and procedures related to operational improvement and quality enhancement activities.

Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: Minimum of five (5) years of experience of professional internal auditing and/or related field. Including a minimum of 2 years of internal or external audit experience with in-charge responsibilities. Prior supervisory experience required.

Education, Certificates, Licenses: Bachelor's degree in accounting or related field. CPA or CIA required. Certified Healthcare Internal Audit Professional preferred.

Knowledge: Ability to effectively communicate, both written and verbally, with all levels of the organization regarding issues and findings, including the ability to independently present and maintain a professional stand on difficult issues. Ability to make sound, business-oriented judgments. Excellent analytical capabilities. Understanding of related business functions, including technology, regulatory requirements, operations, and financial reporting. Leadership qualities, including the ability to work with senior management. High moral and ethical character. Ability to handle multiple assignments. Accountable for the quality and accuracy of the auditing essential functions. In depth technical knowledge of financial management process, accounting and auditing including Generally Accepted Accounting Principles (GAAP), the Standards for the Professional Practice of Internal Auditing, and Agile audit methodology experience preferred.

Competencies
Authenticity
Building Organizational Talent
Coaching and Developing Others
Compelling Communication
Customer Focus
Empowerment/Delegation
Emotional Intelligence
Leading Change
Managing Conflict
Operational Decision Making
Passion for Results
In-depth technical knowledge
Strong analytical ability

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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