Manager Internal Controls - Geisinger Health Plan (Work from Home Pennsylvania resident)
Location: Danville, Pennsylvania
Type: Full Time
Internal Number: R-20373
Manages the relevant and evolving risks facing the Health Plan business activities and their impacts on internal controls. Coordinates the executive review and attestation of control environment. Assesses the impact of changes on the scope and strategy of the department and company. Develops strategy for implementation of controls and processes to mitigate risk and carry out company strategies.
Develops and coordinates the execution of all Model Audit Rule (MAR) requirements.
Develops internal control procedures, and compliance reporting plans.
Considers the relevant and emerging risks facing the Health Plan business activities and their impacts on internal controls.
Assesses the impact of changes on the scope and strategy of the department and company.
Develops monitoring mechanisms to ensures that all operational areas within the business are in compliance with the MAR, Service Organization Controls (SOC) and other documented policies and procedures.
Evaluates reports and findings with management and staff of all affected departments.
Assists Senior Leadership in developing corrective action plans and reports of audit and control activity to governance committees and Boards.
Coordinates control activity, monitoring, audit results, control design, and remediation with Finance and IT.
Leads or participates on inter- and intra-departmental teams in adapting to new products, software, contracts, and other new procedures.
Monitors operational metrics for compliance with regulations, performance guarantees, and efficiency targets.
Works with staff to continually improve accuracy and efficiency of operating procedures.
Analyzes monthly operational metrics and results and advises management regarding related to operational effectiveness and compliance.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
CPA, Auditing, Public Accounting, Process Improvement
Bachelor's Degree- (Required)
Minimum of 6 years-Related work experience (Required), Minimum of 1 year-Health Insurance/Managed Care (Preferred)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13... hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.