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Remote Internal Audit Risk Management Jobs in Pennsylvania

Bcbsa

$150K - $200K/yr

Ensure audit work adheres to contractual standards and organizational policies ... Evaluate the efficiency and effectiveness of internal controls, processes, and risk management ...

Solar Mason

Chief Audit Executive (CAE)

Scranton, PA · On-site +1

... an internal audit capacity. * Comprehensive understanding of the regulatory landscape of the energy sector. * Proficient in data analysis and risk management. * Strong leadership skills with the ...

BetMGM

IT Auditor

Philadelphia, PA · Remote

... the Manager of IT Audit, the IT Auditor will be responsible for providing high-quality internal ... Experience executing risk-based IT-related audits and/ or risk and control assessments, leveraging ...

Equiniti

Senior IT Auditor

Reading, PA · Remote

$90.30K - $118.60K/yr

... over management of risk, so you'll need good knowledge in a financial services context, as well as end to end IT internal audit experience. You'll augment your technical audit skills with an ...

Agilent

... Quality Management System (QMS). This individual will be part of the broader Global Quality ... Lead and conduct risk-based internal audits across pharmaceutical and medical device operations in ...

New

Aqua

Risk Management Advisor

Pittsburgh, PA · Remote

The ability to serve in an advisory and collaborative role with internal and external stakeholders, helping to strategize and develop risk management and lossprevention solutions that optimize ...

Aquaamerica

Risk Management Advisor

Pittsburgh, PA · Remote

The ability to serve in an advisory and collaborative role with internal and external stakeholders, helping to strategize and develop risk management and lossprevention solutions that optimize ...

Software Technology Inc

GRC Analyst

Conshohocken, PA · Remote

... risk * Work with Internal Audit and outside teams to effectively manage IT security framework and ... Personable approach and ability to work with remote IT venue personnel, contributing to a team ...

New

Capital Blue Cross

Senior Internal Auditor

Harrisburg, PA · On-site +1

$72.87K/yr

The incumbent will report to the Manager, Financial and Operational Audit, with ultimate upward ... Risk Based Audits - Independently, or collectively with other audit team members, facilitates all ...

Clark Associates

Director of Risk

Lancaster, PA · On-site +1

Lead the design, procurement, and ongoing management of all corporate insurance programs, including ... Risk Mitigation & Internal Collaboration * Coordinate with Legal, Employee Services, Finance ...

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Remote Internal Audit Risk Management information

What is the difference between Remote Internal Audit Risk Management vs Remote Compliance Analyst?

AspectRemote Internal Audit Risk ManagementRemote Compliance Analyst
CertificationsCPA, CIA, CISACCA, CRCM
Work EnvironmentAudit departments, risk management teamsRegulatory compliance departments, legal teams
Industry UsageFinance, banking, insuranceFinancial services, healthcare, banking
Primary FocusAssessing internal controls, risk mitigationEnsuring adherence to regulations, policies

Remote Internal Audit Risk Management professionals focus on evaluating internal controls and mitigating risks within organizations, often working closely with audit teams. In contrast, Remote Compliance Analysts concentrate on ensuring organizations adhere to legal and regulatory requirements. While both roles require understanding of industry standards and certifications, their core responsibilities differ, with internal audit emphasizing risk assessment and compliance analysis focusing on regulatory adherence.

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Remote Internal Audit Risk Management jobs near you

Director of Audit - Synergie (Remote)

Bcbsa

Remote

$150K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

Job description

The Director of Audit is responsible for overseeing the organization's client and pharmaceutical rebate audit function and ensuring the effectiveness of financial, operational, and contractual compliance controls across the enterprise. This role also supports organizational SOC audits. This role leads the planning and execution of audit programs, identifies risk exposures, and provides actionable recommendations to enhance operational execution, governance, efficiency, and compliance. The Director works closely with executive leadership to promote a strong internal control culture and continuous improvement mindset. In addition, this role supports participants in Synergie pharma audits.

Audit Execution. 35%

  • Lead and oversee pharma and client audits for Synergie.
  • Support SOC audit evidence gathering for annual audit.
  • Ensure audit work adheres to contractual standards and organizational policies.
  • Evaluate the efficiency and effectiveness of internal controls, processes, and risk management frameworks.
  • Coordinate with external auditors and participants to ensure alignment and minimize redundancy.
  • Communicate with participants during pharma rebate audits and obtain evidence requested.

Risk Management and Compliance. 35%

  • Collaborate with Finance, Legal, and IT to strengthen controls around invoicing.
  • Monitor corrective action plans, ensuring timely resolution of audit findings. Advise on new business processes, system implementations, and policy changes from a risk perspective.
  • Assist in development and manage invoicing and audit policies and procedure.

Leadership and Strategy. 30%

  • Develop and execute the annual risk-based audit plan aligned with organizational strategy and regulatory requirements.
  • Provide strategic direction and thought leadership for audit, risk management, and internal control programs.
  • Partner with internal leaders to identify and mitigate emerging risks within invoicing and data governance of invoicing information.
  • Present findings, insights, and progress updates to Invoicing & Audit management.

Requirements:

  • Bachelor's degree in business, healthcare, or other related field; Master's degree preferred.
  • 8+ years of work experience in a health care auditing role, with expertise in health plans, health systems, pharmacy, and managed care or specialty pharmacy. Must include at least 3 years of experience in medical and/or pharmacy drug management at a health plan or PBM.
  • Strong experience managing external audit vendors during audits
  • Strong understanding of audit practices
  • Experience designing and executing audit programs.
  • Strong data management and analytics skills with the ability to manage large data effectively.
  • Strong knowledge of medical and pharmacy rebates, value-based contracts, and invoicing processes.
  • Demonstrated ability to lead cross-functional teams, drive results in a fast-paced environment, and manage client support while ensuring alignment with Synergie's objectives.
  • Ability to develop relationships and influence with internal and external stakeholders
  • Excellent leadership, communication and critical thinking skills and ability to anticipate issues and develop solutions.
  • Must be eligible to work in the United States without need for work visa or residency sponsorship.

The compensation for this role is budgeted between $150,000 and $200,000.

#LI-Remote

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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