Delta Dental of Michigan ยท 1 day ago
Internal Auditor
Delta Dental of Michigan is one of the largest dental plan administrators in the country, committed to improving oral health through benefit plans and community support. The Internal Auditor will conduct audits, ensure compliance, and provide recommendations to enhance operational effectiveness and mitigate risks.
Health Care
Responsibilities
Conducts internal audits, including planning, collecting data, interviewing, observing, and process tracking, developing conclusions, and providing recommendations
Conducts investigations and assessments in compliance with applicable federal and state laws, rules, regulations, and guidelines, client and payer contracts, internal policies, procedures, and practices
Reviews the effectiveness of monitoring and mitigation activities and recommends enhancements to improve effectiveness and efficiency and mitigate risk
Acts as a resource for others with less experience for the purposes of sampling, investigative methods and root cause analysis, risk management, evidence and record standards, internal controls, and process design
Provides recommendations regarding containment, corrective, and preventive actions to other departments
Participates in identifying, verifying, documenting and communicating risk
Plans and implements solutions to monitor changes in risk
Maintains documents and records according to the corporate record retention policies, best practices, and departmental standards
Participates in the evaluation and improvement of sampling methods and composition, audit criteria and procedures, documentation, manuals, and records and assists in the tracking and reporting of departmental dashboard elements
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above
Qualification
Required
Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field
Two years of experience in auditing, compliance, quality monitoring, risk management, or operations
A Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or Certified Information Systems Auditor (CISA) designation is required or the ability to obtain one within 12 months of employment
Knowledge of the Institute of Internal Auditors Standards and Code of Ethics
Knowledge of research methodology, sampling techniques, mathematical concepts, analytical tools and software, root cause analysis, quality monitoring, risk management methods, accounting principles and practices, insurance products, terminology, and concepts
Knowledge of ethical business practices
Proficiency in word processing and spreadsheet applications
Strong verbal and written communication skills
Strong organization and analytical skills
Ability to work independently and as part of a team
Ability to resolve complex problems using independent judgment
Company
Delta Dental of Michigan
Delta Dental of Michigan, with its affiliates in Arkansas, Indiana, Kentucky, New Mexico, North Carolina, Ohio and Tennessee