Bright Vision Technologies · 1 day ago
Financial Compliance Auditor III, Finance
Los Angeles, CA
Full-time
Onsite
Senior Level
5+ years expBright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. The Financial Compliance Auditor III, Finance is responsible for planning, executing, and monitoring financial audits to ensure compliance with regulatory requirements and contractual agreements in the health care sector.
Artificial Intelligence (AI)Cyber SecurityInformation TechnologySoftware
Responsibilities
Performs financial audits and/or financial analyses for Specialty Health Plans on the quarterly and annual basis
Performs financial analyses for L.A. Care vendors on the quarterly and annual basis
Provides timely and accurate deliverables to ensure financial solvency and claims processing compliance with regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors
Collaborates in the creation and implementation of standardized audit workpaper and reporting templates
Is cross trained on financial solvency reviews for Participating Physician Group (PPGs), PPs, and capitated hospitals
Reviews and updates annually the department’s Policies and Procedures (P&Ps). Ensures that any new or updated Policy and Procedure is reviewed and approved by management prior to submission
Supports the formalization of key internal processes and monitoring tools
Accountable for the completion of requests from Legal Department, Delegation Oversight’s monitoring oversight and reporting
Responsible for the overall communication and collaboration with interdepartmental personnel, leadership, specialty health plans, and vendors
Collaborates on the design, implementation, and reporting of special projects
Collaborates on the design and implementation of reports and tools for corrective action plan issuance and non-compliance notifications
Collaborates on the assessment, communication, and implementation of regulatory requirements that may impact internal processes
Applies subject expertise in evaluating business operations and processes
Identifies areas where technical solutions would improve business performance
Consults across business operations, providing mentorship, and contributing specialized knowledge
Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices
Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed
Performs other duties as assigned
Qualification
Required
Bachelors Degree in Field of Study I: Accounting /Field of Study 2: Finance
At least 4 years of experience in conducting financial audits
At least 5 years of related experience in the managed health care industry
Excellent analytical and critical thinking skills
Action-oriented, self-starter, and excellent motivator
Excellent verbal and written communication skills
Able to prioritize assignments, and able to independently with minimum supervision
Ability to interface professionally with both internal and external customers at all levels of the organization
Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint)
Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE) or Certified Management Accountant (CMA)
Preferred
Masters Degree
Health Care experience
Company
Bright Vision Technologies
Bright Vision Technologies is an information technology company that offers software development, AI, and cybersecurity services.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase