4,831 Auditor jobs in the United States

Conduct financial analysis by reviewing bank records, wire transfers, ledgers, and other financial documentation.

Conduct open-source intelligence and database research on individuals, business entities, and assets.

Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns.

Design and run SQL queries, models, and data algorithms to detect anomalous billing trends and patterns.

Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS, Business Objects, and other related platforms.

Prepare analytical summaries, memoranda, charts, and data visualizations to support case development and litigation.

Summarize transaction histories and flag suspicious activities for follow-up.

Evaluate allegations of fraud and provide recommendations to AUSAs for determination.

Based on fraud data, assist with development of investigative plans including identifying areas of investigative focus.

Work collaboratively with attorneys and investigators to refine leads and develop investigative strategies.

Deliver oral briefings and written reports to AUSAs on findings from healthcare data analytics.

Support development of internal best practices and workflows for healthcare fraud detection.

Required Qualifications:

• Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.
• Must be Certified Public Accountant. MBA or equivalent in accounting or directly related field. Thorough knowledge of generally accepted accounting principles and generally accepted auditing standards.
• Minimum of three years' experience as an auditor.
• Minimum two years specialized experience in the specific subject matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems.
• Working knowledge of appropriate accounting and financial analysis ADP systems and applications.

Preferred:

• Experience in litigation environment, experience working with automated litigation support helpful.
• Excellent oral and written communication skills.

Compensation & Benefits

HIRING SALARY RANGE: $88,000 (Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant internal equity, and alignment with market data.)

This position includes a competitive benefits package. For more detailed information on our Benefits and what it is like to work for Amentum: please visit our careers site.

Amentum is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, sex, sexual orientation, pregnancy (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, ancestry, United States military or veteran status, color, religion, creed, marital or domestic partner status, medical condition, genetic information, national origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law. Learn more about your rights under Federal laws and supplemental language.

The Specialty Health Plans Auditor III is responsible for all aspects of planning, execution, reporting, and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These audits are intended to ensure that L.A. Care delegates are in compliance with regulatory requirements and L.A. Care contractual agreements across all lines of business.

The position is responsible for the Department of Managed Health Care (DMHC) claims data submissions for L.A. Care and its Plan Partners (PPs) and delegates done each quarter and annually. Primarily responsible for the creation, review, and submission of departmental policies and procedures annually.

Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.

Performs financial audits and/or financial analyses for Specialty Health Plans on the quarterly and annual basis

Performs financial analyses or vendor's management for L.A. Care vendors on the quarterly and annual basis.

Performs annual claims audits for Specialty Health Plans and vendors.

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 Specialty Health Plans' and vendors' workpaper and reporting templates.

Collects and completes quarterly and annual (DMHC) filing submissions.

Is cross trained on financial solvency reviews for Participating Physician Group (PPGs), PPs, and capitated hospitals.

Performs other duties as assigned.

Bachelor's Degree in Finance or Accounting or Related Field

In lieu of degree, equivalent education and/or experience may be considered.

Master's Degree

Required:

At least 4 years of experience in conducting financial audits.

At least 5 years of related experience in the managed health care industry.

Preferred:

Health Care experience.

Required:

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).

And/Or any of the following Licenses/Certifications:

Certified Public Accountant (CPA)

Certified Internal Auditor (CIA)

Certified Fraud Examiner (CFE)

Certified Management Accountant (CMA)

Light

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including:

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)

Nearest Major Market: Los Angeles

Job Segment: Accounting, CPA, Claims, Internal Audit, Medicare, Finance, Insurance, Healthcare

Salem Five is a growing regional financial services organization with a rich history of over 160 years. As an independent bank, we are deeply rooted in the communities we serve and offer our employees successful and rewarding careers.

This position is located in the Salem, MA office. Salem Five has more than 30 retail banking branches throughout Essex, Middlesex, Norfolk and Suffolk counties, strong business banking capabilities, an Insurance division, a Wealth Management & Trust organization and a Mortgage Company that has provided homeownership to generations of families.

Salem Five believes deeply in supporting the communities in which we reside. Donations through our Charitable Foundation or events at the branch or location-level are an important part of our DNA. We would not be the company we are without our commitment to businesses and organizations that help the region thrive and to our employees. Come see what we're all about.

Job duties and responsibilities include, but are not limited to the following:

Assists the Audit team in the completion of overall audit plan as approved by the Audit Committee with the goal of ensuring compliance with internal audit policies and industry best practices.

Implements risk based audit programs and conducts audits for all business lines; incorporating operational review, regulatory compliance, loan review, information technology, and accounting areas to determine the adequacy and effectiveness of the company's systems of internal accounting and operating controls.

Reviews established systems during the audit process to ensure compliance with company policies and procedures. Reviews company procedures for compliance with regulations that could have a significant impact on operations. Recommends policy/procedure improvements where required.

Reviews the accounting management information and reporting systems to ensure adequacy and reliability, and thus serve as appropriate tools upon which management decisions can be used.

Reviews Audit Engagement Letters, Risk Matrices, and Audit Program for propriety and recommends changes where appropriate to the Senior Auditor, Audit Manager, or Director.

Contributes to or drafts audit reports based on company standards and industry best practices that address specific findings and recommendations to present to auditees and management. Attends exit meeting with the auditees to discuss the findings and recommendations, if applicable. Recommends audit ratings to the Audit Director, based on the findings.

Reviews management's responses on audit findings, recommendations and comments for propriety. Also monitors management response and implementation of the Audit recommendations.

At the request of the Senior Auditor, Audit Manager or Director, conducts special studies for management such as those required to discover mechanics of detected fraud and to assess the adequacy of controls for fraud prevention.

Determines whether management is following up on outstanding audit issues and regulatory findings. Reports findings to the Senior Auditor, Audit Manager or Director.

Performs special projects as directed by the Senior Auditor, Audit Manager or Director.

Demonstrates compliance with banking business laws and regulations as defined in company policies and procedures pertinent to the position.

Demonstrates a commitment to Salem Five's core values.

Regular attendance and local travel are essential to this position.

Assumes additional responsibilities as requested.

Education and/or experience: Four-year college or university program completion; or equivalent financial services or audit related experience; or equivalent combination of education and experience.

Certificates, Licenses, Registrations: Although none of the following designations are required, any of the following designations are preferred: Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified Bank Auditor (CBA), Certified Regulatory Compliance Manager (CRCM), Certified Public Accountant (CPA), or Certified Risk Professional (CRP).

Other preferred skills and abilities: Basic audit knowledge or experience, understanding of the banking environment (marketing, credit, financial markets, risk, controls, accounting, information technology), knowledge of accounting and auditing standards (GAAP, GAAS) and regulatory requirements, ability to communicate clearly and concisely with all levels of staff, management, Board, and external parties both in oral and written formats, solid understanding of the relationship between information technology and banking operations. Ability to successfully handle work on a variety of business, regulatory, and financial issues of a time-sensitive and confidential nature.

Ability to assess or review a business unit from a macro level perspective. Be creative and able to think critically.

Physical demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee is regularly required to sit and perform data entry. The employee is regularly required to bend, climb, and balance. The employee must lift and/or move objects; the employee must exert up to 50 pound of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision.

Benefits/incentives: Health Insurance, Dental, Vision, Flexible Spending Account, Health Savings Account, 401k Matching, Tuition Reimbursement, Employee Referral Program, Summer Family Outing, Annual Holiday Reception and more.

Salary range: Competitive Base.

Ready to apply? If this job sounds like a fit for you, then click on Apply / Apply Now in this posting. We look forward to talking with you. Qualified candidates may also submit a resume and application online at salemfive.com/careers or mail your resume to Human Resources, 210 Essex Street, Salem, MA 01970.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

East West Bank is seeking an Auditor. The Auditor will oversee the completion of audit work in areas assigned according to department standards. Assist Auditor-In-Charge in completion of audit projects and issues follow-up.

Responsibilities:

• Assist the Auditor-In-Charge in planning audits, developing the audit program, and executing the audit.
• Prepare neat, concise, and appropriately referenced work papers that are easy to follow and in compliance with department standards and support audit conclusions.
• Clearing of review comments from Auditor-In-Charge.
• Actively participate in exit meetings in a professional manner, providing clarification on audit results as needed.
• Assist with drafting of audit reports and later follow up on audit issues with business unit personnel.
• Perform other duties as assigned.

Qualifications:

• Each team member must have knowledge of BSA/AML/OFAC Laws/Regulations, understand how these obligations relate to his/her role, and comply with these laws and regulations.
• Ability to analyze a process to identify and document risks and controls, identifying control weaknesses.
• Ability to apply solid professional skepticism to business unit representations and apply an appropriate degree of audit evidence to support conclusions reached.
• Ability to professionally discuss audit findings with department management.
• Maintains a basic level of business expertise to specialty areas assigned (if any).
• Bachelors required in related business area.
• 2+ years of audit or related risk management experience required.

Compensation:

The base pay range for this position is USD $69,000.00/Yr. - USD $90,000.00/Yr. Exact offers will be determined based on job-related knowledge, skills, experience, and location.

Shift: Sunday-Thursday (6pm start)

Compensation: $680

People want to work at Capstone because of our high-performance culture. We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities. Through transparency and open lines of communication, we do the right thing and deliver on our promises. Think you have what it takes?

The Opportunity:

• Audits inbound and outbound pallets of freight
• Performs pre-shift checks of equipment
• Product and quantity verification and other duties as assigned by site leadership

Requirements:

• High-energy individual with a strong work ethic, the work is fast paced and very physical
• Lift and carry 25-75lbs, materials handled vary
• Prior warehouse and/or equipment experience is preferred but we are willing to train the right candidate

Why you should work with us:

• Get paid weekly
• Benefits-after 60 days of employment
• Career growth-our company looks to promote from within first
• Join our travel team, see the country, learn how all our sites operate
• Paid Training, Safety Incentives
• Our team fully embraces a high-performance culture, that inspires us to build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities.

About the Company:

Capstone is a North American supply chain solutions partner with more than 650 operating locations, 19,000 associates, and 60,000 carriers. We have capabilities in freight management, warehouse and distribution center support, last-mile delivery, supply chain analytics, and optimization, and more. Our integrated, end-to-end logistics solutions uniquely position us to help partners reduce warehousing and transportation costs.