What Jobs are available for Auditor in Albuquerque?

Showing 4 Auditor jobs in Albuquerque

Coding Investigator Auditor

87190 Albuquerque, New Mexico Health Care Service Corporation

Posted 8 days ago

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Job Description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
**Job Summary**
This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research; preparing documentation of findings and consulting with medical directors as needed. Coordination with all departments involved in each case required such as special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.
**Required Job Qualifications:**
**Bachelor Degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college.**
**Certified Coding Certification, or acquire within 24 months of hire**
**3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports.**
**Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation.**
**Awareness of claims processes and claims processing systems.**
**PC proficiency to include Microsoft Word and Excel and health insurance databases.**
**Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.**
**Organizational skills and prioritization skills**
**Preferred Job Qualifications:**
**Registered Nurse (RN) with unrestricted license in state.**
**Certified Coder preferred**
**3 plus years of claim adjudication/payment integrity**
**3 years clinical experience**
**This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.**
#LI-Remote
#LI-DP1
*CA
**Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**
**Pay Transparency Statement:**
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
**HCSC Employment Statement:**
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
**Base Pay Range**
$54,800.00 - $121,100.00
Exact compensation may vary based on skills, experience, and location.
**Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.**
**Join our Talent Community. ( more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.
Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment.
HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.
If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at to request reasonable accommodations.
Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.
Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association
© Copyright 2025 Health Care Service Corporation. All Rights Reserved.
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VP Internal Audit

87190 Albuquerque, New Mexico Sedgwick

Posted 1 day ago

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Job Description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
VP Internal Audit
**PRIMARY PURPOSE OF THE ROLE:** Ensures the global plan of coverage for all financial, technological, and operational related risks are properly planned and assess where and when audit resources are required through close work with business and country leaders, and other compliance functions globally and within each country.
**ESSENTIAL RESPONSIBILITIES MAY INCLUDE**
+ Leads the identification and completion of operational, IT, and financial audit activities ensuring coverage for assigned areas to address high risk, working with senior management and all levels of the organization.
+ Analyzes and directs the most appropriate manner to address risks.
+ Actively evaluates for effective and efficient methods, actions and monitoring to expand the scope of audit review and company controls compliance utilizing all resources available.
+ Oversees audit project supervisory reviews are completed; a robust and action-oriented quality assessment review program is effective, and enhanced as general accepted standards are updated.
+ Evaluates the client requirements and gains agreement of understanding with senior management for conducting external assessments.
+ Partners with procurement to manage costs, identify practices to create efficiencies for the company and leverage costs incurred; creates budget requirements and monitors services to remain on budget.
+ Partners directly with executive management, industry experts and peers to continually enhance the company-wide evaluation of enterprise risks, evaluating best practices for addressing high-risk business impacting projects.
+ Challenges how audit resources are deployed, prepares reports and updates for senior management and the Audit Committee of the Board of Directors.
+ Provides external auditors with staff augmentation for completion of financial statement audit testing.
+ Directs the staff to provide company-wide evaluation of an enterprise risk assessment for annual and continuous risk assessment procedures to ensure the audit plan includes high-risk business impacting projects.
+ Ensures that risks and risk mitigation needs are clearly presented with appropriate level of importance and agreed to by management with timely follow-up to ensure controls are implemented.
+ Conducts training and awareness for Client Service Directors / Operations and addresses client questions and concern.
+ Monitors emerging legislative, regulatory, and administrative developments and provides operations with practical guidance and support on new compliance requirements.
+ Develops communications and presents to Sedgwick committees, executive management, and board of directors on the operation and progress of compliance efforts and areas of company risk.
+ Supports RFP responses and contract negotiation with respect to internal controls and reporting on compliance matters.
+ Partners with governance functions on compliance investigations into alleged violations of Sedgwick's code of conduct; monitors the progress of investigations and ensures that the company takes appropriate remediation measures where appropriate. Escalates significant items for corporate-level review.
**SUPERVISORY RESPONSIBILITIES MAY INCLUDE**
+ Provides support, guidance, leadership and motivation to promote maximum performance.
+ Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
+ Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
**QUALIFICATIONS**
Bachelor's degree from an accredited college or university is required. Major in accounting or technology field strongly preferred. Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or other professional certification designation is required. Ten (10) years of auditing, accounting operational, or combination of roles with management experience or equivalent combination of education and experience required. Experience working in a public accounting or comparable industry is strongly preferred.
**Skills & Knowledge**
+ Excellent understanding of internal control concepts and their applications
+ Excellent knowledge of internal audit practices (i.e. IPPF framework)
+ Excellent knowledge of accounting and investigation procedures
+ Strong understanding of technology risks and ability to assess large data repositories
+ Excellent oral and written communication skills, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent interpersonal skills
+ Proven management/leadership skills
+ Excellent negotiating skills
+ Ability to create and complete comprehensive, accurate and constructive written reports
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $155,000 - $215,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or
to change the duties of the position at any time.
#LI-TS1
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
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Manager, Global Internal Audit

87190 Albuquerque, New Mexico Indeed

Posted 14 days ago

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Job Description

**Our Mission**
As the world's number 1 job site*, our mission is to help people get jobs. We strive to cultivate an inclusive and accessible workplace where all people feel comfortable being themselves. We're looking to grow our teams with more people who share our enthusiasm for innovation and creating the best experience for job seekers.
(*Comscore, Total Visits, March 2025)
**Day to Day**
At Indeed, our mission is to _Help People Get Jobs_ . Our products help transform the lives of millions of people by connecting them with meaningful employment.
The Internal Audit Manager will join Indeed's Internal Audit team. They will play a key role in providing autonomous and impartial assurance over the company's financial and operational control environment.
We are looking for an experienced financial auditor with proven technical accounting and compliance expertise who can thrive in a dynamic, high-growth technology company. The ideal candidate will be comfortable assessing financial processes and controls, evaluating risks across business operations. They will be using data-driven approaches to deliver meaningful insights that improve compliance, resilience, and business performance.
**Responsibilities**
+ Drive the design, execution, and reporting of risk-based internal audit plans focused on operational and financial risks, leveraging data analytics to enhance audit efficiency and depth.
+ Define audit scope and goals, applying risk assessment techniques and incorporating data analytics to direct focus areas and testing strategies.
+ Perform walkthroughs, risk assessments, and develop audit programs to evaluate the design and operating effectiveness of internal controls.
+ Manage end-to-end reviews of key business processes to identify risks, control gaps, and improvement opportunities, leveraging data analytics to enhance efficiency and insights.
+ Plan and execute audits-including risk assessments, testing, documentation, and reporting-in alignment with audit methodology and professional standards.
+ Develop and communicate actionable, data-driven recommendations, and track remediation efforts through validation testing and evidence-based assessments.
+ Collaborate with internal and external partners to ensure coordinated audit coverage while staying current on accounting, compliance, and industry developments to identify emerging risks.
**Skills/Competencies**
+ Bachelor's degree in accounting, finance, business administration, a related field or equivalent relevant experience.
+ 7+ years of financial or operational audit experience at a public accounting firm and/or internal audit function of a public company.
+ Professional certification (CPA, CIA, or equivalent) or on track to complete a relevant certification.
+ Solid knowledge of SOX requirements, internal controls over financial reporting (ICFR), and audit methodology.
+ Exceptional knowledge of accounting standards (GAAP/IFRS) and financial processes (order-to-cash, procure-to-pay, payroll, etc.).
+ Proven project management, critical thinking, and problem-solving skills with the ability to manage multiple priorities, extract meaningful insights from complex data, and drive continuous improvement.
+ Excellent communication and relationship-building skills, with high attention to detail and the ability to work autonomously or collaboratively in a fast-paced, cross-functional environment.
**Salary Range Transparency**
US Remote 72,000 - 108,000 USD per year
**Salary Range Disclaimer**
The base salary range represents the low and high end of the Indeed salary range for this position in the given work location. Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range(s) listed is just one component of Indeed's total compensation package for employees. Other rewards may include quarterly bonuses, Restricted Stock Units (RSUs), a Paid Time Off policy, and many region-specific benefits.
**Benefits - Health, Work/Life Harmony, & Wellbeing**
We care about what you care about. We have a multitude of benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will also receive open paid time off, 11 paid holidays a year and up to 26 weeks of paid parental leave. For more information, select your country and learn more about our employee benefits, program, & perks at Opportunities and Accommodations Statement**
Indeed is deeply committed to building a workplace and global community where inclusion is not only valued, but prioritized. We're proud to be an Equal Employment and Affirmative Action employer seeking to create a welcoming and inclusive environment. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran, or any other non-merit based or legally protected grounds.
Indeed is dedicated to providing reasonable accommodations to qualified individuals with known disabilities to participate in the employment application process. To learn more about requesting an accommodation, please visit In the request for an accommodation, please inform us of the nature of your request and your contact information. If you are requesting accommodation for an interview, please reach out at least one week in advance of your interview.
For more information about our commitment to equal opportunity/affirmative action, please visit our ESG home page ( & Belonging**
Inclusion and belonging are fundamental to our hiring practices and company culture, forming an integral part of our vision for a better world of work. At Indeed, we're committed to the wellbeing of our employees and on a mission to make this the best place to work and thrive. We believe that fostering an inclusive environment where every employee feels respected and accepted benefits everyone, fueling innovation and creativity.
We value diverse experiences, including those who have had prior contact with the criminal legal system. We are committed to providing individuals with criminal records, including formerly incarcerated individuals, a fair chance at employment.
Those with military experience are encouraged to apply. Equivalent expertise demonstrated through a combination of work experience, training, military experience, or education is welcome.
**Indeed's Employee Recruiting Privacy Policy**
Like other employers Indeed uses our own technologies to help us find and attract top talent from around the world. In addition to our site's user and privacy policy found at , we also want to make you aware of our recruitment specific privacy policy found at .
**Agency Disclaimer**
Indeed does not pay placement fees for unsolicited resumes or referrals from non-candidates, including search firms, staffing agencies, professional recruiters, fee-based referral services, and recruiting agencies (each individually, an "Agency"), subject to local laws. An Agency seeking a placement fee must obtain advance written approval from Indeed's internal Talent Acquisition team and execute a fee agreement with Indeed for each job opening before making a referral or submitting a resume for that opening.
Reference ID: 46189
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Manager, Global Internal Audit

87190 Albuquerque, New Mexico Indeed

Posted 14 days ago

Job Viewed

Tap Again To Close

Job Description

**Our Mission**
As the world's number 1 job site*, our mission is to help people get jobs. We strive to cultivate an inclusive and accessible workplace where all people feel comfortable being themselves. We're looking to grow our teams with more people who share our enthusiasm for innovation and creating the best experience for job seekers.
(*Comscore, Total Visits, March 2025)
**Day to Day**
At Indeed, our mission is to _Help People Get Jobs_ . Our products help transform the lives of millions of people by connecting them with meaningful employment.
The Internal Audit Manager will join Indeed's expanding Internal Audit team. You'll provide autonomous and impartial assurance over the operational efficiency, risk management practices, and regulatory compliance of the company's processes and systems. As a team member, you will focus on delivering risk-based audits and insights that improve resilience, mitigate risk, and drive operational improvements.
We are seeking a seasoned auditor with exceptional business judgment, proven risk and compliance expertise, and the ability to leverage data analytics as part of a modern audit toolkit. The ideal candidate thrives in a dynamic, high-growth technology company. They bring skills to contribute to the development of the Enterprise Risk Management (ERM) practices within Internal Audit, applying data-driven approaches to enhance risk identification, assessment, and monitoring. You will autonomously manage the full lifecycle of audit engagements and interact with senior relevant parties.
**Responsibilities**
+ Contribute to the development of Enterprise Risk Management (ERM) practices by applying data analytics to identify, assess, and monitor risks across the organization.
+ Perform audits across key business functions and standards, using data analysis to identify risks and deliver actionable, data-driven recommendations while monitoring remediation through evidence-based validation.
+ Leverage data analytics tools (e.g., SQL, Python, Power BI, Tableau, Excel) to extract, transform, and analyse large datasets, developing data-driven audit techniques and continuous monitoring routines to assess controls and support ongoing risk management.
+ Design, execute, and report on risk-based audit plans by defining scope and goals, applying risk assessment techniques, and leveraging data analytics to guide focus areas and testing strategies.
+ Collaborate with management to bring innovative data approaches to internal audit practices aligned with organizational goals.
+ Stay current with regulatory changes and emerging trends in data privacy, cybersecurity, and audit analytics.
**Skills/Competencies**
+ Bachelor's degree in accounting, finance, business administration, a related field or equivalent relevant experience.
+ Professional certification such as CISA, CIA or being on track to complete any of these certifications.
+ 7+ years of internal audit experience, with proven expertise in applying data analytics to enhance audit effectiveness and familiarity with Enterprise Risk Management practices.
+ Proficient with data analytics tools (eg. SQL, Excel, Power BI, Tableau, Python/R). Skilled in applying critical thinking and problem-solving to extract meaningful insights from complex qualitative and quantitative datasets.
+ Familiarity with Audit Standards as well as compliance and control frameworks such as ISO 27001, SOC 1/2, GDPR and others.
+ Exceptional project management, critical thinking, and problem-solving skills. Able to manage multiple priorities, extract meaningful insights from complex data, and drive continuous improvement.
+ Excellent communication and relationship-building skills, with high attention to detail. Able to work autonomously or collaboratively in a fast-paced, cross-functional environment.
**Salary Range Transparency**
US Remote 72,000 - 108,000 USD per year
**Salary Range Disclaimer**
The base salary range represents the low and high end of the Indeed salary range for this position in the given work location. Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range(s) listed is just one component of Indeed's total compensation package for employees. Other rewards may include quarterly bonuses, Restricted Stock Units (RSUs), a Paid Time Off policy, and many region-specific benefits.
**Benefits - Health, Work/Life Harmony, & Wellbeing**
We care about what you care about. We have a multitude of benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will also receive open paid time off, 11 paid holidays a year and up to 26 weeks of paid parental leave. For more information, select your country and learn more about our employee benefits, program, & perks at Opportunities and Accommodations Statement**
Indeed is deeply committed to building a workplace and global community where inclusion is not only valued, but prioritized. We're proud to be an Equal Employment and Affirmative Action employer seeking to create a welcoming and inclusive environment. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran, or any other non-merit based or legally protected grounds.
Indeed is dedicated to providing reasonable accommodations to qualified individuals with known disabilities to participate in the employment application process. To learn more about requesting an accommodation, please visit In the request for an accommodation, please inform us of the nature of your request and your contact information. If you are requesting accommodation for an interview, please reach out at least one week in advance of your interview.
For more information about our commitment to equal opportunity/affirmative action, please visit our ESG home page ( & Belonging**
Inclusion and belonging are fundamental to our hiring practices and company culture, forming an integral part of our vision for a better world of work. At Indeed, we're committed to the wellbeing of our employees and on a mission to make this the best place to work and thrive. We believe that fostering an inclusive environment where every employee feels respected and accepted benefits everyone, fueling innovation and creativity.
We value diverse experiences, including those who have had prior contact with the criminal legal system. We are committed to providing individuals with criminal records, including formerly incarcerated individuals, a fair chance at employment.
Those with military experience are encouraged to apply. Equivalent expertise demonstrated through a combination of work experience, training, military experience, or education is welcome.
**Indeed's Employee Recruiting Privacy Policy**
Like other employers Indeed uses our own technologies to help us find and attract top talent from around the world. In addition to our site's user and privacy policy found at , we also want to make you aware of our recruitment specific privacy policy found at .
**Agency Disclaimer**
Indeed does not pay placement fees for unsolicited resumes or referrals from non-candidates, including search firms, staffing agencies, professional recruiters, fee-based referral services, and recruiting agencies (each individually, an "Agency"), subject to local laws. An Agency seeking a placement fee must obtain advance written approval from Indeed's internal Talent Acquisition team and execute a fee agreement with Indeed for each job opening before making a referral or submitting a resume for that opening.
Reference ID: 46196
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