3 External Audits jobs in the United States
Manager External Audit - Remote
60173 Schaumburg, Illinois
UnitedHealth Group
Posted 1 day ago
Job Viewed
Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Manager External Audit will oversee and manage audits and market conduct examinations conducted by state regulatory agencies across OptumRx's commercial business. This individual will be responsible for all aspects of audit preparation, strategy and defense activities and plays a critical role in facilitating the organization's timely and accurate response to regulatory oversight.
OptumRx is an innovative pharmacy benefit management organization managing the prescription drug benefits of commercial, Medicare and other governmental health plans, as well as those of employers and unions. Services offered by the company include pharmacy network contracting, rebate contracting and administration, mail order pharmacy facilities, specialty drugs and retail drug claims processing. OptumRx is part of Optum, a leading information and technology-enabled health services business dedicated to making the health system work better for everyone.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities** :
+ Lead the preparation, coordination, and submission of responses to regulatory audit/market conduct examination (MCE) requests and findings, ensuring timely and accurate completion of all audit-related documentation and communication
+ Serve as the primary point of contact for regulatory agencies during the audit process. Maintain effective communication with internal stakeholders to keep them informed of audit status and resolutions
+ Partner with the business and colleagues across legal, compliance and regulatory affairs to successfully resolve audits, including development of appropriate corrective action plans
+ Support root cause analysis of confirmed audit findings in coordination with business teams
+ Maintain detailed records of audit responses, corrective actions, and resolutions. Prepare and present reports on audit outcomes and compliance status to External Audit leadership
+ Identify opportunities to improve audit processes and support the execution of best practices to enhance overall audit efficiency and effectiveness
+ Cultivate and maintain solid collaborative relationships with regulators and OptumRx business partners
+ Provide ongoing education and training to the business on best practices in MCEs
+ Assist with various projects as directed by External Audit leadership
+ Participate in occasional business travel to meet with regulators and business teams
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ **Education** : Bachelor's degree or equivalent professional experience
+ **Experience** :
+ 3+ years of experience conducting Market Conduct examinations or working with state Departments of Insurance (DOI), including audits, surveys, and investigations
+ 3+ years in internal audit (operational, financial, or IT)
+ 3+ years in a healthcare regulatory or compliance environment
+ Demonstrated knowledge of HIPAA and state-specific privacy regulations
+ **Skills** :
+ Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
+ Proven solid project management capabilities
+ Proven effective communication and collaboration with external regulators and auditors
+ Proven adaptability to fast-paced environments and shifting priorities
+ Willing or ability to manage multiple concurrent audits while meeting productivity and quality standards
**Preferred Qualifications:**
+ **Education** : Master's degree
+ **Experience** :
+ Project management and team leadership experience
+ Background in pharmacy or pharmacy benefits management (PBM) industries
+ Proven success in developing and implementing enterprise-wide compliance programs
+ **Skills** :
+ Deep understanding of regulatory frameworks and audit methodologies
+ Proven exceptional written, verbal, and interpersonal communication skills
+ Proven advanced analytical, organizational, and problem-solving abilities
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
The Manager External Audit will oversee and manage audits and market conduct examinations conducted by state regulatory agencies across OptumRx's commercial business. This individual will be responsible for all aspects of audit preparation, strategy and defense activities and plays a critical role in facilitating the organization's timely and accurate response to regulatory oversight.
OptumRx is an innovative pharmacy benefit management organization managing the prescription drug benefits of commercial, Medicare and other governmental health plans, as well as those of employers and unions. Services offered by the company include pharmacy network contracting, rebate contracting and administration, mail order pharmacy facilities, specialty drugs and retail drug claims processing. OptumRx is part of Optum, a leading information and technology-enabled health services business dedicated to making the health system work better for everyone.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities** :
+ Lead the preparation, coordination, and submission of responses to regulatory audit/market conduct examination (MCE) requests and findings, ensuring timely and accurate completion of all audit-related documentation and communication
+ Serve as the primary point of contact for regulatory agencies during the audit process. Maintain effective communication with internal stakeholders to keep them informed of audit status and resolutions
+ Partner with the business and colleagues across legal, compliance and regulatory affairs to successfully resolve audits, including development of appropriate corrective action plans
+ Support root cause analysis of confirmed audit findings in coordination with business teams
+ Maintain detailed records of audit responses, corrective actions, and resolutions. Prepare and present reports on audit outcomes and compliance status to External Audit leadership
+ Identify opportunities to improve audit processes and support the execution of best practices to enhance overall audit efficiency and effectiveness
+ Cultivate and maintain solid collaborative relationships with regulators and OptumRx business partners
+ Provide ongoing education and training to the business on best practices in MCEs
+ Assist with various projects as directed by External Audit leadership
+ Participate in occasional business travel to meet with regulators and business teams
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ **Education** : Bachelor's degree or equivalent professional experience
+ **Experience** :
+ 3+ years of experience conducting Market Conduct examinations or working with state Departments of Insurance (DOI), including audits, surveys, and investigations
+ 3+ years in internal audit (operational, financial, or IT)
+ 3+ years in a healthcare regulatory or compliance environment
+ Demonstrated knowledge of HIPAA and state-specific privacy regulations
+ **Skills** :
+ Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
+ Proven solid project management capabilities
+ Proven effective communication and collaboration with external regulators and auditors
+ Proven adaptability to fast-paced environments and shifting priorities
+ Willing or ability to manage multiple concurrent audits while meeting productivity and quality standards
**Preferred Qualifications:**
+ **Education** : Master's degree
+ **Experience** :
+ Project management and team leadership experience
+ Background in pharmacy or pharmacy benefits management (PBM) industries
+ Proven success in developing and implementing enterprise-wide compliance programs
+ **Skills** :
+ Deep understanding of regulatory frameworks and audit methodologies
+ Proven exceptional written, verbal, and interpersonal communication skills
+ Proven advanced analytical, organizational, and problem-solving abilities
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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0
Senior Compliance Analyst - External Audit
65108 Jefferson City, Missouri
Centene Corporation
Posted 12 days ago
Job Viewed
Job Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
**Position Purpose:** Assist in maintaining Centene Corporation's Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.
+ Respond to external requests for information required by the organization for its regulatory filings.
+ Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
+ Manage ethics and compliance projects or implementations.
+ Review and synthesize regulatory requirements and create policy and/or position statements.
+ Assist in managing annual code of conduct attestation and remediation.
+ Communicate state and federal requirements to internal and external clients.
+ Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
+ Assist in the identification, analysis, and resolution of compliance issues.
+ Maintain and review regulatory documentation necessary to maintain corporate standards.
+ Assist in developing, producing and conducting compliance training programs.
+ Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities.
+ Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.
+ Assist management with interim health plan compliance officer responsibilities.
+ Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
+ Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
**Education/Experience:**
+ Bachelor's degree in related legal field or equivalent experience. Master's or Juris Doctorate degree preferred and maybe considered in lieu of experience.
+ 3+ years of related experience in compliance privacy and/or regulatory affairs.
+ Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.
+ External Audit experience strongly preferred.
Pay Range: $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
**Position Purpose:** Assist in maintaining Centene Corporation's Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.
+ Respond to external requests for information required by the organization for its regulatory filings.
+ Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
+ Manage ethics and compliance projects or implementations.
+ Review and synthesize regulatory requirements and create policy and/or position statements.
+ Assist in managing annual code of conduct attestation and remediation.
+ Communicate state and federal requirements to internal and external clients.
+ Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
+ Assist in the identification, analysis, and resolution of compliance issues.
+ Maintain and review regulatory documentation necessary to maintain corporate standards.
+ Assist in developing, producing and conducting compliance training programs.
+ Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities.
+ Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.
+ Assist management with interim health plan compliance officer responsibilities.
+ Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
+ Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
**Education/Experience:**
+ Bachelor's degree in related legal field or equivalent experience. Master's or Juris Doctorate degree preferred and maybe considered in lieu of experience.
+ 3+ years of related experience in compliance privacy and/or regulatory affairs.
+ Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.
+ External Audit experience strongly preferred.
Pay Range: $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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1
Asset and Wealth Management External Audit - Regulatory Reporting Specialist - Manager
02133 Boston, Kentucky
PwC
Posted 1 day ago
Job Viewed
Job Description
**Specialty/Competency:** Assurance
**Industry/Sector:** Asset and Wealth Management
**Time Type:** Full time
**Travel Requirements:** Up to 20%
At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively.
In regulatory risk compliance at PwC, you will focus on confirming adherence to regulatory requirements and mitigating risks for clients. You will provide guidance on compliance strategies and help clients navigate complex regulatory landscapes.
Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
+ Analyse and identify the linkages and interactions between the component parts of an entire system.
+ Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
+ Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
+ Develop skills outside your comfort zone, and encourage others to do the same.
+ Effectively mentor others.
+ Use the review of work as an opportunity to deepen the expertise of team members.
+ Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
+ Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Regulatory Strategy and Governance team you lead the development and execution of government and regulatory affairs strategies. As a Manager you guide the execution of policy risk and regulatory profile projects, maintaining a customer-centric approach that supports PwC's goals and vision. You interact effectively with policymakers and non-governmental stakeholders to manage the impact of emerging policies on clients' businesses.
Responsibilities
- Lead the development and execution of government and regulatory affairs strategies
- Manage client accounts with a focus on strategic planning
- Mentor junior staff to enhance their skills and performance
- Guide the execution of policy risk and regulatory profile projects
- Interact effectively with policymakers and stakeholders
- Identify challenges and recommend solutions
- Assure a customer-centric approach in regulatory operations
- Assure top-quality deliverables and adherence to timelines
What You Must Have
- Bachelor's Degree
- 6 years of experience
What Sets You Apart
- Master's Degree in Business Administration/Management, Business Studies, Economics, Law, Managerial Economics, Political Science, Politics, Public Administration, Public Policy Analysis preferred
- Mastery in policy and regulatory issues
- Experience in government relations strategies
- Knowledge of legislative and regulatory processes
- Ability to lead complex projects
- Advanced written and oral communication skills
- Experience in mentoring and motivating teams
- Ability to assess business and economic implications of policy
Learn more about how we work: does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
The salary range for this position is: $99,000 - $297,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:
**Industry/Sector:** Asset and Wealth Management
**Time Type:** Full time
**Travel Requirements:** Up to 20%
At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively.
In regulatory risk compliance at PwC, you will focus on confirming adherence to regulatory requirements and mitigating risks for clients. You will provide guidance on compliance strategies and help clients navigate complex regulatory landscapes.
Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
+ Analyse and identify the linkages and interactions between the component parts of an entire system.
+ Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
+ Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
+ Develop skills outside your comfort zone, and encourage others to do the same.
+ Effectively mentor others.
+ Use the review of work as an opportunity to deepen the expertise of team members.
+ Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
+ Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Regulatory Strategy and Governance team you lead the development and execution of government and regulatory affairs strategies. As a Manager you guide the execution of policy risk and regulatory profile projects, maintaining a customer-centric approach that supports PwC's goals and vision. You interact effectively with policymakers and non-governmental stakeholders to manage the impact of emerging policies on clients' businesses.
Responsibilities
- Lead the development and execution of government and regulatory affairs strategies
- Manage client accounts with a focus on strategic planning
- Mentor junior staff to enhance their skills and performance
- Guide the execution of policy risk and regulatory profile projects
- Interact effectively with policymakers and stakeholders
- Identify challenges and recommend solutions
- Assure a customer-centric approach in regulatory operations
- Assure top-quality deliverables and adherence to timelines
What You Must Have
- Bachelor's Degree
- 6 years of experience
What Sets You Apart
- Master's Degree in Business Administration/Management, Business Studies, Economics, Law, Managerial Economics, Political Science, Politics, Public Administration, Public Policy Analysis preferred
- Mastery in policy and regulatory issues
- Experience in government relations strategies
- Knowledge of legislative and regulatory processes
- Ability to lead complex projects
- Advanced written and oral communication skills
- Experience in mentoring and motivating teams
- Ability to assess business and economic implications of policy
Learn more about how we work: does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
The salary range for this position is: $99,000 - $297,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:
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