Financial Compliance Auditor III, Finance

Overview

Must be located in CA!

Job Description

Scout for a leading organization in the healthcare sector, partnered with Aquent.

Join a dynamic and impactful organization dedicated to ensuring the financial integrity and regulatory compliance of its healthcare network. This mission-driven company plays a critical role in providing comprehensive health services, and you’ll be instrumental in safeguarding the financial solvency and operational excellence of its partners and vendors. Your expertise will directly contribute to maintaining high standards of care and trust within the community.

We are seeking a highly skilled and dedicated professional to join our finance team. In this pivotal role, you will:

• Leverage your financial acumen and auditing expertise to ensure the financial health and regulatory adherence of various healthcare entities.
• Provide essential oversight that underpins the stability and success of critical healthcare services.
• Apply your skills in a challenging environment, making a tangible difference in the quality and accessibility of care.

What You’ll Do

• Lead and execute comprehensive financial audits and analyses for specialty health plans and vendors on a quarterly and annual basis.
• Ensure timely and accurate delivery of financial solvency and claims processing compliance reports, adhering to regulatory and contractual requirements for plan partners, provider groups, and healthcare entities.
• Collaborate in the development and implementation of standardized audit workpapers and reporting templates to enhance efficiency and consistency.
• Support the formalization of key internal processes and monitoring tools, contributing to robust operational frameworks.
• Review and update departmental policies and procedures annually, ensuring they align with current standards and are approved by management.
• Manage requests from legal departments and support delegation oversight monitoring and reporting activities.
• Foster strong communication and collaboration with interdepartmental personnel, leadership, specialty health plans, and vendors.
• Contribute to the design, implementation, and reporting of special projects, leveraging your subject matter expertise.
• Assist in the design and implementation of tools and reports for issuing corrective action plans and non-compliance notifications.
• Collaborate on assessing, communicating, and implementing new regulatory requirements that impact internal processes.
• Act as a Subject Matter Expert, providing mentorship and guidance to junior staff, and identifying technical solutions to improve business operations.

Must-Have Qualifications

• Bachelor’s Degree in Accounting or Finance, or equivalent education and/or experience.
• Minimum of 4 years of experience conducting financial audits.
• Minimum of 5 years of related experience within the managed healthcare industry.
• Proven background in managed care, healthcare, or insurance.
• Demonstrated expertise in financial statement analysis, financial solvency, and debt/asset analysis.

Possession of one of the following certifications:

• Certified Public Accountant (CPA)
• Certified Internal Auditor (CIA)
• Certified Fraud Examiner (CFE)
• Certified Information Systems Auditor (CISA)
• Excellent analytical and critical thinking skills.
• Action-oriented, self-starter with strong motivational abilities.
• Exceptional verbal and written communication skills.
• Ability to prioritize assignments and work independently with minimal supervision.
• Proficiency in Microsoft Office Suite (Excel, PowerPoint, and SharePoint).

Nice-to-Have Qualifications

• Master’s Degree.
• Certified Public Accountant (CPA) certification.

About Aquent Talent

Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands. Eligible talent get access to amazing benefits like: Subsidized health, vision, and dental plans, paid sick leave, retirement plans with a match.

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment, one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive. The target hiring compensation range for this role is $63.00hr to $66.00hr. Compensation is based on several factors, including, but not limited to, education, relevant work experience, relevant certifications, and location.

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