Auditor

Today's healthcare industry -- dynamic and changing at a fast pace. Recruiting talented people can mean the difference between success or failure. At Blue Cross and Blue Shield of Massachusetts, our record of achievement represents a history of hiring the best people we can find, and then challenging them to excel. It's the kind of environment that enables us to give our best to the consumers we serve, and at the same time, work to the potential of those who work for us.

Auditor

Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.

Position Summary:
The Senior Auditor conducts a variety of reviews of business processes and audit assignments in the areas of professional and comprehensive risk assessments, IT, financial, operational and compliance audits to identify business risks, mitigating controls, and controls deficiencies. Performs traditional audit testing and periodic audits of past activities, as well real time and near time continuous auditing and monitoring of processes and data, as well as future focused (readiness) assessments.

Key Accountabilities:
Essential Functions:

Performs complex operational, financial and compliance audit assignments and risk assessments

Provides senior analytical support to the Audit Project Leader and to more Senior Audit Staff on a variety of internal audit initiatives throughout the Company

Performs Sarbanes Oxley internal control assessments of controls for financial reporting.

Performs all phases of audit assignments including planning, fieldwork, analysis and reporting.

Provides consultative business advisory service to all assigned internal customers (auditees) and develops control consciousness in the business units audited

Participates in the review and assessment of operational work flows and related procedures to ensure efficient and economical use of corporate resources and the reliability, consistency, and integrity of financial and operating information, and compliance work

Uses auditing tools and techniques to collect and analyze information, controls, assesses the effectiveness and efficiency of operations and compliance: documents findings

Analyzes and assesses issues and risks and develops recommendations for solutions

Provides ongoing communication regarding work status or operational exceptions with auditees and audit leadership; identifies and communicates any exposure area; conducts regular follow up to ensure that outstanding items are resolved

Discusses audit findings and suggestions for process improvements with auditees and audit leadership team

Drafts timely audit communications, reports, and supporting documentation

As part of the Audit team, contributes to operational readiness and business risk assessments

Performs readiness assessment for new systems applications and processes to determine readiness prior to implementation

Challenges/Problem Solving

Must demonstrate effective organizational, time management and prioritization skills in order to consistently meet deadlines and performance standards

Takes ownership of monitoring, researching, and resolving all exception items in assigned projects in accordance with guidelines

Understands the risks within the assigned processes and recognizes the potential negative ramifications as they occur

Manages multiple, current projects with extremely tight deadlines, reporting to different project team leaders

Decision Making Authority

Work requires analytical and policy interpretation, independent problem solving and resolution

Works independently to resolve highly sensitive complex problems and issues integrating knowledge of auditing principles, differing functions, processes, and systems and SDLC (systems development life cycle); occasionally escalating more difficult problems to leader

Analyzes and evaluates the criticality of risk issues and making decisions as to the appropriate level of escalation

Responsible to project leaders, and to matrixed relationships for work performed cross-functionally

Demonstrates leadership in enhancing operational efficiency, in alignment with the Company's commitment to quality assurance and continuous improvement methodology

Leadership Responsibilities

Contributes to teamwork on multiple concuurent project teams

Communicates assertively and effectively with internal and external interfaces

Participates in cross-functional workgroups and project teams


Four plus years of audit-related professional experience.

Bachelor's degree in business discipline or Associates degree with equivalent experience

Professional certification a plus

Insurance and/or healthcare background a plus