Clinical Provider Auditor II responsible for examining claims and identifying fraud risks at Elevance Health. Collaborating with internal teams and assisting in training new associates.
About the role
- Operational Staff Auditor evaluating internal processes and risk management at AES Corporation. Collaborating with teams to enhance operational efficiency and compliance.
Responsibilities
- Conduct comprehensive audits of operational processes to ensure compliance with company policies, industry standards, and regulatory requirements.
- Evaluate the effectiveness of operational controls and risk management practices.
- Identify areas of improvement and recommend practical solutions to enhance operational effectiveness.
- Collaborate with cross-functional teams to assess risks, develop audit plans, and execute audit procedures.
- Document audit findings, prepare detailed reports, and communicate results to management.
- Provide guidance and recommendations to operational teams on best practices and process enhancements.
- Stay informed about industry trends, regulations, and emerging risks to continuously improve audit methodologies.
- Participate in special projects and ad-hoc assignments as needed.
Requirements
- Bachelor’s degree in Business Administration, Engineering, Economics, or related field.
- Minimum of 3 years of experience in auditing, risk management, operational processes or related fields.
- Excellent analytical skills and attention to detail.
- Effective communication and interpersonal skills.
- Ability to work independently and collaboratively within a team.
Benefits
- Competitive salary and performance-based bonuses.
- Comprehensive health and wellness benefits.
- Professional development opportunities.
- Collaborative and inclusive work environment.
- Flexible work arrangements.
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