Senior Analyst conducting fraud investigations for Oscar Health, focusing on healthcare claims and member enrollment data. Managing investigations with autonomy and meeting caseload metrics.
About the role
- Internal Auditor 2 evaluating efficiency of Humana’s operational processes. Performing audit projects and providing recommendations independently with minimal direction.
Responsibilities
- Perform audit projects and consulting engagements in accordance with established methodology and within budgeted timeframes
- Independently prepare audit workpapers in accordance with Institute of Internal Audit and departmental standards
- Participate in audit planning, fieldwork and reporting phases of engagements
- Assist in identifying audit issues and root causes, recommend improvements, and ensure that corrective action plans are developed and implemented by management
- Communicate the results of audit and consulting projects via written reports and oral presentations to management
Requirements
- Bachelor's degree in Accounting or related field
- At least 1 year of audit or accounting consulting experience
- Strong organizational skills and attention to detail
- Self-starter; ability to work independently
- Ability to prioritize tasks and projects, while focusing on the “big picture”
- Excellent communication skills, both oral and written
- Team-oriented; optimistic attitude
- Certifications such as CPA, CIA, CISA, CISSP, CFE, or PMP preferred
- Advanced degree preferred
- Data Analytics / Business Intelligence experience a plus
- Prior experience with data analytics tools
- Six Sigma Black Belt, Process Improvement and/or Quality Control expertise
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
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