Experienced Internal Auditor - Growing Healthcare Organization with Flexible Remote Schedule and Opportunities for Professional Growth

Introduction to Fallon Health Fallon Health is a renowned healthcare organization that has been prioritizing the well-being of its members since its inception in 1977. With a strong foundation in Worcester, Massachusetts, we have evolved into a leading provider of government-sponsored health insurance programs, including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly). Our mission is built on improving health and inspiring hope, and we strive to achieve this by delivering equitable, high-quality, coordinated care. At Fallon Health, we believe that our individual differences, life experiences, knowledge, self-expression, and unique capabilities enable us to better serve our members. We foster an inclusive environment that encourages diversity in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. About the Internal Audit Department The Internal Audit Department (IA) at Fallon Health plays a vital role in protecting our organization by conducting independent and objective internal audits and assessments of our operational, financial, and compliance controls. The IA department reports administratively to the Chief Compliance Officer and functionally to the Audit & Compliance Committee, ensuring that we maintain the highest standards of integrity and transparency. As an Internal Auditor, you will be part of a team that executes the annual audit plan, identifying and mitigating risks that could impact our organization. Job Summary We are seeking an experienced Internal Auditor to join our team, with a primary focus on assisting the department with audits, projects, and special requests. As an Internal Auditor, you will perform a wide range of audits, including Model Audit Rule (MAR - internal controls), financial and operational internal audits, claims testing for payment and financial accuracy, and other special projects as assigned. Your expertise will be crucial in gathering and analyzing data, testing key controls, and preparing audit reports that inform our business decisions. Key Responsibilities • Assist in the development and presentation of findings and recommendations based on audit work performed to improve internal controls and other financial and operational processes. • Prepare detailed work papers for each project assigned, ensuring that all aspects of the audit are thoroughly documented. • Analyze data obtained for evidence, using your analytical skills to form reasonable conclusions and identify areas for improvement. • Interact and communicate with business process owners and upper-level management as needed during internal audit activities, demonstrating strong interpersonal and communication skills. • Manage time effectively and efficiently to ensure assigned work is completed within established time frames, prioritizing tasks and meeting deadlines. • Develop and maintain technical audit skills through performing research and attending industry-relevant training courses, staying up-to-date with the latest developments in internal auditing. Qualifications and Requirements To be successful in this role, you will need • A Bachelor's degree in accounting, finance, or business administration, with a strong foundation in auditing principles and practices. • A willingness to pursue a CIA-Certified Internal Auditor certification, or industry certification, demonstrating your commitment to professional development and excellence. • Entry-level to 2 years of audit or industry accounting experience, with a high degree of integrity and confidentiality based on exposure to personal and confidential information. • Strong interpersonal, analytical, and organizational skills, with the ability to work in a fast-paced environment and adapt to changes within the organization or department. Essential Skills and Competencies • Strong analytical and problem-solving skills, with the ability to analyze complex data and identify areas for improvement. • Excellent communication and interpersonal skills, with the ability to interact with business process owners and upper-level management. • Ability to work independently and as part of a team, with a strong sense of accountability and responsibility. • Proficiency in Microsoft Office, particularly Excel, Word, and PowerPoint, with the ability to learn and adapt to new software and systems. Career Growth Opportunities and Learning Benefits At Fallon Health, we are committed to the growth and development of our employees. As an Internal Auditor, you will have access to a range of training and development opportunities, including indu