Description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and wellbeing of the people and communities we serve.

The ideal candidate for the Senior Regulatory Auditor position will be an excellent communicator (written and verbal) who is detailoriented and organized. He/she will also be able to work independently and with a team, demonstrating selfmotivation and enthusiasm. The Senior Regulatory Auditor will be performing riskbased audits concerning the operation and regulatory compliance of the Company.

Responsibilities:

• Plan, coordinate, and lead key financial, operational, and regulatory audits of the Company and its subsidiaries.

• Develop audit programs by working with the Company and department Management.

• Document processes and controls by utilizing flowcharts and/or narratives.

• Perform substantive and control testing.

• Make recommendations and develop corrective action plans based on testing results and partner with impacted business areas on remediation efforts.

• Develop draft audit reports for audits and special projects. Assist in preparing the final versions of audit reports.

• Perform followup on the status of recommendations made in previous audit reports.

• Review and determine how federal and state regulatory requirements impact the Company and assist in the evaluation of the Company's compliance with such requirements, including but not limited to, the Affordable Care Act and Medicare.

• Assist in the coordination of reviews completed by external regulatory bodies as needed (i.e., market conduct exams).

• Communicate effectively with all levels of management.

• Utilize data analytics during the planning and execution of planned audits to help achieve more comprehensive coverage of risk mitigation.

• Perform ad hoc projects as applicable.

Qualifications:

• Bachelor's degree in accounting, business, healthcare, or equivalent work experience

• Threeplus years of audit experience in a large public accounting firm or healthcare setting preferred

• Previous experience leading or performing audits independently

• Knowledge of commercial, Medicare Advantage, and/or selffunded insurance plans and thirdparty administrator operations and regulations (e.g., ACA/CMS/ERISA/DOL) preferred

• Knowledge of auditing, accounting systems, flowcharting, and statistical sampling techniques

Additional Skills/Experience:

• Previous insurance or healthcare audit experience preferred

• Strong oral and written communication skills

• Strong attention to detail with the ability to work on multiple projects simultaneously

• Ability to work independently and as part of a team

• CPA, CIA, or JD certification preferred

• Advanced degree (MBA, MHA, etc.) is a plus

• Proficient to advanced skillset working in and knowledge of Microsoft Office tools (i.e., MS Excel, MS Word, MS PowerPoint, Copilot) preferred

• Previous experience with ACL or other audit software a plus

• Tableau, SQL, or database knowledge a plus

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the TriState Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.