QA Auditor II

Healthfirst Inc.
April 20, 2021
Lake Mary, FL
Job Type


The work involves conducting compliance and operational audits to identify areas of risk and make recommendations to help improve operational efficiency and effectiveness; as well as, ensuring compliance with applicable laws and procedures.

Duties & Responsibilities:

  • Evaluate the design and effectiveness of controls to manage risk within our risk appetite and tolerance
  • Audit activities of various groups for compliance with key controls compliance with plans, policies, procedures, regulatory requirements and best practices.
  • Perform and control the full audit cycle including risk management and control management over operations' effectiveness, financial reliability and compliance with all applicable directives and regulations
  • Obtain,analyzeand evaluate process documentation, previous reports, data, flowcharts, etc.
  • Identify variances, prepare detailed explanations, and correspond with employees, management, etc. as needed to resolve discrepancies.
  • Identify improvements to systems, procedures and processes to minimize risks, improve efficiency, or generate cost savings
  • Apply analytical skills and knowledge of current auditing developments and standards to formulate appropriate solutions to problems
  • Prepare work papers to adequately document audit work performed and to support conclusions reached
  • Prepare and present reports that reflect audit's results and document process
  • Conduct follow up audits to monitor management's interventions
  • Develop an understanding of the Company's business, risk landscape, financials, processes and control environment
  • Develop knowledge regarding industry rules, regulations, best practices, tools, techniques and performance standards
  • Maintain open communication with management and business leaders
  • Support external auditors as assigned
  • Perform special projects as needed
  • Perform call monitoring of incoming and/or outgoing calls to confirm standards are met, ID performance gaps, and analyze errors to determine root causes
  • Other duties as assigned.

Minimum Requirements:

  • Must demonstrate ability to understand and implement internal control concepts and perform root cause analysis to solve complex problems
  • Ability to communicate effectively, both orally and in writing, with peers, managers, and the public, on both individual and group levels
  • Advanced computer skills on MS Office (i.e., Excel, Word, PowerPoint)
  • Technical and data management skills including ability to identify, obtain, format, model, manipulate, and analyze large amounts of data and compile detailed reports / dashboards
  • Ability to effectively plan, organize, prioritize and complete work assignments/projects
  • Must exercise accuracy, discretion, good judgment, strong attention to detail, courtesy, tact and patience
  • Knowledge of accepted principles and practices of auditing, following written audit programs, and preparing adequate working papers to document audit work performed and conclusions reached
  • Strong interpersonal skills; establishes and maintains good working relationships
  • Must be able to properly handle sensitive or confidential company information
  • Ability to work independently and meet multiple deadlines
  • Strong organization skills and ability to prioritize and simultaneously handle multiple tasks or assignments
  • Ability to analyze problems with detail and accuracy, keep complex records, assemble and organize data, and prepare reports from such data
  • BS degree in Accounting, Finance, or Business Administration but will consider other educational background with applicable auditing or process improvement work experience
  • High ethical standards and values with ability to handle confidential / sensitive issues and information with the highest degree of professional responsibility

Preferred Requirements:

  • Knowledge of at least two or more lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP
  • Experience working in auditing, process improvement, or related field preferred
  • Experience with process mapping, risk assessment, and audit tools
  • Experience with data analytic software (SQL, ACL, Alteryx, Tableau)
  • Familiarity with GAAP, COSO, SOX and other audit principles preferred

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid "" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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