001_BCBSA Blue Cross and Blue Shield Association logo

Director of Audit

$150k-200k/hr•Full-timeRemote

location_on880 P, 880, P Street Northwest, Shaw, Logan Circle/Shaw, Ward 2, Washington, District of Columbia, 20001, United States

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Job Description

About the Role

The Director of Audit is responsible for overseeing the organization’s client and pharmaceutical rebate audit function and ensuring the effectiveness of financial, operational, and contractual compliance controls across the enterprise. This role also supports organizational SOC audits.

This role leads the planning and execution of audit programs, identifies risk exposures, and provides actionable recommendations to enhance operational execution, governance, efficiency, and compliance. The Director works closely with executive leadership to promote a strong internal control culture and continuous improvement mindset. In addition, this role supports participants in Synergie pharma audits.

Work location

Work model: Remote

880 P, 880, P Street Northwest, Shaw, Logan Circle/Shaw, Ward 2, Washington, District of Columbia, 20001, United States

Washington, District of Columbia

Open in Google Maps(38.90913, -77.02370)

Key Responsibilities

  • check_circleLead and oversee pharma and client audits for Synergie
  • check_circleSupport SOC audit evidence gathering for annual audit
  • check_circleCollaborate with Finance, Legal, and IT to strengthen invoicing controls
  • check_circleDevelop and execute the annual risk-based audit plan
  • check_circleMonitor corrective action plans to ensure timely resolution of audit findings
  • check_circleAdvise on new business processes and system implementations from a risk perspective
  • check_circleCommunicate with participants during pharma rebate audits to obtain evidence

Requirements

  • verifiedBachelor’s degree in business, healthcare, or related field; Master’s preferred
  • verified8+ years experience in healthcare auditing (health plans, pharmacy, managed care)
  • verified3+ years experience in medical and/or pharmacy drug management at health plan or PBM
  • verifiedStrong experience managing external audit vendors
  • verifiedStrong knowledge of audit practices, medical/pharmacy rebates, value-based contracts, and invoicing
  • verifiedStrong data management and analytics skills
  • verifiedEligibility to work in the United States without visa sponsorship

Benefits & Perks

check_circlePaid time offcheck_circle11 holidayscheck_circleMedical, dental, and vision insurancecheck_circleGenerous 401(k) matchingcheck_circleLifestyle spending account

Skills, education and keywords

Skills: health care auditing, health plans, health systems, pharmacy, managed care, specialty pharmacy, medical and pharmacy drug management, audit practices, data management, data analytics.

Education: Bachelor’s degree in business, healthcare, or other related field; Master’s degree preferred.

Frequently asked questions about Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association

What does a Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association do?expand_more
Day-to-day, the Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association will lead and oversee pharma and client audits for synergie; support soc audit evidence gathering for annual audit; collaborate with finance, legal, and it to strengthen invoicing controls; and develop and execute the annual risk-based audit plan.
What are the requirements for this Director of Audit role?expand_more
001_BCBSA Blue Cross and Blue Shield Association is looking for candidates who meet the following requirements: Bachelor’s degree in business, healthcare, or related field; Master’s preferred; 8+ years experience in healthcare auditing (health plans, pharmacy, managed care); 3+ years experience in medical and/or pharmacy drug management at health plan or PBM; Strong experience managing external audit vendors; Strong knowledge of audit practices, medical/pharmacy rebates, value-based contracts, and invoicing; and Strong data management and analytics skills.
What is the salary range for Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association?expand_more
The advertised salary range for Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association is $150k-200k/hr.
Where is the Director of Audit role at 001_BCBSA Blue Cross and Blue Shield Association located?expand_more
Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association is based in 880 P, 880, P Street Northwest, Shaw, Logan Circle/Shaw, Ward 2, Washington, District of Columbia, 20001, United States. This is a remote role.
Is this Director of Audit job remote, hybrid, or on-site?expand_more
001_BCBSA Blue Cross and Blue Shield Association has listed this Director of Audit role as remote.
How much experience is required for this Director of Audit role?expand_more
Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association typically requires 8+ years of relevant experience at the executive level.
What skills do you need for the Director of Audit role at 001_BCBSA Blue Cross and Blue Shield Association?expand_more
Key skills for Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association include health care auditing; health plans; health systems; pharmacy; managed care; specialty pharmacy; medical and pharmacy drug management; and audit practices.
What education is required for Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association?expand_more
Educational requirements for this role: Bachelor’s degree in business, healthcare, or other related field; and Master’s degree preferred.
What category does the Director of Audit role belong to?expand_more
Director of Audit at 001_BCBSA Blue Cross and Blue Shield Association is part of the Accounting & Finance job category on Recrutus.