Internal Audit Associate II

PacificSource is anything but a typical health insurance company. Founded in 1933, we’re an independent, not-for-profit organization that puts our members, and their communities first—across Idaho, Oregon, Montana, and Washington. It's our 1,700 employees who make it happen: promoting health equity and partnering with providers to deliver better access to optimal, affordable care. So yes, with PacificSource, you get to do great things. In our effort to put members first—more than 500,000 of them—initiative, commitment, and hard work are supported and rewarded with excellent benefits, competitive wages, and opportunities for personal growth and advancement. Benefits: Flexible telecommute policy, medical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account. We love our common purpose. Empowerment, flexibility, and sharing success make for a great place to work. Here’s what else we feel good about: A mission with a real sense of shared values Competitive wages and outstanding benefits, including telecommuting Opportunities for learning development and career advancement Organizational leadership style rooted in servant and transformational leadership A commitment to support the communities we serve A belief in the importance of work-life balance PacificSource is an equal opportunity employer and a company that loves helping people. We work with our employees to understand their goals, and provide training, individual development, and career advancement opportunities to help them achieve just that. In 2021 alone we had 240 internal promotions! Top Workplace 2022 for Idaho | Idaho Press Top Workplace 2022 for Oregon and SW Washington | The Oregonian #4 Healthiest Employer of Oregon 2021 | Portland Business Journal Healthy Worksite 2021 | Design Coalition in Montana PacificSource is an equal opportunity employer. Click here to review our AAP Policy Statement. If you have questions about working at PacificSource or need help with your application, please email HR@PacificSource.com. Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Position Overview: As directed by the Internal Audit Director, examine and evaluate the ongoing control processes of the organization and provide timely recommendations for improvement whenever they are identified. Conduct research and analyze department processes and operations. Perform audit procedures. Analyze, prepare, and document audit results. This position also ensures that appropriate policies and procedures are in place and followed consistently throughout the organization in order to safeguard its assets, verify the accuracy and reliability of its data, and promote adherence to prescribed policies and procedures. Essential Responsibilities: Assist with the implementation of the approved annual audit plan, including any special tasks or projects assigned by management, and the audit committee. Assist with the development of the approach and scope of audits and special tasks/projects. Perform audit procedures to evaluate design and adequacy of internal controls. Conduct inquiries to investigate facts and obtain data from multiple perspectives. Research and analyze departmental processes, operations, or other significant functions. Examine operations and procedures for compliance with established policy. Ensure audits are thoroughly executed within established time frames with appropriate follow through. Identify significant risks and loss exposures and communicate the findings to the Internal Audit Director. Interview employees, examine documents, analyze data, observe operations, and perform other tests and procedures necessary to gather sufficient evidence to adequately conclude on the procedures performed and on the audit objectives. Assist with the evaluation and assessment of significant merging and consolidating functions and new or changing services, processes, operations, and control processes coincident with their development, implementation, or expansion. Perform audit procedures as prescribed by planned audit programs, and adapt plans when necessary to accommodate changing priorities with input from Internal Audit Manager. Analyze, prepare, and document results of audit activities, including opinions reflecting relevant facts that lead to logical conclusions. Present results in an objective and unbiased manner. Assist with the preparation and presentation of periodic reports to the audit committee and management as necessary. Analyzes data to determine whether there is any evidence of internal control deficiencies, duplication of efforts, or Fraud, Waste, and Abuse Examines department records and interviews personnel to evaluate the accurate recording of transactions Evaluates the administrative, internal and accounting controls Evaluates the adequacy of policies and procedures in place to provide reasonable assurance that the organizations assets are properly safeguarded and recorded in the financial records Performs attribute and transaction testing Reviews pertinent documents necessary to determine if an audit trail exists for all records Discusses findings with and determines the factual accuracy of the findings with the supervisor or Director of the area/department audited Evaluates compliance with laws, government regulations, and management policies and procedures applicable to the organizations operations in all lines of business Prepares recommendations for improvements or corrective actions for each area where it is determined that a deficiency may exist Drafts reports of findings and recommendations which have been reviewed and approved by the Internal Audit Director, Audit and Compliance Committee of the Board of Directors on the compliance of the Company with administrative, internal and accounting controls, laws and regulations Monitors activity and file maintenance in accounting records and data processing systems. Assist the Internal Audit Director in monitoring user access controls in systems Serves as a technical resource to other audit staff Supporting Responsibilities: Assist with the investigation of significant suspected fraudulent activities within the organization and notify Internal Audit Manager, management, and the audit committee of the results. Assist the Internal Audit Manager with the coordination of necessary activities with external auditors for the purpose of providing optimal audit coverage to the organization at a reasonable overall cost. Ensure that Internal Audit Manager is immediately informed of sensitive issues or material problems. Complete additional projects and perform other duties as assigned. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. SUCCESS PROFILE Work Experience: At least three years experience in the insurance industry. At least one year of Medicare and/or Medicaid insurance program experience strongly preferred. Education, Certificates, Licenses: The Internal Auditor II would have a Bachelor's degree in accounting, business, or related field and two years audit experience in addition to 2 years general business experience, or the equivalent combination of education and experience. CIA or CPA certification can be substituted for two years audit experience. Knowledge: Thorough knowledge of accounting and auditing practices/procedures Demonstrated understanding of, and adherence to, the Auditors Code of Ethics and the Standards for the Professional Practice of Internal Auditing as developed by the Institute of Internal Auditors Knowledge of managed health plan operations Proven ability to develop draft audit issues that clearly identify Condition/Cause/Criteria/Impact as well as present findings to a variety of stakeholder groups and convey the business implications. Ability to perform initial review on internal controls and or management controls of one or more areas under audit. Demonstrated ability to analyze data and summarize conclusions, including gathering sufficient evidence to adequately conclude on the procedures and audit objectives. Demonstrated ability to effectively organize, plan, prioritize, and complete deliverables Demonstrated ability to extract and articulate findings and recommendations Ability to effectively communicate, both written and verbally, with all levels of the organization regarding issues and findings, including the ability to independently present and maintain a professional stand on difficult issues. Advanced math skills required, including percentages, ratios, graphing, statistical sampling, and spreadsheet skills. Ability to make sound, business-oriented judgments. Excellent analytical capabilities. Understanding of related business functions, including technology, regulatory requirements, operations, and financial reporting. High moral and ethical character. Ability to handle multiple assignments. Accountable for the quality and accuracy of the auditing essential functions Competencies Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.