Associate Director of Audit - Irvine, CA

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm)
We are looking for an experienced, detail-oriented professional with auditing experience to become our Associate Director managing Commercial Client Audits (CCA) in our Irvine office for the OptumRx segment within UnitedHealth Group. This role will focus on managing and coordinating external commercial client audits and will offer the right candidate a great chance to join a growing business full of advancement potential as well as great benefits and the prestige of working for a Fortune 6 organization. Join us and discover how rewarding your career can truly be.Primary Responsibilities:

Coordinate and manage the execution of external Commercial Client Audits (CCA) performed by outside consultants
Own end-to-end CCA process (all messaging on audits, external auditor/consultant relationships, ongoing interface with health plans, arbitration of root cause ownership, internal reporting on audits) which includes verifying the contractual right to audit, negotiating scope, timing, obtaining a Non-Disclosure Agreement (NDA), facilitating on-sites, etc
Collaborate and work with the Quality Organization, an independent team with quality expertise and business process discipline, to manage the claim review process, determine and validate issues and root cause with SMEs, distribute internal reporting on error trends/causes, develop appropriate action plans and ensure action plans are completed and perform follow up to validate timely completion
Work effectively with consultants and account managers and develop positive relations through meetings and onsite visits
Work to effectively manage multiple audits and deliver quality deliverables within strict timeframes

Required Qualifications:

BA/BS degree
5+ years of experience in internal audit (operational, financial, and/or IT related) and/or external audit coordination
Preferred Qualifications:


Project Management experience

Healthcare/PBM experience
 
UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
 
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
Keywords: internal audit, finance, healthcare, Irvine, CA, California  
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