Director - Corporate Audit - Blue Cross and Blue Shield of Nebraska - Omaha

Job description
Oversee the Corporate Audit Department, including Internal Audit, External Audit and the Special Investigations unit. Supervise the execution of financial, operational, compliance and information systems audits of various departments. Design, develop and implement departmental policy and procedure within the organization. Make recommendations for improvement to top management and report findings to the Board of Directors. Lead and direct the work of the corporate audit staff. Requires significant experience and judgment to plan and accomplish goals.

Essential Duties and Responsibilities:
Direct the development and oversee the completion of the annual plans, including the Master Internal Audit Plan, and coach and develop the Corporate Audit staff.
Collaboratively work with Management to communicate audit findings, MTM results and fraud risks and activities; and create and monitor corrective action plans, as needed.
Lead projects to implement regulatory requirements, best practices and process improvements to the audit process and fraud detection activities; e.g. implementation of the NAIC Model Audit Rule.
Prepare and present reports to management and the Board of Directors.
Provide guidance to teams responsible for business processes and IT systems regarding internal controls, best practices and process improvement.
Must meet or exceed the attendance and timeliness requirements.
Must work well in a team environment, and be capable of building and maintaining positive relationships with other staff, departments, and customers.

Desired Skills and Experience
Knowledge, Skills and Abilities:
Understanding of the health insurance industry
Understanding of the regulatory requirements of a health insurer with government contracts
Understanding of the BCBS system and the Association’s membership standards
Ability to apply a risk management approach to the audit process
Ability to work collaboratively with people to identify areas of weakness and develop solutions to resolve internal control concerns
Communication and presentation skills
Understanding of computer systems and process improvement techniques
Education and Training:
Bachelor’s Degree is in Finance, Accounting or related field required
Certification as a certified public accountant, certified internal auditor, certified management accountant or equivalent certification required
Experience Required:
10 years of audit experience (public accounting, corporate internal audit or regulatory audit)
Previous management experience required

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