Director Audit and Advisory Services

Medix is seeking an experienced professional to join the team at an innovative Health Insurance company in the Wheeling, WV area. As the Director of Audit and Advisory services, this individual serves as the organization's internal auditor and advisor to the Board of Directors, Audit & Corporate Compliance Committee and Executive Management Team.

Responsibilities:

• Help to develop and maintain annual Internal Audit Plan, including the evaluation of internal controls in support of the Model Audit Rule (MAR).

• Work along side external auditors, consultants and regulatory bodies to address areas of risk

• Perform advanced level professional internal auditing as well as advisoryservices to support the overall corporate governance structure.

• Advise individuals within in the organization to develop, maintain and execute a risk-based internal controls program.

• This position effectively communicates internal control issues and applicable risk mitigation efforts to the Board of Directors, Audit & Corporate Compliance Committee, and Executive Management Team.

• Work along side external auditors, consultants and regulatory bodies to address areas of risk.

• Coordinate with legal counsel and other departments to support reviews and examinations.

• Serves as the leader of payment integrity, working cross functionally throughout the
  organization with an emphasis on the validation of coding, documentation, and contract application.

Requirements:

• Bachelor's degree in accounting or finance from an accredited college or university.
• Full-time experience in auditing, accounting, business analysis, and corporate compliance management, including a minimum of five years in a leadership position
• Health insurance industry experience
• Expertise in applying internal auditing and accounting principles in the health insurance field
• Knowledge of and skill in applying internal auditing and accounting principles,
  practices, and management principles and preferred business practices.
• Considerable knowledge of the Standards for the Professional Practice of Internal Auditing and
  the Code of Ethics developed by the Institute of Internal Auditors.
• Familiarity with management information systems terminology, concepts and practices.
• Knowledge of insurance industry program policies, procedures, regulations and laws.
• Experience in conducting quality control reviews of audit work products.