Director of Internal Audits - New York, NY

Position Overview: Empower. Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. Under the direction of the MetroPlusHealth Audit Committee of the Board of Directors and the President & CEO, the Director of Internal Audits oversees and manages financial and operational audits and reviews to assess the effectiveness of MetroPlusHealth’s internal controls, the reliability of its financial reporting, and its compliance with applicable laws and regulations. Scope of Role & Responsibilities: With latitude for the exercise of independent judgment, the Director of Internal Audits will plan and perform full scope audits, including financial, operational, compliance and process reviews across MetroPlusHealth. Provide support and guidance to Internal Audit Staff in planning and executing audits. Develop a strategic planning and risk assessment process for the identification and prioritization of potential audits. Perform walkthroughs of operations and systems and interview area management to determine workflows and associated risks and controls; verify that approved internal control procedures are being followed. Document and communicate audit results both orally and in writing in an objective, clear, concise, and timely manner to management. Prepare internal audit reports detailing financial, compliance and operational deficiencies; and develop recommendations to strengthen controls and improve processes, within cost/benefit considerations. Prepare timely board reports containing audit status and significant findings for presentation to MetroPlusHealth’s Audit Committee and Executive Leadership quarterly. Work with various levels of management to follow up on the status of recommendations. Collaborate with other departments to develop and improve policies and procedures. Act as an ongoing resource for departments with respect to appropriate internal control processes and compliance matters. Travel to various MetroPlusHealth’s locations in the five boroughs: Manhattan, Bronx, Brooklyn, Queens and Staten Island; and off-site vendor locations to conduct audits. Create enterprise-wide resources for navigating external audits, including centralization of all audit data/information, establishment of enterprise-wide workflows, data/information validation standards, response templates, standardized audit project plans, etc. Perform other job-related duties as required. Required Education, Training & Professional Experience: Bachelor’s Degree from an accredited college or university in Accounting, Finance, or a related field required. Experience streamlining and centralizing enterprise-wide processes in Managed Care required. Minimum of 5 years of experience in the Managed Care industry required, including supervisory experience and collaboration with a variety of business areas and operational departments. Proficient knowledge of software applications such as ACL, MS Word, Excel, or Access. Project management experience preferred. Audit background, preferred. Licensure and/or Certification Required: NONE Professional Competencies: Integrity and Trust Customer Focus Functional/Technical skills Must have excellent interpersonal, written, and oral communication skills. A positive attitude and a keen attention to detail.

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• J-18808-Ljbffr MetroPlus Health Plan, Inc.