Healthcare Process Risk Senior Associate (Internal Audit)

As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business risks and assist in addressing risk in both proactive and responsive contexts for the Risk, Compliance & Controls Practice – all with the resources, environment, and support to help you excel. 

The ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as revenue cycle optimization, billing, and compliance with regulatory standards.

From day one, you’ll be empowered by the greater Risk team to help clients make the moves that will help them achieve their vision and help you achieve more, confidently.

Your day-to-day may include:

• Review operational, financial, and administrative processes to assess risk, internal control, and the overall effectiveness and efficiency of the process.
• Obtain an understanding of clients’ business, objectives, strategy, operations, processes, IT systems, service providers and controls.
• Actively participate in client engagements from start to completion, which includes planning, executing, and reporting. Common engagements include but are not limited to co-sourced and outsourced internal audit, internal control assessments, enterprise risk management program assessments, tests of control design and operating effectiveness for Sarbanes-Oxley (SOX) and other compliance requirements, and helping clients design and implement internal controls
• Support engagement Manager and/or Senior Manager/Director in project management activities, such as preparing and managing engagement project plans, timelines, budgets, and status reporting
• Supervise, train, mentor Associates and Interns on engagements, assess performance and provide feedback
• Develop and execute internal audit workplans and control test procedures based on engagement scope, and client environment risk factors.
• Apply knowledge of risk and control trends to evaluate findings for significance, risk and develop recommendations 
• Work with project team and client to deliver services in accordance with project leadership and client expectations 
• Other duties as assigned

You have the following technical skills and qualifications:

• Proficiency in EPIC or other EHR system utilization: Demonstrated experience in implementing or working with an EHR system (90% of our clients use EPIC).
• Revenue Cycle: Proven track record of successfully managing projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and operational efficiency.
• Extensive Healthcare Provider Experience: Minimum of 3 years' experience working directly with diverse healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a comprehensive understanding of their unique operational challenges and regulatory environments.
• Familiarity with Regulatory Landscape: Proficient understanding of key healthcare regulations and initiatives, including the No Surprise Act, Price Transparency Regulation, and guidelines set forth by the Office of Inspector General (OIG), ensuring compliance and proactive adaptation to evolving regulatory requirements. 
• Bachelor’s degree in Accounting, Finance, Information Technology, MIS, Business Intelligence, or related field required
• CIA, CPA, CISA, Six Sigma, or related license/certification preferred
• Experience with Sarbanes-Oxley Section 404 is a plus
• Experience assessing the design and operating effectiveness of enterprise or operational risk management programs, and/or entity-level and business process controls for Internal Audit, or other risk management, compliance, and assurance activities
• Proficiency in data analytics and Power BI is a plus.
• Understanding of COSO Internal Control – Integrated Framework (2013), the Institute of Internal Auditors International Professional Practices Framework (IIA IPPF), and/or current focus areas of external financial statement auditors (completeness and accuracy of key reports, level of precision, etc.)
• Ability to execute multiple engagements and completing priorities in a rapidly growing team environment 
• Exceptional client service, communication, analytical, organizational and project management skills
• Strong computer skills, including proficiency in Microsoft Visio and Office Suite applications
• Can travel as needed

The base salary range for this position in Los Angeles, Orange County and San Diego only is between $95,000 to 142,600. 

The base salary range for this position in San Francisco and San Jose only is between $101,200 to $151,800. 

 #LI-RS1 #Hybrid  

Salary : $95,000 - $142,600