Internal Auditor l

About us:

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief summary of purpose:

The Internal Audit Department (IA) at Fallon Health is committed to protecting Fallon Health by conducting independent and objective internal audits and assessments of its operational, financial and compliance controls. IA reports administratively to the Chief Compliance Officer and functionally to the Audit & Compliance Committee and plays a key role in auditing risks identified in the organization. The Internal Auditor plays a key role in th execution of the annual audit plan. 

Primary Job Resonsibilities: 

• The primary focus of this role will be to assist the department on audits, projects, as well as special requests.
• Perform all aspects of audits following departmental standards and procedures.

The Internal Auditor will perform or assist in the following:

• Supports the internal audit department by participating in a wide variety of audits such as: Model Audit Rule (MAR – internal controls), financial and operational internal audits, claims testing for payment and financial accuracy, and other special projects as assigned. Gathers and analyzes data through a variety of methods including interviews, financial research, etc. This consists of testing key controls, analyzing data to form reasonable conclusions, and preparing audit reports.
• Assist in developing and presenting findings and recommendations based on audit work performed to improve internal controls and other financial and operational processes. This includes drafting the scope, objectives, risks, and issues identified, recommendations and management action plans by working under the direction of the Lead Auditor or Audit Manager.
• Prepare detailed work papers for each project assigned.
• Analyze data obtained for evidence.
• Interacts and communicates with business process owners and upper-level management as needed during internal audit activities. Learn and apply Internal Audit’s established policies, procedures, and work paper standards.
• Manage time effectively and efficiently to ensure assigned work is completed within established time frames.
• Develop and maintain technical audit skills through performing research and attending industry relevant training courses.
• Ability to work in a fast-paced environmen t and can readily adapt to changes within the organization or department.

Education:  Bachelor's degree in accounting, finance, or business administration is preferred

License/Certifications:  Willingness to pursue a CIA-Certified Internal Auditor certification, or industry certification

Experience: 

Entry-level to 2 years of audit or industry accounting experience.
Possesses a high degree of integrity and confidentiality based on exposure to personal and confidential information.
Strong interpersonal, analytical, and organizational skills

COVID-19 Vaccination:

With the end of the Global Coronavirus COVID-19 Pandemic, Fallon Health no longer requires all employees to be vaccinated against COVID-19 except for employees who are in jobs that under state and federal laws, regulations and policies are required to be vaccinated and/or they are in Member/participant facing positions.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.