Director Audit Services Health Plan

 
Position: Director Audit Services Health Plan

Job ID: 164100

Location: US-TX-Houston

Department: TCHP AUDIT

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a-5p

About Texas Children's Hospital

The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health.  Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women.  We are an Integrated Community System providing holistic care that empowers families to live healthier lives.    To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  At Texas Children’s Hospital, diversity, equity, and inclusion are at the core of our values and mission for the women and children that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Summary:

We are searching for a Director of Audit Services -- someone who works well in a fast-paced setting. In this position, you will direct and manage the Internal Audit function at Texas Children's Health Plan (TCHP).  Identifies assesses and evaluates financial, operational, compliance, and information systems risks while also proposing solutions and/or recommendations to assist TCHP in the decision-making process to minimize or eliminate those risks.  Further, to assist Management and the Audit & Compliance Subcommittee of the Board of Trustees in the decision-making process by proposing solutions and/or recommendations to minimize or eliminate risks.

 

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Responsibilities :

  • Directs and manages the TCHP Internal Audit function based on industry best practices and in accordance with the Institute of Internal Auditor’s International Professional Standards for the Practice of Internal Audit
  • Ensures appropriate allocation of existing audit resources for adequate audit coverage and completion of the TCHP Annual Audit Plan
  • Obtains the Audit & Compliance Subcommittee of the Board of Trustees’ approval of the annual TCHP Audit Plan
  • Provides quarterly updates to the Committee regarding the status of the TCHP Audit Plan and communicates factors that could impact the completion of the plan or necessitate revisions to the annual TCHP Audit Plan.
  • Manages, coordinates, and assists internal auditors in conducting independent Health Plan audits. Ensures preparation of a scope memorandum, audit work program, an audit report for each assigned project as evidenced by weekly staff meetings, submission of weekly time budgets, monthly reports, and observation of Director
  • Responsible for conducting health plan-wide annual risk assessment to use as the basis for the annual TCHP Audit Plan
  • Considers TCHP Leadership’s input, industry concerns, and Executive Management’s goals in conducting the risk assessment and developing the TCHP Audit Plan
  • Reviews audit work papers, findings, recommendations, and reports within one week of auditor’s completion to ensure that they are adequate, comprehensive, and accurate based on the scope memorandum and approved work program, as well as in accordance with Generally Accepted Auditing Standards
  • Ensures that audit and consulting results are communicated to Executive Management and the Audit & Compliance Subcommittee of the Board of Trustees on a timely basis
  • Keeps the Committee informed of risks within the system.
  • Conducts follow-up to determine whether identified findings have been resolved and that corrective action has occurred to minimize risks
  • Quarterly, communicates the status of previous significant audit recommendations to the Audit & Compliance Subcommittee of the Board of Trustees
  • Seeks Committee and Executive Management’s acceptance of risks for recommendations that remain unimplemented within established timelines
  • Establishes and maintains a Quality Assurance (QA) and Improvement Program that covers all aspects of the internal audit activity (e.g., independence, planning, supervision, staff development and training, reporting) and will continuously monitor the QA program for its effectiveness
  • The program will include periodic internal and external quality assessments and ongoing internal monitoring
  • Each part of the program should be designed to help the internal audit activity add value and improve TCHP operations and provide assurance that the internal audit activity is in conformity with professional standards and the Code of Ethics
  • Presents audit findings in the form of an Audit Report or Audit Memorandum which clearly identifies the findings, the risk assessment, and the proposed solution. The final Audit Report should contain the auditee’s response regarding a proposed solution to the finding. Audit Reports should be communicated to the Director for submission to Senior Management within 3 weeks of the closing conference with the auditee
  • Prepares Annual Report of Health Plan Audits to be presented to Assitant Vice President by January 1 of each year, identifying completed audits, significant findings, and proposed or actual resolution


Qualifications:

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption
  • Required Bachelor's Degree. Preferred Bachelor's Degree in Accounting or related field or other Advanced degree
  • 8 years Audit, finance, or related business experience, including at least two (2) years of formal management/supervisory experience
  • Certified Internal Auditor (CIA), Certified Fraud Examiner (CFA), or Certified Public Accountant (CPA) preferred.


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