Regular
Exempt
GENERAL DESCRIPTION:
Responsible for performing information system and technology audits, including complex audits of IT infrastructure, processes and applications, and providing technology-driven solutions. Oversees the completion of all audits and special projects, such as the National Association of Insurance Commissioners (NAIC), the Information Technology (IT) Audit Plan, and ad hoc initiatives within established timeframes and budgets. Participates in developing the Annual Internal Audit Plan and advises management on risk-related matters within assigned areas of responsibility. Consistently upholds organizational and professional ethical standards.
ESSENTIAL FUNCTIONS:
Plan, perform, and oversee complex IT audits and special projects, including IT Operational Audits, NAIC Model Audit Rule (MAR) compliance, and ad hoc initiatives, ensuring timely and cost-efficient completion.
Conduct comprehensive audits of IT systems, infrastructure, processes, and applications to assess risk, control effectiveness, and compliance with HIPAA and delegated entity requirements.
Identify, evaluate, and provide key insights on IT risk areas, supporting the development of the Annual Internal Audit Plan and advising management on risk-related matters.
Assess financial, operational, and compliance risks affecting system design, data integrity, and process efficiency; commend practical, cost-effective solutions.
Perform advanced data analysis to validate system information and generate actionable reports for senior management.
Deliver clear, accurate audit reports and presentations with actionable recommendations, serving as a technical advisor on IT risk and control matters.
Maintain strong collaboration and communication with management, project teams, and other stakeholders to support audit objectives.
Represent Internal Audit in organizational projects, management meetings, and professional forums, upholding organizational and professional ethical standards.
Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.
Minimum Qualifications
Education and Experience: Bachelor's degree in Business Administration with a concentration in Information Systems, Computer Science. A Bachelor's degree in accounting is a plus. At least four (4) years of experience performing internal and external audits in compliance with standards established by IIA (Institute of Internal Auditors), AICPA (American Institute of Certified Public Accountants), and ISACA (Information Systems Audit and Control Association). Experience conducting testing and documenting processes, preferably within the Health Insurance industry.
Certifications / Licenses: CISA (Certified Information Systems Auditor), CRISC (Certified in Risk and Information Systems Control), or any similar certification is required. Other: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or Certified Fraud Examiner (CFE) preferred.
Languages:
Spanish – Advanced (comprehensive, writing, and verbal)
English – Advanced (comprehensive, writing, and verbal)
"MCS Healthcare Holdings, LLC. (MCS) is an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS is a participating E-Verify employer."
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