8 audit manager jobs found in Detroit, MI

SUMMARY:  The Manager, HEDIS Data & Analytics will oversee activities in support of HEDIS data management including HEDIS rate generation, oversight of the HEDIS vendor, collaboration with IT teams, and HEDIS audit support. This position is responsible to plan, organize, direct, control, and lead the assigned business unit.  ESSENTIAL DUTIES AND RESPONSIBILITIES:  • Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication.  • Executes function/area objectives that support continuous improvement.  • Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees.  • Responsible for special projects and/or problem resolutions.  • Provides effective and efficient solutions to complex business problems.  • Provides high level oversight and leadership.  • Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches...

Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit...

The Enterprise Security Officer II position is an essential member of the enterprise security team and is focused on providing a safe, secure, and friendly environment for all individuals on our property.  The primary duties of a security officer II consist of Security Officer I responsibilities in addition to enterprise command center responsibilities.  Individuals in this position must be professional in their appearance and conduct and assist in the enforcement of corporate policies, guidelines, procedures, rules, regulations, laws, and ordinances. The security officer II will protect BCBSM property against damage, fire, theft, trespassing, and illegal or unauthorized entry. They will also provide an emergency response for major events and provide high quality customer service and educate stakeholders to take an active role in maintaining a secure workplace.  The Security Officer II must remain calm under pressure and can make decisions quickly to protect people or property...

The Executive Assistant will provide high-level administrative and operational support to the Senior Vice President, General Auditor, and Chief Compliance Officer. This position plays a key role in ensuring the efficient management of day-to-day activities within the Audit and Compliance functions. The individual will handle a variety of administrative tasks, manage complex calendars, prepare professional communications and documentation, and coordinate department operations.   This role will also assist with supporting meeting logistics, materials preparation, and follow-up actions associated with Audit Committee of the Board of Directors. The ideal candidate is highly organized, detail-oriented, and capable of handling confidential information with discretion and professionalism.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Provide executive-level administrative support including calendar management, travel...

Responsible for serving as an internal control consultant conducting internal corporate and information technology (IT) and system audits and reviews of business processes and supporting vendors. Provides risk education and project risk assessment to mitigate risk and assess the control environment of each auditable unit. Develops and communicates risks and recommended controls for multiple layers of leadership. Conduct internal audits and reviews to identify risks, document established controls to mitigate risk and assess the control environment of each auditable unit. Identify datasets/sources that are relevant to the audit and connect risks to data. Communicate issues, audit results, and recommendations in a clear and concise manner to appropriate levels of operating and/or Information Technology management, including activity updates to the Audit Committee of the Board of Directors. Assist in the development of the annual audit plan through risk universe...

We are seeking a highly skilled and strategic Accounting Manager to lead complex accounting operations related to healthcare facility and provider contracts, with a focus on Non-Claim Benefit Expenses (NCBE), Medical Loss Ratio (MLR) impacts, self-funded group billings, and provider risk arrangements within our Controllership organization (Enterprise Accounting). This role requires a strong technical accounting foundation, deep understanding of GAAP and healthcare statutory principles, and proven leadership in managing teams and collaborating across departments and executive leadership. The ideal candidate will bring a blend of analytical rigor, operational excellence, and interpersonal effectiveness to drive governance, accuracy, and efficiency in high-risk accounting areas. Key Responsibilities Lead and oversee accounting for facility and provider contracts with unique risk and NCBE structures, ensuring compliance with GAAP and healthcare statutory requirements. Establish...

Seeking highly experienced and results-driven Retirement Benefits manager to develop and lead a team focused on delivering exceptional customer service through operational excellence.  The ideal candidate is a strategic thinker with strong background in retirement plan compliance, project management, and proven leadership skills.  Key responsibilities will include modernizing/transforming retirement processes, fostering a high-performing team culture, and driving continuous improvement to achieve the organization’s objectives. Assess business challenges and opportunities related to retirement programs and employee experience and pioneer solutions to improve outcomes and enhance overall experience. Foster individual development through continuous learning, providing opportunities for team members to acquire new skills, and providing timely coaching and feedback. Maintain strategic partnerships with vendors to ensure delivery of services that meet or exceed the established...

Responsible for serving as an internal control consultant conducting internal information technology (IT) audits and reviews, providing risk education and project risk assessment on behalf of the corporation to mitigate risk and assess the control environment of each auditable unit.  Develops and communicates risks and recommended controls for multiple layers of leadership.  Provides guidance for lower level Corporate and IT audit staff. Conduct internal audits and reviews to identify risks, document established controls to mitigate risk and assess the control environment of each auditable unit. Communicate issues, audit results, and recommendations in a clear and concise manner to appropriate levels of operating, IT, and executive management, including activity updates to the Audit Committee of the Board of Directors.  Assist in the development of the annual audit plan through risk universe identification. Facilitate project risk assessments and lessons learned...