6 senior internal auditor jobs found in Detroit

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...

This position is responsible for conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, Par Plans and contractors of the company. Conduct audits/reviews of BCBSM, its subsidiaries, vendors, suppliers, Par Plans and contractors of the company which include identifying risks and controls to mitigate risks, testing of controls, writing audit reports and conducting exit conference meetings.  Conduct various audit and administrative projects on behalf of the corporation to assess the control environment of each audit unit under minimal supervision within assigned time and budget deadlines.  Leads and/or participates in divisional or departmental infrastructure projects per year. Communicate the results of audits and/or projects to management (includes senior management) or Par Plans and subsidiaries.  Assist in the development of the annual audit plan.  Maintain knowledge and comprehensive...

Join Blue Cross Blue Shield of Michigan as a Senior Financial Analyst- Financial Reporting and help support accurate, timely, and well-informed financial reporting that drives business decisions and regulatory compliance. In this role, you’ll contribute to statutory and GAAP financial reporting, regulatory deliverables, audit support, account reconciliations and variance analysis while collaborating with finance partners, leadership, auditors, and key stakeholders. This is an opportunity to apply your financial expertise, attention to detail, and analytical mindset in a role that supports the integrity of critical financial information across the organization. Prepares financial information and reviews for accuracy and completeness.  Performs detailed analysis when necessary. Other deliverables may include account reconciliations, impact studies, audit findings, budgets and business cases.  Assists with the preparation of various financial or regulatory reports and/or...

Responsible for the completion of assignments for the coordination of the Quality Management Program through problem identification, development and coordination of QM studies, investigation of quality-related member and practitioner inquiries, and plan compliance with state and federal regulations and accrediting bodies.  Measures and analyzes results of QI activities, recommends interventions, and conducts follow-up. Collaborates with Care Management, Customer Services, Provider Affairs, and other departments to provide rapid and thorough identification, investigation and resolution of member, practitioner, and provider quality related issues. Works with plan Medical Director on development and revision of Clinical Practice Guidelines.  Assists management with the revision of Quality Management policies. Develops, maintains, and enhances reporting methods to identify trends in physician and member behavior.  Completes applicable...

Responsible for assisting in the continuous improvement and maturity of the data analytics program within BCBSM Internal Audit and assisting with other day-to-day operational responsibilities of the Audit data analytics team. Performs analytics to identify issues, risks, and trends to assist from audit planning through execution, including data mining, profiling, script creation, and dashboard creation. Provide support to Internal Audit teams by creating automated testing and conducting continuous monitoring through the use of CAATs and other analytic tools. Perform data querying, manipulation, data set testing, and create scripts or data visualizations on large data sets using the various tools. Lead analytics projects and teams to identify key risk and performance metrics utilizing testing scripts and data visualizations. Assist in the enhancement of the Internal Audit’s data analytics program’s maturity and strategic direction to support audit operations....

Departmental Summary: This position supports Medicare Part D pharmacy quality and medication adherence initiatives through data analysis, reporting, dashboard development, and operational support. Responsibilities include analyzing healthcare data, monitoring quality measures, providing actionable insights to business and clinical partners, and supporting initiatives that improve CMS Star Ratings. Required Skills and Qualifications: • Strong experience developing complex SQL queries and analyzing large healthcare datasets, including pharmacy claims, medical claims, membership, and provider data. • Proficiency in Python for healthcare analytics, reporting, process automation, and data quality validation. • Experience in writing and maintaining Spark SQL and Python code in Databricks to support process automation and data analytics • Familiarity with SAS programming for data manipulation, reporting, and analytics. • Strong Tableau experience in...