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Directs the Internal Audit Department and provides managerial oversight for reviewing and appraising the soundness, adequacy, compliance, and cost effectiveness of operational and financial controls and audits. Establishes and implements work standards and procedures for the inspection and appraisal of financial and operational records and controls. Typically requires a minimum of a college degree in a related field and an in-depth understanding of internal audit. Frequently requires an advanced degree.: Provides planning, organizing, and budgeting for the department. Performs risk analyses and evaluation of controls, including assessing the impact of control deficiencies. Provides oversight of departmental training and auditing activities. Prepares audit reports and makes recommendations to improve internal controls, business processes, and financial accounting. Monitors departmental operations to ensure compliance with regulatory agencies. Develops strategic initiatives and transforms initiatives into action plans. Hires, trains, and motivates a qualified management staff. Participates in sensitive or complex audit engagements. May participate in financial due diligence for potential acquisitions. May work with and coordinate an external audit organization to perform substantive year-end audit.

Audit Supervisor

Supervises and reviews work of the audit staff. Organizes and directs team of auditors involved in auditing projects for private business enterprises, interacts with other agencies as required, and reviews unusual or contested audit reports. Ensures that reviews are completed in compliance with the organization’s Audit Department and Institute of Internal Auditor standards.: Conducts initial and exit interviews with representatives of large firms. Oversees audit planning, field work, and audit reporting. Instructs audit team in the preparation of required paperwork, administrative regulations, security procedures, and general audit procedures. Enforces established policies and regulations. Prepares the annual team audit plan and establishes priorities of assignments. Reviews, at various stages of audit and points of completion, all work done by audit team members for completeness, accuracy, and compliance with established standard policy requirements and procedures. Reviews the application of Generally Accepted Accounting Principles and Generally Accepted Auditing Procedures in the analysis of taxpayer records for audits performed within the team. Reviews and authorizes the use of various audit techniques and procedures tailored to the individual business records and the specific business activities of the taxpayer. Educates business managers in computing and reporting taxes due by explaining legal requirements, rules, regulations, procedures, and ordinances of the city and other agencies involved. Performs research, prepares reports, and communicates findings and recommendations to line and senior management. Controls consulting engagements that evaluate corporate management and operating practices. Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service. Oversees the development of audit staff and the completion of performance evaluations.

EDP Audit Manager

Manages the auditing examination and analysis of electronic data processing (EDP) records of an establishment, and prepares reports concerning documentation and operating procedures. Manages operation of reviewing data regarding material assets, net worth, liabilities, capital stock, surplus, income, and expenditures. Develops audit programs and reviews systems operations, controls, and security guidelines. Typically reports to a director and has supervisors reporting to it; however, in smaller companies the manager may be the first level supervisor over subordinate staff.: Inspects items in books of original entry to determine if proper procedure in recording transactions was followed. Reviews systems and those who have access to computerized records. Provides advice to others regarding security procedures and internal controls. Prepares EDP audit function activity reports for upper management.

Claims Quality Audit Manager

Supervises and facilitates the coordination and scheduling of all external claims audits conducted by customers, audit firms, external vendors, and regulators. Assists in the preparation of audits and management of the audit process. : Notifies appropriate parties of the audit and schedules entrance and exit conferences. Develops tools to assist staff in effectively coordinating audits and holds staff meetings as needed. Reviews customer contracts for audit rights, and prepares necessary audit confidentiality agreements and Par Plan addendum agreements. Supervises the obtaining and reviewing of claim samples and documentation. Ensure all HIPAA requirements applicable to the job are met. Directs and oversees analysis of requested data in order to minimize organization's risks. Ensures data integrity. Assures that auditors have a positive experience. Reviews findings and responses for adequacy and appropriateness. Reviews draft and final audit reports from auditors. Prepares responses to report findings. May travel to other claims audit locations as needed.

Claims Quality Audit Director

Directs the Claims Quality Audit Department and provides managerial oversight to employees engaged in claims auditing and training. Approves department policies, practices, and procedures to ensure identification of claims processing errors. Provides planning, organizing, and budgeting for the department. Typically requires a college degree in a related field and an in-depth understanding of claims auditing.: Provides oversight of departmental training and auditing activities. Monitors departmental operations to ensure compliance with regulatory agencies and contractual obligations. Develops strategic initiatives and transforms initiatives into action plans. Hires, trains, and motivates a qualified management staff. Oversees the development of training programs that are targeted toward error reduction and decision quality in claims processing. Analyzes audit and training reports to determine department effectiveness.

Claims Quality Audit Supervisor

Supervises employees engaged in claims auditing and training. Implements claim auditing department policies, practices, and procedures to ensure identification of claims processing errors. Typically requires prior experience as a Claims Processor or Adjudicator and an in-depth understanding of claims auditing.: Supervises auditing activities by monitoring weekly backlogs, distributing audit assignments based on work loads, and reviewing and responding to audit inquiries. Responds to error rebuttals from Claims Processors or Adjudicators. Assists in hiring, training, coaching, and evaluating performance of assigned staff. Contributes to the development of training programs that are targeted toward error reduction and decision quality in claims processing. Monitors training programs to evaluate effectiveness.

EDP Audit Supervisor

Supervises those who audit and analyze electronic data processing (EDP) records of an organization and assists in preparation of reports concerning documentation and operating procedures. Supervises employees who review data regarding material assets, net worth, liabilities, capital stock, surplus, income, and expenditures. This position typically reports to a manager and is the first level of supervision in the organization.: Inspects items in books of original entry to determine if proper procedure in recording transactions was followed. Reviews systems and those who have access to computerized records. Recommends measures to improve methods, performance, and quality of product or service, and suggests changes in working conditions to increase efficiency. May hire, train, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action.

Economic Analyst Senior

Plans, designs, and conducts research to aid in interpretation of economic relationships and in solution of problems arising from production and distribution of goods and services. Studies how society distributes scarce resources such as land, labor, raw materials, and machinery to produce goods and services. Conducts research, collects and analyzes data, monitors economic trends, and develops economic forecasts. Utilizes mathematical models to help forecast answers to economic questions. Studies economic and statistical data in area of specialization. Typically requires a master's degree in the field of economics; however, some organizations may accept equivalent education and experience combined.: Devises methods and procedures for collecting and processing data, utilizing knowledge of available sources of data and various econometric and sampling techniques. Compiles data relating to research area, such as employment, productivity, and wages and hours. Reviews and analyzes economic data in order to prepare reports detailing results of investigation, and to stay abreast of economic changes. Organizes data into report format and arranges for preparation of graphic illustrations of research findings. Formulates recommendations, policies, or plans to aid in market interpretation or solution of economic problems, such as recommending changes in methods of agricultural financing, domestic, and international monetary policies, or policies that regulate investment and transfer of capital. May supervise and assign work to staff. May testify at regulatory or legislative hearings to present recommendations.

Lobbyist Senior

Represents a major client, usually at the national level, and provides strategic policy direction, and lobbies for client's interests on issues of major importance. Contacts and confers with members of legislature and other holders of public office to persuade them to support legislation favorable to client's interest. Studies proposed legislation to determine possible effect on interest of client, who may be a person, specific group, or general public. May direct lower level lobbyists.: Confers with legislators and officials to emphasize supposed weaknesses or merits of specific bills to influence passage, defeat, or amendment of measure, or introduction of legislation more favorable to client's interests. Contacts individuals and groups having similar interests in order to encourage them also to contact legislators and present views. Prepares news releases and informational pamphlets and conducts news conferences in order to state client's views and to inform public of features of proposed legislation considered desirable or undesirable. Plans and coordinates meetings between members and elected officials to discuss legislative issues and proposals and allow officials to respond to membership concerns. May contact regulatory agencies and testify at public hearings to enlist support for client's interests. May be legally required to register with governmental authorities as lobbyist and to submit reports of regulated expenditures incurred during lobbying activities. May attend and represent local organization at state and national association meetings. May instruct individuals or organization members in lobbying techniques.

Insurance & Senior Benefits Clerk

Specializes in a more complex aspect of the Benefit Clerk duties. Requires more in-depth knowledge of benefit programs, company policies, and administrative procedures than the Benefit Clerk. This is a paraprofessional job and excludes jobs whose responsibilities typically require a four-year college degree.: Researches, analyzes, and integrates data to provide information on benefits and group insurance programs and utilization. Duties may involve identifying needs for modification or changes in program design and administrative procedures. Records employee enrollment in benefits. Explains and interprets more complex aspects of company insurance programs to employees and dependents. Answers more complex questions regarding benefits, such as pension and retirement plan, and group insurance, such as life, hospitalization, and workers' compensation. Fills out application forms or verifies information on forms submitted by employees. Mails applications to insurance company. Files records of claims and fills out cancellation forms when employees leave company service. May make employee presentations on benefit programs. May correspond with or telephone physicians, hospitals, and employees regarding claims. May perform complex aspects of benefit accounting and reconciliation.

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