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    Financial Risk Analyst - Philadelphia, United States - Community Behavioral Health.

    Community Behavioral Health.
    Community Behavioral Health. Philadelphia, United States

    3 weeks ago

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    Description

    Job Description

    Job Description

    Position Overview: The Financial Auditor will work collaboratively and independently to evaluate the organization's internal controls, including its governance and accounting processes. These audits will ensure compliance with applicable laws, regulations and CBH policies and procedures and will help to maintain accurate and timely financial reporting and data collection. In addition, the Financial Auditor will review processes and assist in determining strategies and controls that resolve any issues, improve productivity and drive business objectives.

    Core Expectations:

    Community Behavioral Health (CBH) will hold each employee accountable for the following expectations which align with our mission, vision, and corporate code of conduct.

    • Perform key responsibilities as detailed in this job description in a dependable, responsible, and positive manner, consistent with all state and federal guidelines.
    • Serve as a role model by exemplifying professional behavior, language, skills, and attire to serve the needs of stakeholders promptly and accurately, members and their families.
    • Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost-effective manner.
    • Promote and manage diversity and acceptance within CBH and with all members and stakeholders by honoring and respecting their individuality, dignity, and rights.
    • Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs.
    • Actively participate in required meetings and complete all mandatory trainings.
    • Maintain high levels of advocacy and member confidentiality to ensure the success of CBH and our mission.
    • Assist in assuring both internal and external program integrity by being alert to and reporting suspected instances of provider and employee fraud, waste, or abuse.

    Essential Functions:

    • Demonstrates the ability to quickly assess and analyze complex subject matter and apply strong analytical skills and business knowledge in assessing processes, risks, and controls.
    • Evaluates records, documents, methods, policies, costs, and other factors to determine if functional areas are conducting operations in accordance with established policies/procedures, best practices, United States Generally Accepted Accounting Principles, and governmental and legal requirements. Able to quickly grasp risk areas and identify remediation tactics.
    • Executes aspects of the standard internal audit process, which includes planning, execution and reporting out to leadership.
    • Applies appropriate audit procedures to the areas reviewed to ensure that controls are tested, and all significant risks are addressed.
    • Prepares clear and well-organized audit work papers documenting root-cause, work performed, investigation summaries, and recommendations.
    • Formulates appropriate conclusions and clearly documents findings based on testing results.
    • Astute and experienced at evaluating levels of financial risk.
    • Lead or assist in review of provider financial records as needed in partnership with Finance and/or Compliance.
    • Provider audits can include assessing the need for repayment plans, submitted budgets as it relates to rate requests/setting, and/or assisting in determining the potential for provider fraud, waste, or abuse.

    Position Requirements:

    • Education: Master's degree preferred. Bachelor's degree required Finance, Accounting, or related fields.
    • CPA, or CIA designation
    • 5-7 years' experience in Finance, Accounting, or related field. Managed Care experience highly desirable and/or experience auditing or monitoring.
    • Skills:
    • High level proficiency with Microsoft Office applications
    • Excellent written and verbal communication skills
    • High comfort level with public speaking and training
    • Knowledge of Medicaid regulations and requirements
    • Demonstrated significant compliance and/or quality assurance experience in a healthcare organization or consultancy firm supporting healthcare clients
    • Detail-oriented and highly organized
    • Ability to work effectively with all levels of staff
    • Ability to manage ongoing projects and prioritize appropriately to meet deadlines

    Philadelphia Residency Requirement:

    • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

    Equal Employment Opportunity:

    • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

    Requesting An Accommodation:

    • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
    • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at
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