Imagine360 is currently seeking an Internal Auditor to join our team! This Internal Auditor uses a systematic, disciplined approach to review and evaluate the effectiveness and efficiency of Imagine360 operations, processes, controls and practices, as well as related procedures, according to the approved audit plan.
It provides Imagine360 management with objective recommendations of process improvements designed to add value to Imagine360's customers/stakeholders, improve operations, and enhance organizational internal controls.
This position requires a comprehensive understanding of the overall operation and interrelationships within the organization.
Position Location: 100% Remote
Responsibilities include but are not limited to:
The audit team is compiled of call center auditors, claims, and claim registration auditors, and eligibility auditors.
There will be regularly assigned duties, however, flexibility within the department may be required based on organizational needs.
Develops the scope for operational, implementation, renewal, and internal controls audits, selecting/developing appropriate audit steps necessary to promote effective audit coverage.
Responsible for reviewing and assessing processes, controls, practices, and related procedures according to approved audit plans for selected areas of the organization to ensure legal compliance and consistency of internal controls.
Proposes value-added recommendations to improve the effectiveness and efficiency of operational and management processes and system controls.
Collects and analyzes results of audits to identify discrepancies between work processes and documented standards, deficient controls, root causes of non-conformance, or non-compliance with laws, regulations, or plan documents.
Conducts ad-hoc investigations and reviews as requested by management.
Coordinates with external and client auditors to ensure data and information is provided to and received from auditors and auditing entities; provides timely response to audit reports and completes overviews for management review.
Maintains integrity of data within Internal Audit database; develops and runs a variety of database reports for internal and external reporting requirements, and ad hoc reports as requested.
Required Experience/Education:
High School Diploma/GED Required
2+ years of claims, eligibility or related industry work experience.
Preferred Experience/Education:
Two-year associate degree
What can Imagine360 offer you?
Multiple Health Plan Options, including a 100% Employer Paid Benefit Options
100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives
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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise.
Over the years, we've helped thousands of employers save billions on healthcare.
Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role.
Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited, and no fee will be payable.
Thank you for your cooperation**
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