Senior External Audit Analyst_COMP

Senior External Audit Analyst


Senior External Audit Analyst

Who are we?
Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.

As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.

See how you can make a difference with the support of strong leadership and a team environment.

See Everything, Be Anything™.

What are we looking for?
The Senior External Audit Analyst, reporting to the Senior Manager of Compliance Audit plays a critical role leading and coordinating regulatory and client-driven operational and financial audits. This position operates with a high degree of independence and serves as a liaison between internal operational units and external regulators, clients, and auditors. The analyst is responsible for ensuring audit readiness, facilitating audit engagements, and driving successful outcomes through proactive collaboration with internal stakeholders.

Where you will have an impact
Manage external audits from initial request through to client reporting.
Evaluate audit scope letters, audit tools, samples and other requested items to ensure clear understanding of the requests and deliverables.
Conduct follow-up as necessary with Client Management and clients to clarify any issues with the audit request.
Communicate with the responding operational areas to obtain detailed responses to audit requests/findings.
Ensure that documentation is responsive to the audit request, including being comprehensive of all required data or information; follow-up with operational areas as necessary.
Ensure responses are received timely and escalate past due responses as necessary.
Prepare materials, as necessary, prior to submission to the external auditors.
Obtain, review and/or prepare audit responses for inclusion in draft and final reports.
Act as the subject-matter expert to the organization for ODAG / SARAG CMS audit activities, including mock audits.
Act as the subject-matter expert to the organization for regulatory audits conducted for state-specific lines of business, including Departments of Insurance, Departments of Health, Medicaid Agencies and OIG.
Deliver training and feedback to staff and business process owners on audit facilitation and related processes.
Document observations and their root cause and make recommendations for corrective action.
Communicate audit results and support the development of the company’s response to report issuance.
Act as a liaison with the Program Manager for the monitoring and validation of corrective action plans (CAPs)
Prepare departmental reporting to internal and external customers.
Interface with clients and regulatory bodies as needed.
Conduct or participate in special projects, programs and requests as needed.
Other duties as assigned

What’s necessary to do the job?
Bachelor’s in business administration, management, healthcare administration, finance, accounting, or related field or equivalent combination of education and experience
Minimum of three (3) year of related experience in quality, compliance or regulatory audit
Knowledge and experience in the insurance, health, or vision care industry preferred
Knowledge and experience with Centers for Medicare & Medicaid Services (CMS)
Certified Internal Auditor (CIA), active Certified Public Accountant (CPA), or other relevant certification preferred.

HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diver