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Manager - External Audit at Government Employees Health Association, Inc.. Location Information: USA. This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.. Role Description. The Mgr – External Audit will lead a variety of audits and advisory engagements and will directly supervise the claim audit team members and external third-party auditors. The role will include:. Leading audits and presenting audit findings . Assisting the Audit Coordinator in monitoring and managing findings from recurring claims quality assurance audits . Identifying root causes and offering recommendations for positive change . Conducting audit planning and supervising fieldwork . Ensuring compliance with Global Internal Audit Standards and G.E.H.A Internal Audit methodologies . Providing expertise in the review, research, and analysis of claim exceptions . Delivering training to less experienced team members . Adhering to corporate policies and professional ethical standards . Communicating with G.E.H.A employees, management, vendors, and contractors . Qualifications. Requires a college degree (BA/BS) from an accredited college/university . 5 to 8 years of relevant audit and/or claim processing experience . 3 or more years of leadership experience . Superior analytical, research, and critical thinking skills . Project, organizational, and time management skills . Leadership skills with the ability to motivate and influence . Strong verbal, written, and interpersonal communication skills . Proficiency in Microsoft Office Applications (Excel is critical) . Working knowledge of claims processing, medical terminology, and medical codes . Knowledge of claim system configuration, Claims (Medical/Dental), Enrollment, or Internal Operations functions . Ability to work independently and prioritize workflow . Requirements. Experience with data analytics software and tools preferred (e.g., IDEA, PowerBI, SQL) . Ability to provide a non-cellular High Speed Internet Service for a home office . Minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) . Latency (ping) response time lower than 80 ms . A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information . Benefits. Competitive pay/salary ranges . Incentive plan . Health/Vision/Dental benefits effective day one . 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution . Robust employee well-being program . Paid Time Off . Personal Community Enrichment Time . Company-provided Basic Life and AD&D . Company-provided Short-Term & Long-Term Disability . Tuition Assistance Program