Audit Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and manage TrueScripts’ extensive audit program.

• Create an annual audit calendar that encompasses regulatory, client, vendor, internal, and other necessary audits.

• Facilitate audits from start to finish until final resolution.

• Formulate audit plans, timelines, evidence requests, testing strategies, and deliverables.

• Keep centralized records of audit requirements, evidence, findings, responses, and remediation activities.

• Track audit deadlines and pinpoint risks that could impede successful completion.

• Establish uniform audit processes, standards, templates, and controls.

• Manage regulatory and healthcare-related audits, such as Market Conduct Audits and relevant state and federal examinations.

• Collaborate with Compliance and Legal teams to interpret audit requirements and prepare organizational responses.

• Coordinate client audits and information requests, ensuring responses are complete and consistent.

• Carry out internal audits, process reviews, and control evaluations based on risk and regulatory standards.

• Monitor audit findings and corrective action plans, identify root causes and target dates, track remediation, and escalate overdue or high-risk issues.

• Assist with claims and PBM audits involving claims configuration, adjudication, pricing, eligibility, benefits, reporting, prior authorization, and pharmacy networks.

• Develop checklists for audit readiness and establish documentation standards.

• Enhance and automate processes for evidence collection, testing, reporting, audit tracking, and workflows.

• Lead and mentor audit team members as the function expands.

• Foster relationships with business leaders and act as a trusted audit advisor.

• Encourage accountability, transparency, continuous improvement, and risk awareness.

⛳️ Requirements

• Bachelor’s degree or equivalent demonstrable experience in Accounting, Finance, Business, Healthcare Administration, Compliance, or a related field.

• Over 5 years of experience in auditing, compliance, healthcare operations, PBM, insurance, or a related field.

• Proven experience managing audits from planning through to final resolution.

• Familiarity with regulatory and client audits, ideally within the healthcare sector.

• Strong knowledge of audit methodologies, internal controls, risk assessment, and corrective action processes specific to healthcare audits.

• Ability to evaluate complex operational processes and identify risks and control gaps.

• Excellent project management and organizational capabilities.

• Outstanding written and verbal communication skills.

• Capacity to manage multiple audits, competing priorities, and stringent deadlines.

• Understanding of and compliance with Confidentiality and Personal Health Information (PHI) Guidelines.

• Ability to sit, use hands and fingers, and type for up to eight hours during a workday.

🏝️ Benefits

• A diverse selection of health insurance options, including medical, dental, and vision coverage.

• A competitive salary accompanied by a bonus program.

• A comprehensive 401k plan with company matching.

• Participation in an Employee Stock Ownership Plan (ESOP) with annual stock allocations through a qualified retirement plan.

• A wellness program that offers financial incentives, chiropractic and massage services, as well as fitness stipends.

• A supportive, family-oriented culture.

• Opportunities for charitable contributions and volunteer time.

• Numerous celebrations throughout the year.

• A flexible “8-5” workweek.