1. Plans, organizes, and conducts confidential investigative audits and special projects. Develops, implements and executes audit programs and procedures relating to a wide variety of University activities. Interviews individuals that possess specialized knowledge related to an investigation or special project. Researches and analyzes transactions and other relevant information and identifies potential anomalies. Manages/oversees projects conducted by Auditors as needed. 2. Develops recommendations to mitigate control weaknesses identified during investigations and special projects and assists management in developing solutions and action plans to address areas requiring improvement. Acts as a catalyst for identifying root causes and constructive changes to administrative systems and control procedures. 3. Influences the development of policies and procedures for the University through the effective presentation of the audit results to management. Protects the University through an accurate analysis of information obtained during the audit process and by minimizing the University's exposure to risk. 4. Manages continuous auditing activities for University Auditing. Identifies high risk areas and creates activity reports for ongoing analysis. Develops meaningful reports and metrics for presentation to senior management. 5. May perform other duties as assigned.
Required Skill/ability 1: Ability to write clear, detailed reports summarizing the scope of a purpose of audits and compliance investigations, conclusions or findings and the application of the compliance risk analysis and corrective action recommendations.
Required Skill/ability 2: Strong oral and written communication skills and interpersonal skills. Ability to communicate thoughts, ideas, information and messages with clear language, style, organization and format appropriate to the subject matter, purpose and audience.
Required Skill/ability 3: Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root cause, communicate findings and participate in the development of the solution.
Required Skill/ability 4: Capable of managing difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion.
Required Skill/ability 5: 4 years' demonstrated ability in healthcare compliance, or related, preferably with a large, multi-faceted healthcare company or academic medical and with compliance investigations, patient relation investigations, confidential communications, attorney-directed reviews, conflicts of interest, employee relations and other healthcare compliance-related activities.
Preferred Education: Master's degree preferred or equivalent combination of education and experience. Prior experience in revenue cycle operations preferred, such as coding, billing, collections, account reconciliation or other patient financial services functions.
Work Week: Standard (M-F equal number of hours per day)
Posting Position Title: Audit Manager, Investigations
University Job Title: Compliance Investigation Analyst
Preferred Education, Experience and Skills: Master's degree preferred or equivalent combination of education and experience. Prior experience in revenue cycle operations preferred, such as coding, billing, collections, account reconciliation or other patient financial services functions.
Bachelor's degree in finance, accounting or business administration and seven years of previous managerial and professional experience or an equivalent combination of education and experience.
Yale University is an American private Ivy League research university located in New Haven, Connecticut. Founded in 1701 in the Colony of Connecticut, the university is the third-oldest institution of higher education in the United States.