External Audit Analyst

Overview

The External Audit Analyst reports to the Senior Manager of Compliance Audit and plays a critical role in managing and coordinating client-driven operational and financial audits. This position serves as a liaison between internal operational units, clients, and external auditors, ensuring audit readiness and supporting successful audit outcomes through proactive collaboration with internal stakeholders.

Effective date: 10/6/2026

Responsibilities

• 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 requests and deliverables.
• Conduct follow-up with Client Management and clients to clarify any issues with audit requests as necessary.
• Communicate with responding operational areas to obtain detailed responses to audit requests and findings.
• Ensure documentation is responsive to audit requests, comprehensive of all required data or information, and follow up with operational areas as needed.
• Ensure responses are received timely and escalate past due responses as necessary.
• Prepare materials as necessary prior to submission to external auditors.
• Obtain, review, and/or prepare audit responses for inclusion in draft and final reports.
• Document observations and their root causes, and make recommendations for corrective action.
• Communicate audit results and support development of responses prior to report issuance.
• Manage corrective actions resulting from internal or external audits, compliance monitoring, and other identified compliance issues.
• Partner with business stakeholders to develop corrective action responses, identify required documentation, establish remediation timelines, and monitor corrective actions through closure.
• Provide timely and accurate audit and corrective action plan (CAP) reports to Compliance management.
• Prepare departmental reporting to internal and external customers.
• Interface with clients as needed.
• Conduct or participate in special projects, programs, and requests as needed.
• Other duties as assigned.

Requirements

• Bachelor’s degree (Required) in business administration, management, healthcare administration, finance, accounting, or a related field, or an equivalent combination of education and experience.
• Minimum of three (3) years of related experience in quality, compliance, or audit (Required).
• Knowledge of and experience in the insurance, health, or vision care industry (preferred).
• Knowledge of and experience with the Centers for Medicare & Medicaid Services (CMS) (preferred).

Competencies

• Excellent written and verbal communication, analytical, and computer skills.
• Ability to organize large amounts of data and manage multiple priorities in a fast-paced environment.
• Ability to meet established deadlines and shift priorities as necessary.
• Ability to communicate effectively with key stakeholders, clients, and regulatory auditors.
• Ability to work independently and collaboratively as part of a team.

Physical Demands / Work Environment

• Required to stand, use hands and fingers to handle, feel, pick or pinch, and talk or hear most of the time.
• Occasionally required to stand, walk, and reach with hands and arms.
• Frequently lift and/or move up to 20 pounds.
• Noise level is moderate (use of computers, printers, and machines).
• Ability and willingness to travel as required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

HIPAA & Security Requirements

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

Equal Employment Opportunity

The organization provides equal employment opportunities (EEO) to all associates and applicants without regard to race, color, religious beliefs, sex, gender identity, sexual orientation, age, marital status, national origin, ancestry, physical or mental disability or history of disability, genetic information, status as a protected veteran or disabled veteran, or any other status protected by Federal, state or local law.

Compensation & Benefits

A comprehensive compensation and benefits package is offered, including:

• Health and dental insurance
• Tuition reimbursements
• 401(k) with company match
• Pet insurance
• FREE vision insurance for you and your family

Location

Not specified in the provided job description.