This is a hybrid position, both in-office and remote.

Delta Dental of Michigan may be required to comply with applicable federal, state, and local COVID-19 workplace safety laws, regulations, and/or orders. Delta Dental of Michigan reserves the right to require all employees, as a term and condition of employment, to comply with such requirements or obtain an approved medical or religious accommodation in accordance with applicable law.

Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.

We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant communities for all. We devote our time, talents and financial resources to improve oral and overall health, and we invest in initiatives that support youth, education, workforce and economic development.

We are a force for good-part of the reason why employees find working at Delta Dental fulfilling. Delta Dental companies nationwide comprise the Delta Dental Plans Association, which provides coverage to more than 83 million Americans and operates two of the nation's largest networks of participating dentists. For more, visitwww.deltadentalmi.comandwww.vibrantcommunities.com, and apply online atwww.deltadentalmi.com/careers.

Job Summary: Oversees and conducts audits of processes, transactions, records, metrics, systems, and technology in order to identify and minimize risk, ensure compliance, and improve effectiveness of operations and controls.

Primary Job Responsibilities:

1. Oversees and conducts internal audits, including planning, collecting data, interviewing, observing, and process tracking, developing conclusions, and providing recommendations.

2. Oversees investigations and assessments in compliance with applicable federal and state laws, rules, and regulations, and guidelines, and internal policies, procedures, and practices.

3. Reviews the effectiveness of monitoring and mitigation activities and recommends enhancements to mitigate risk and to improve effectiveness and efficiency.

4. Develops and implements solutions to detect, prevent or monitor fraud, waste and abuse, rule deficiencies, inconsistencies in benefit administration, overrides, service failures, and other quality or control issues.

5. Acts as a resource for others with less experience for the purposes of quality control and sampling, investigative methods and root cause analysis, risk management, evidence and record standards, internal controls, process design, fraud, waste, and abuse detection and prevention methods, external compliance standards.

6. Provides recommendations regarding containment, corrective, and preventive actions to other departments.

7. Identifies, verifies, documents and communicates risk.

8. Plans and implements solutions to monitor changes or risks.

9. Provides recommendations regarding efficiency and effectiveness of policies, processes, protocols, methods, calibration, and metrics.

10. Maintains documents and records according to the corporate record retention policies, best practices, and departmental standards.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above. #LI-Hybrid

Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field, five years of experience in auditing compliance, quality monitoring, risk management, or operations, and a Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or Certified Information Systems Auditor (CISA) designation. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of the Institute of Internal Auditors Standards and Code of Ethics, research methodology, sampling techniques, mathematical concepts, analytical tools and software, root cause analysis, quality monitoring, risk management methods, design of controls, accounting principles and practices, insurance products, terminology, and concepts, ethical business practices and word processing and spreadsheet applications; strong verbal and written communication skills; strong organization and analytical skills; the ability to work independently and as part of a team; and the ability to resolve complex problems using independent judgment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.