[Remote] Director, Internal Audit - Insurance at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

In-depth understanding of how organization capabilities interrelate across the function or segment
Ability to plan, execute, and oversee audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards
Strategic, progressive thinking with a keen eye for improving business process and risk management
Agile and comfortable in working in a constantly evolving environment
Ability to work with business partners in the applicable segment to identify risks and coordinate across Humana's three lines of defense
Strong communication and relationship-building skills
Ability to promote effective risk-based annual planning and develop a risk-based audit plan
Experience with leading practices to develop and execute a risk-based audit plan
Ability to incorporate leading practices to develop and execute a risk-based audit plan
Strong analytical and problem-solving skills
Ability to communicate risk management, governance, and control issues, opportunities for improvement, and impactful recommendations to senior leadership
Experience with execution of audits and reviews in compliance with Global Audit Standards and the Code of Ethics developed by the Institute of Internal Auditors
Ability to lead a team of associates and build a cohesive team of audit professionals
Experience in developing and maintaining aligned assurance between teams
Strong collaboration and leadership skills
Ability to collaborate with other risk and compliance functions
Experience with developing and maintaining aligned assurance between teams
Ability to ensure timely follow-up on audit activities
Experience with metrics, dashboards, and reporting to ensure complete and accurate deadlines

Responsibilities

Develop and plan effective risk-based annual planning
Work directly with business leadership to understand strategic plans and objectives
Incorporate leading practices to develop and execute a risk-based audit plan
Proactively inform segment management of significant risks or exposures
Communicate risk management, governance, and control issues, opportunities for improvement, and impactful recommendations to senior leadership
Effectively communicate with, and educate, process owners and senior management on the importance of internal controls, an effective control environment, process excellence, and the role of Internal Audit
Execute audits and reviews in compliance with Global Audit Standards and the Code of Ethics developed by the Institute of Internal Auditors
Lead a team of associates to ensure the execution and completion of annual audit plan
Build, lead, and develop a cohesive team of audit professionals
Coach and mentor associates to develop and retain talent
Ensure segment auditable entities are up-to-date and coverage is monitored regularly
Collaborate with other risk and compliance functions
Develop and maintain aligned assurance between teams
Collaborate with other leadership roles within the Chief Audit and Risk organization
Ensure completion of department strategic goals
Work closely with the other Internal Audit segment Directors to ensure effective collaboration
Ensure review and completion of AuditBoard steps in accordance with Internal Audit methodology and established deadline goals
Ensure timely follow-up on audit activities

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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