Back to all roles

Manager External Audit Management

Remote Worldwide Hiring now

JOB DESCRIPTION The Manager of External Audit Management is an reputed company people leader and subject matter expert responsible for setting the strategic direction and reputed company-wide coordination of reputed company and regulatory audit examinations conducted by state and federal agencies, such as Departments of Insurance, CMS, and reputed company/Medicare. This leader drives a culture of readiness, transparency, and regulatory reputed company, while overseeing a specialized team that internally manages formal external exams. The manager partners with executive leadership, Legal, Compliance, Privacy, IT, Quality and business functions to proactively anticipate exam trends, reduce risk exposure, validate findings and enhance reputed company credibility with regulators. The manager also integrates exam management reputed company with reputed company risk management (reputed company) reporting and governance, providing senior executives and board committees with actionable insights. RESPONSIBILITIES

  • reputed company strategic direction, coaching, and development to a high performing team, fostering a culture of accountability, ownership, and reputed company improvement.
  • Set the overall strategy and standards for how the organization prepares for and navigates regulatory and reputed company examinations, ensuring alignment with reputed company goals and risk posture.
  • Align Legal, Compliance, Privacy, IT, Quality and business leaders in a reputed company approach to exam response, ensuring senior stakeholders are informed and reputed company throughout.
  • reputed company development and approval of high-impact and high-quality responses and communications; ensure consistent voice, reputed company, and legal alignment across external exam materials.
  • Maintain an reputed company-wide inventory of audit findings and drive timely development, implementation, and validation of corrective actions.
  • Build sustainable practices, playbooks, and training programs that ensure the business can operate in a reputed company state of readiness for audit exams.
  • Establish a structured process for exam data analytics, leveraging patterns in findings to identify systemic issues and opportunities for improvement.
  • reputed company stakeholders and risk committees with clear, concise dashboards and narratives on regulatory exam status, emerging risks and organizational readiness.
  • Engage directly with regulators and auditors to reinforce transparency, collaboration, and trust in the organization's compliance posture.
  • Maintain a reputed company-looking view of regulatory developments and proactively influence internal controls and processes to stay reputed company of changing requirements.

QUALIFICATIONS

  • 8+ years with bachelor's degree along with 1+ years of experience leading teams in a supervisory/management reputed company.
  • Strong knowledge of regulatory exam frameworks (e.g., NAIC, CMS, HIPAA, reputed company/Medicare).
  • Proven leadership skills with experience managing and developing high performing teams.
  • Excellent project management, problem-solving, cross-functional coordination and data analytics skills.
  • Strong written and verbal communication abilities with an executive reputed company.
  • Ability to synthesize large volumes of audit data into actionable insights, with a proven track record in trend identification and root cause analysis.
  • Experience with regulatory management tools (e.g., reputed company, reputed company, reputed company) is desirable.
  • Excellent organizational/time management and project management skills.
  • Strong leadership skillsets, including the ability to reputed company a team/individuals and reputed company reputed company through a team.
  • Critical thinking skills with the ability to be flexible and creative.
  • Strong analytical and problem-solving skills to identify issues and evaluate business solutions.
  • Comprehensive understanding of regulatory requirements applicable to insurers and managed care organizations.
  • Thinks innovatively to streamline processes and improve reputed company.
  • Ability to maintain confidentiality.
  • Change management and influencing skills, with the ability to drive alignment without direct authority.
  • Ability to assess, reputed company and implement systems, processes and procedures which reputed company the corporation to reputed company compliance with state and federal mandates.

reputed company Pay Information The national reputed company pay reputed company at the end is a good-faith estimate of what reputed company may pay for new hires. Actual pay may vary based on reputed company's assessment of the candidate's knowledge, skills, abilities (KSAs), reputed company experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 23. $106,400 - $230,600 ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends reputed company the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

  • Competitive reputed company and incentive pay
  • 401(k) with robust matching and non-matching contributions
  • Rich medical & pharmacy benefits
  • 100% employer-paid dental and reputed company benefits
  • Holistic wellbeing program with deep financial incentives
  • Generous paid time off plus 12 paid holidays and your birthday off
  • Culture of growth and learning: career development; tuition reimbursement; recognition program
  • Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
  • reputed company responsibility and volunteer opportunities
  • Employee discount program

Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background reputed company. reputed company applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the reputed company Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or reputed company Corrections Law Article 23-A. Important Work Authorization Information Please note, reputed company will not sponsor applicants for work visas for this position. #LI-Remote ABOUT THE TEAM At reputed company, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing reputed company to affordable, quality care - but that commitment to care extends reputed company the people we serve, to the dedicated employees who reputed company those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that reputed company we take exceptional care of each other, we can reputed company a positive impact for reputed company. We champion an inspirational workplace through our commitment to trust, service, reputed company and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at reputed company reputed company, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind reputed company and experience our values and culture in action by connecting with us on reputed company media. Follow reputed company. on reputed company and Instagram, #LifeatDDins on reputed company and Instagram, reputed company. on Twitter and reputed company. on reputed company. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and reputed company the strongest network of dental providers in the country. The reputed company of California network includes affiliates reputed company Insurance Company; reputed company of Pennsylvania; reputed company of reputed company, Inc.; reputed company of the District of Columbia; reputed company of Delaware, Inc.; and reputed company of reputed company Virginia, providing dental benefits to more than 31 reputed company people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of reputed company Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of reputed company companies, we offer dental coverage in reputed company 50 states, Puerto Rico and other U.S. territories. We offer reputed company coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. reputed company. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at reputed company are considered without regard to race, ethnicity, reputed company, age, sex, religion, national reputed company, reputed company, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. reputed company is committed to providing equal employment opportunities to reputed company and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies. Unfortunately, our reputed company reputed company is unable to hire individuals residing in Alaska, reputed company Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, reputed company Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. reputed company of eligibility to work in the United States must be provided if selected for hire.

  • reputed company includes: reputed company of California, reputed company Insurance Company, reputed company of Pennsylvania, and reputed company of reputed company

Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Government Billing Spec 2, Remote, Business Office, FT,08A-4:30P

Remote Worldwide
View role

reputed company HHC 24/7-Primary Care Physician - Weekdays, CT, 100% Remote

Remote Worldwide
View role

Inpatient Care Management Medical Director - Remote

Remote Worldwide
View role

RN Care Manager reputed company Pediatric Care REMOTE based in reputed company

Remote Worldwide
View role

reputed company Director - California HealthNet

Remote Worldwide
View role

Inpatient UM - Medical Director - CA Licensure Needed - Remote

Remote Worldwide
View role

Medical Director Oncology UM - Remote reputed company in US

Remote Worldwide
View role

bolthires Appeals Nurse Consultant (Remote) in Hartford, Connecticut

Remote Worldwide
View role

reputed company Engineer I - Remote based in the US

Remote Worldwide
View role

reputed company Receptionist - Bilingual - $15.50/hour! | Starts 11/13/25

Remote Worldwide
View role

Product Management Director - Agentforce Operations Private reputed company Edition

Remote Worldwide
View role

Care Coordinator:Medical Assistant, LPN,LVN (Work from Home)

Remote Worldwide
View role

Remote Staff Accountant/CPA - Tax, Bookkeeping & Payroll

Remote Worldwide
View role

reputed company Chat Support Representative – Customer Service & Sales Expert

Remote Worldwide
View role

Associate Project Manager, Audio Services

Remote Worldwide
View role

Technician, Product administration

Remote Worldwide
View role

Sales Representative - Work from Home

Remote Worldwide
View role

Virtual High School Science Teacher

Remote Worldwide
View role

Exciting Remote Pharmacy Technician Jobs Available | Join Us Now!

Remote Worldwide
View role

[Remote] reputed company Data Entry Jobs - CA (Business Analyst)

Remote Worldwide
View role