Sr. Audit Specialist

Sr. Audit Specialist### Sr. Audit Specialist Apply:
Boston:
Full time:
Posted 3 Days Ago:
R09015##
** Ready to help us transform healthcare? Bring your true colors to blue.
**** What we need
** The Regulatory and Compliance Audit team plays a vital role in safeguarding organizational integrity, ensuring sound governance, and verifying the effectiveness of operational and financial controls across Blue Cross Blue Shield of Massachusetts. We are seeking a Senior Audit Specialist to lead and support Model Audit Rule (MAR) evaluations, regulatory readiness reviews, and risk-based operational audits. In this role, you will evaluate key business and IT processes, identify emerging operational and compliance risks, and partner with business leaders to build control consciousness.

You will serve as an objective advisor, translating complex audit findings into actionable, value-added recommendations that drive business improvement. This position offers significant visibility into enterprise operations and plays an essential part in supporting the company's financial reporting and compliance commitments.  This role is eligible for our Flex worker persona in our Boston or Hingham office .  
** Your Day to Day**
* ** Execute MAR and Control Audits:
** Plan, conduct, and support Model Audit Rule (MAR) reviews, operational audits, and related IT control testing in accordance with established audit standards, company policies, and governmental regulations to assess control design and operating effectiveness.
* ** Evaluate Core Business Operations:
** Perform risk-based control evaluations across critical operational and financial areas affecting financial reporting, including Claims Operations, Enrollment, Premiums, Provider Enrollment & Pricing, Accounting, and Information Technology.
* ** Audit Reporting & Risk Communication:
** Synthesize audit findings, prepare high-quality work papers and audit reports, and articulate control deficiencies and value-added recommendations to Internal Audit leadership and business process owners.
* ** Issue Remediation & Advisory:
** Conduct ongoing follow-up with business unit management to track, validate, and ensure timely resolution of audit findings, while assisting leadership with regulatory and operational readiness assessments.
* ** Project Management & Continuous Improvement:
** Manage multiple concurrent audit projects with tight deliverables, report progress to project leaders, and identify opportunities to enhance audit methodologies, data analytics capabilities, and team efficiencies..
** We’re Looking for**
* ** Analytical & Critical Thinking:
** Strong analytical, investigative, and problem-solving skills to evaluate complex processes, identify root causes, and propose practical, risk-mitigating solutions.
* ** Internal Controls Acumen:
** Thorough working knowledge of internal control frameworks (e.g., COSO, MAR, SOX), audit testing methodologies, and financial and operational risk evaluation.
* ** Communication & Influencing:
** Excellent verbal and written communication skills with demonstrated ability to draft clear, concise audit reports and cultivate positive, collaborative relationships across all levels of the organization.
* ** Organization & Time Management:
** Proven ability to work independently on low-to-medium complexity assignments and collaboratively within project teams while managing competing priorities and tight deadlines.
* ** Technical Aptitude:
** Proficiency with Microsoft Office tools (Excel, Word, PowerPoint, Visio, Access). Familiarity with audit software (Optro) and data visualization/analytics tools (Tableau, Power BI, SQL, or SAS) is strongly preferred.
** What You Bring**
* *
* Education:

** Bachelor’s degree in Accounting, Finance, Business…