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Accounting & Finance Manager - Compliance/Audit/Fraud (Remote)

Provision People

Accounting & Finance Manager - Compliance/Audit/Fraud (Remote)

Chicago, IL
Full Time
Paid
  • Responsibilities

    Summary:

    Our award-winning client is hiring for a Contracts Administrator - Defense Systems.

    This job is a Finance Manager role to support and partner with the Consumer Loyalty program team. Position reports to the Finance Director, Loyalty Programs. This role would directly partner with Marketing & the Data teams to develop a SoX compliant process that monitors provider reimbursement activity.

    Responsibilities:

    Key responsibilities are evaluating and implementing financial controls that deter and mitigate fraud risk for the consumer loyalty program.

    • Understand systematic reimbursement controls within Alle as well as their limitations; perform data analytics of HCP payouts to ensure reimbursements are per program and patient promotions rules.

    • Review, analyze and interpret data collected from multiple sources to ensure valid conclusions are drawn. Analysis will assess redemption patterns at a brand level, with a focus on large patient offers as well as select providers. For accounts with suspicious behavior, the Finance Manager will research and quantify fraudulent claims; he/she will partner with the loyalty Program Team and Field Sales to effectively address identified issues, including recovery of payouts for fraudulent claims. Finance Manager will also help formulate a process to monitor reimbursement patterns for flagged accounts.

    • The candidate should have the ability to document fraud findings; a significant responsibility for this role is to assist in developing recommendations for management to improve the adequacy, effectiveness, and efficiency of reimbursement controls and operations.

    • This role requires communication with data scientists, product engineering, Field sales, Compliance and Legal departments. Interested individuals should have excellent communication skills and experience working cross-functionally. Finance Manager will provide regular updates to Sr. management on overall progress and is expected to articulate clearly each case involving fraud.

    • The candidate should be a self-starter, be comfortable with ambiguity and be willing to learn new concepts.

    Required Skills and Experience:

    • 2-3+ years of internal and/or external corporate audit experience.

    • Compliance experience.

    • CPA from Big 4 Accounting firms highly preferred.

    • Large company experience.

    • Strong computer skills including Excel spreadsheets; must be comfortable working with large amounts of data.

    • Proven experience in process improvement and SoX financial controls.

    • 4-year undergraduate degree in Finance, Accounting, or a related discipline.