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