SENIOR ADVISORY & CONTROLS EXECUTIVE - MALDIVIAN

General Requirements

• Bachelor's Degree in Auditing, Accounting, Finance or Business (MQA Level 7)
• Minimum 3 years' experience in Internal Audit or Financial Consultancy, preferably in a healthcare environment
• Strong proficiency in data analytics, root cause analysis, and MS Excel
• Experience with Hospital Information Systems (HIS)
• Excellent analytical, problem-solving skills

Job Specification:

• Plan and perform consulting assignments in accordance with the Internal Audit Department Manual and Global Internal Audit Standards to improve hospital operations and add value
• Lead assigned consulting engagements and project work in revenue cycle integrity by performing technical data extraction, mapping, and identifying systemic leakage points within the billing cycle
• Utilize HIS and payer data sources to perform deep-dive analyses on daily billing, insurance rejections, and clinical documentation gaps, while reviewing data integration issues between HIS and insurance platforms
• Conduct detailed investigations and root cause analysis into operational and financial failures across the billing cycle
• Prepare advisory reports and presentations for the Head of Internal Audit to communicate findings and project progress
• Perform testing and independent validation to ensure that implemented project actions and controls effectively reduce revenue claims rejection rates
• Develop and maintain monitoring dashboards to track the ongoing performance of implemented controls and the overall ROI of advisory projects
• Maintain objectivity and independence while acting as a professional advisor to department heads on process optimization and internal control design
• Contribute to the development of the Annual Risk-Based Audit Plan and provide technical guidance for audit staff where appropriate
• Ensure all engagement work papers and advisory documentation are maintained in strict accordance with the Internal Audit Charter
• Stay current with Global Internal Audit Standards, JCI standards, healthcare industry trends, and best practices to maintain professional competence
• Carry out any other relevant responsibilities and specialized tasks as assigned by the Head of Internal Audit