VP, Internal Audit
Core
Directing the internal audit function to ensure SOX compliance, enterprise risk management, and regulatory oversight for a Medicare Advantage healthcare organization.
Role type
VP, Internal Audit
Builds
Enterprise risk management frameworks, SOX 404 compliance programs, and regulatory audit plans for Medicare Advantage operations.
Domain
Healthcare (Medicare Advantage) / Financial Compliance / Internal Audit
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
SOX 404 program leadership, Enterprise Risk Management (ERM), Medicare Advantage risk adjustment expertise, RADV compliance, encounter data integrity, outsourced audit partner governance, control deficiency remediation, IT general controls (ITGC), ERP controls, executive reporting to Audit Committee
Preferred skills
Audit Committee reporting experience, Big 4 public accounting background, ERP implementation controls experience
Technologies
ERP systems, CMS regulatory platforms
Responsibilities
Lead design and execution of SOX 404 program including scoping, risk assessment, and testing; Develop and execute risk-based annual audit plan covering financial, operational, IT, and regulatory risks; Assess Medicare Advantage regulatory compliance including Model Audit Rule and RADV; Oversee identification of root causes for control failures and monitor remediation; Lead operational audits across finance, HR, claims, medical management, pharmacy, and technology; Serve as primary liaison to Audit Committee providing reporting on risk exposure and program quality
Seniority
VP, Senior Leadership