Internal Audit Manager

This is a fully remote position, open to applicants in Florida.

📋 Description

• Develop and implement an annual risk-focused internal audit and monitoring plan in collaboration with the Senior Director of Compliance and key stakeholders.

• Lead audits, reviews, and monitoring initiatives across various healthcare compliance risk areas, including billing and coding, claims, documentation, privacy, conflicts of interest, vendor oversight, exclusion screening, licensure, credentialing, quality, and other operational compliance sectors.

• Assess the design and operational effectiveness of internal controls, policies, procedures, and business processes in relation to applicable federal and state healthcare regulations, payer guidelines, accreditation standards, and company policies.

• Create clear, accurate, and timely audit reports that encapsulate the scope, methodology, findings, root causes, risk levels, recommendations, and management action plans.

• Monitor corrective action plans until completion, validate remediation efforts, and escalate overdue or high-risk issues as necessary.

• Collaborate with Compliance leadership to uphold audit workpapers, evidence, risk assessments, dashboards, and reporting materials for executive leadership, committees, and regulatory inquiries.

• Assist in compliance investigations, special reviews, and data analytics projects by collecting records, interviewing stakeholders, testing controls, and documenting findings.

• Recognize emerging compliance risks, trends, and control deficiencies, and suggest practical enhancements to policies, training, processes, and systems.

• Work with operational leaders to provide audit education, feedback, and guidance that fosters a culture of accountability, transparency, and continuous improvement.

• Supervise, mentor, and develop internal audit staff or project resources, including delegating tasks, reviewing workpapers, providing feedback, and encouraging professional growth.

• Stay updated on healthcare laws, regulations, enforcement trends, OIG guidance, CMS requirements, HIPAA, state regulations, payer expectations, and internal audit standards.

• Carry out other compliance, audit, monitoring, and risk management responsibilities as assigned.

⛳️ Requirements

• Bachelor’s degree in accounting, finance, business administration, healthcare administration, health information management, nursing, public health, or a related field.

• At least five years of experience in internal audit, compliance auditing, healthcare compliance, revenue cycle auditing, risk management, public accounting, or a similar control function.

• Proven experience in planning and executing audits, documenting workpapers, testing controls, identifying root causes, and presenting findings to management.

• Familiarity with healthcare regulatory and compliance requirements, including HIPAA, CMS rules, federal healthcare program requirements, Anti-Kickback Statute, False Claims Act, Stark Law, OIG guidance, payer requirements, and relevant state laws.

• Demonstrated capability to manage multiple audits or projects concurrently, prioritize risks, meet deadlines, and maintain confidentiality.

• Excellent written and verbal communication skills, with the ability to convey findings clearly to both technical and non-technical audiences.

• Proficient in Microsoft Office applications and experienced in using data analysis, audit management, compliance management, or governance/risk/compliance tools.

🏝️ Benefits

• Competitive pay

• Robust benefits

• Genuine opportunities for career advancement