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Manager, Internal Audit

Lead risk assessments and end-to-end internal audits across financial, operational, and compliance areas for a telehealth company. Build and mature the audit function while partnering with stakeholders to strengthen controls.

United StatesFinance & AccountingRemote5+ YOE

About the role

What You’ll Do

  • Develop and maintain a risk-based audit plan, conducting periodic risk assessments across business processes, entities, and emerging risk areas to establish audit priorities
  • Lead end-to-end audit engagements, from planning through fieldwork, reporting, and issue closure
  • Design and execute control testing procedures independently, including walkthroughs, inquiry, inspection, and reperformance
  • Prepare and maintain audit documentation including process narratives, flowcharts, risk and control matrices (RCMs), testing workpapers, and audit reports
  • Facilitate kickoff, status update, and closing meetings with process owners and senior management
  • Identify control deficiencies and communicate findings clearly, with practical and prioritized remediation recommendations
  • Support management in designing and implementing controls to address identified gaps and process weaknesses
  • Track open audit issues and remediation plans through closure, validating the effectiveness of corrective actions
  • Support readiness for regulatory and compliance audits, including HIPAA, data privacy, and applicable state licensing requirements
  • Collaborate cross-functionally with Finance, Legal, Compliance, IT, and Operations to support control assessments and process improvements
  • Contribute to developing and refining IA methodology, workpaper templates, and audit tooling as the function matures
  • Monitor the evolving regulatory and risk landscape relevant to telehealth and healthcare services to keep the audit plan current and relevant

Who You Are

Required

  • Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field and an active Certified Internal Auditor (CIA) designation
  • 5+ years of progressive internal audit, external audit, business risk advisory, or healthcare regulatory experience
  • Demonstrated hands-on experience across the full audit lifecycle, including risk assessment, control design and testing, workpaper documentation, and audit report writing, with the ability to execute independently without close supervision
  • Deep understanding of COSO frameworks and internal control principles
  • Proven ability to manage multiple concurrent audit engagements, prioritize under competing deadlines, and deliver on time
  • Years of experience working directly with process owners at all levels in a fluid environment where formal controls are still being built and refined
  • A builder of control awareness across an organization, including educating process owners and non-finance stakeholders across departments on internal audit's role and foundational control concepts
  • Critical thinker that provides sound and professional judgment, with the ability to distinguish material risks from noise and communicate findings with precision and appropriate tact
  • Concise and clear communicator, both written and verbal, with the ability to translate technical control concepts into findings that resonate with non-audit audiences
  • Strong proficiency with AI tools and data analytics platforms (e.g., ACL/Galvanize, IDEA, Power BI, or Tableau) for control testing and exception analysis

Preferred

  • Public accounting background (Big 4 or regional firm) with a SOX or advisory focus
  • Certified Public Accountant (CPA) or additional relevant certification (e.g., CISA, CFE)
  • Prior experience supporting an organization through an IPO readiness process or M&A integration
  • Proficiency with GRC platforms (e.g., AuditBoard, Workiva, or Vanta)
  • Experience in digital health, telehealth, or multi-state healthcare services environments, including familiarity with HIPAA, state medical board licensing, and clinician credentialing compliance
  • Familiarity with data privacy frameworks beyond HIPAA, such as CCPA or other applicable state-level regulations
  • Exposure to healthcare revenue cycle operations, compounding pharmacy, or pharmaceutical regulatory environments, including claims, billing integrity, and payer compliance

Our Benefits

  • Medical, Dental, and Vision plans
  • Flexible Spending/Health Savings Accounts
  • Flexible PTO
  • 401(k) + Company Match
  • Life Insurance, Pet insurance, and more

Skills

Internal AuditRisk AssessmentControl TestingCoso FrameworkAudit DocumentationData AnalyticsPower BITableauAclIdeaHipaa ComplianceRegulatory Compliance

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