Vice President, Internal Audit

Leads the company’s Internal Audit function, providing independent assurance and consulting services to support effective risk management, governance, compliance, and internal controls. Oversees audit strategy, planning, reporting, investigations, quality assurance, team leadership, and stakeholder communication with senior leadership, the Board, and the Audit and Risk Committee. Ensures compliance with regulatory requirements and corporate policies.

Provide independent, objective assurance and consulting services that add and protect organizational value by improving financial, operational, information security, technology control, risk management, and governance processes, consistent with the Internal Audit Charter and Global Internal Audit Standards

Execute strategic goals which align with the enterprise strategy

Review strategic plan, initiatives, and performance objectives, measures, and targets to align with Audit and Review Committee (ARC) and senior management expectations; monitor progress, address gaps, and review annually with both groups

Oversee development and implementation of a flexible Annual Audit Plan aligned with the company’s strategic objectives, management and Board-identified risks or control concerns

Communicate the results of audit and consulting projects via written reports and oral presentations

Keep the Chief Legal Officer (CLO), Chief Executive Officer (CEO), and Chief Operating Officer (COO) regularly apprised regarding the status of audit projects and investigations

Drive collaborative and proactive relationships with key stakeholders to ensure awareness of changes in business activities and objectives to identify opportunities which will leverage internal audit knowledge

Establish and maintain a reputation for proactive communication, integrity, honesty, and proven results with internal stakeholders as well as external auditors, regulators, and vendors

Maintain a quality assurance and improvement program for all internal audit activities, including standards conformance assessments, performance measures, legal and regulatory compliance, and corrective action plans

Annually communicate to the ARC, Board, and select Global Executive Team members internal audit’s quality assurance and improvement program results, including internal and external assessments

Develop the annual department budget; monitor expenses to ensure costs are within established levels

Personally lead and perform audits or consulting projects that are deemed “confidential” by the company’s CLO, COO, CEO, the ARC, or the Board

Represent Internal Audit on cross-functional teams and various internal committees as needed

Oversee the activities of the Special Investigative Unit (SIU) staff to identify, investigate, and report significant suspected healthcare fraud and abuse activities in support of the company’s Anti-Fraud and Abuse Program

Ensure significant matters are communicated timely to company CLO, COO, and CEO

Review and sign off on all SIU Provider Settlement Agreements

Review and approve all reports prepared by internal audit teams prior to their issuance to the ARC, the Board, internal business partners, regulatory agencies, and independent third-party auditors

Review quarterly Claims Audit findings and promptly discuss issues or trends with the Senior Manager and team to ensure appropriate ARC disclosure

Monitor Client Audit issues and review them to determine appropriate disclosure to senior management and the ARC

Lead efforts across Internal Audit teams (SIU, BP, IT, Claims and Client Audit) to identify opportunities to utilize Artificial Intelligence for audit efficiency

Provide executive oversight of internal audit execution, including issue identification, evaluation of evidence and criteria, and documentation of business processes and controls

Direct and develop staff to ensure audit procedures, issue identification, documentation, recommendations, and resources are effectively managed by a qualified professional team with the knowledge, skills, experience, and certifications required to meet function needs

Lead and develop direct reports through hiring, coaching, performance management, succession planning, and career development

Establish clear expectations, provide ongoing feedback and accountability, and foster employee engagement to build high-performing teams that achieve organizational goals

Job Specifications

Typically has the following skills or abilities:

Bachelor’s degree in a related field or equivalent experience

10 or more years of experience with clear progression to senior leadership/management