Sentara Healthcare

Accounting Audit Manager, Financial Controls & Regulatory Assurance

Sentara Healthcare$95K — $115K *
US-AnywhereRemote in Norfolk, VA
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree required; CPA preferred but not mandatory.
  • 5+ years in Accounting/Finance; internal audit/regulatory compliance experience favored.
  • 1 year of management or supervisory experience necessary.
  • Experience in healthcare, insurance, managed care, or financial services preferred.
  • Familiarity with Model Audit Rule (MAR), SOC reporting, and relevant regulatory frameworks.

Responsibilities

  • Lead and oversee the Model Audit Rule (MAR) testing program and schedule.
  • Monitor and adjust testing schedules and resource assignments as necessary.
  • Maintain MAR methodologies, testing guides, and documentation.
  • Ensure documentation quality for control testing and risk assessments.
  • Review audit documentation for compliance with established standards.
  • Evaluate control deficiencies and oversee remediation activities.
  • Compile MAR testing exceptions for executive leadership reporting.

Benefits

  • Medical, Dental, and Vision plans available.
  • Reimbursement for adoption, fertility, and surrogacy up to $10,000.
  • Generous Paid Time Off and Sick Leave policies.
  • Paid Parental and Family Caregiver Leave offered.
  • Emergency Backup Care support provided.
  • Long-Term, Short-Term Disability, and Critical Illness plans included.
  • Life Insurance coverage available.
  • 401k/403B with employer match offered.
  • Tuition Assistance up to $5,250/year and discounted educational opportunities through Guild Education.
  • Student Debt Pay Down benefit of $10,000 offered.
  • Pet Insurance available for employees.
  • Legal Resources Plan provided.
  • Opportunity for an annual discretionary bonus based on eligibility criteria.
Full Job Description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Accounting Audit Manager, Financial Controls & Regulatory Assurance 

Position Summary

The Audit Manager, Financial Controls & Regulatory Assurance, is responsible for leading and overseeing regulatory compliance testing, internal control assessments, audit support activities, and operational risk monitoring across the organization. This role manages the Model Audit Rule (MAR) testing program, coordinates Service Organization Control (SOC) report reviews, supports external audits, directs termination access review processes, and provides leadership for regulatory and operational compliance initiatives.

The position serves as a key liaison between business areas, external auditors, regulatory stakeholders, and senior leadership to ensure internal controls are effectively designed, operating as intended, and appropriately documented. The Audit Manager also provides staff leadership, audit methodology oversight, reporting, and continuous improvement support for audit and compliance processes.

Essential Duties and Responsibilities

Regulatory Compliance and Model Audit Rule (MAR) Program Management

  • Develop, maintain, and administer the annual Model Audit Rule (MAR) testing program and related testing schedules.

  • Monitor testing progress and adjust schedules, priorities, and resource assignments as necessary.

  • Oversee maintenance of MAR methodologies, testing guides, procedures, templates, and supporting documentation.

  • Ensure accurate and consistent documentation of control testing, risk assessments, process narratives, process maps, and Risk Control Matrices (RCMs).

  • Review testing workpapers and audit documentation to ensure quality, completeness, and compliance with established standards.

  • Evaluate testing results and assess control deficiencies, exceptions, and remediation activities.

  • Compile and maintain MAR testing exception reporting for executive leadership and governance committees.

  • Coordinate MAR-related activities with internal stakeholders and external audit partners to avoid duplication of testing efforts.

  • Participate in MAR testing engagements and provide technical guidance to audit staff.

Education
  • Bachelors Level Degree Required

Certification/Licensure
  • CPA Preferred/not required
  • Other Preferred Qualifications:
  • Certified Internal Auditor (CIA)
  • Certified Information Systems Auditor (CISA)
  • Certified Risk Management Assurance ( CRMA)

Experience
  • 5 years required Accounting/Finance experience, required
  • Internal audit/regulatory compliance, risk management, financial controls, public accounting, or related field strongly preferred
  • 1 year of Management or Supervisory experience required
  • Healthcare, insurance, managed care, or financial services industry experience
  • Experience with Model Audit Rule (MAR), SOC reporting, NAIC requirements, ORSA, or similar regulatory frameworks


Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

•Pet Insurance 
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

For positions that are available as remote work,Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

About Sentara Healthcare

Sentara Healthcare is a not-for-profit healthcare system that operates hospitals, outpatient care centers, imaging centers, and other healthcare facilities in Virginia and North Carolina. The system provides a range of medical services, including cancer care, heart and vascular care, orthopedics, pediatrics, and women's health. Sentara Healthcare also offers health plans and wellness programs. The system is committed to providing high-quality, patient-centered care and has received numerous awards and recognitions for its clinical outcomes and patient satisfaction.
Learn more about Sentara Healthcare
Size
30,000 employees
Industry

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