Internal Audit Lead

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in Accounting, Finance, Information Systems, or related field.
  • 5–7+ years in Internal Audit or external audit (Big 4/national firm), specifically with SOX 404 experience.
  • Industry background in healthcare, pharmacy services, payer, or life sciences preferred.
  • CPA, CIA, CISA, or CFE certifications are preferred.
  • Strong grasp of COSO, IIA Standards, and SOX/PCAOB expectations.

Responsibilities

  • Collaborate with the VP of Internal Audit to implement the internal audit plan.
  • Build relationships with business unit leaders and serve as a control design expert.
  • Deliver internal audit services adhering to professional standards.
  • Contribute to and update the annual audit plan with risk insights.
  • Plan and execute risk-based audits, developing objectives and testing procedures.
  • Manage multiple projects while meeting stakeholder expectations and timelines.
  • Oversee and gauge co-sourced resources for SOX and operational audits.

Benefits

  • Opportunities for professional development and growth within the role.
  • Access to a collaborative work environment with cross-functional teams.
  • Involvement in significant audit projects that enhance operational effectiveness.
Full Job Description
Overview

The Internal Audit Lead supports the execution of the SOX 404 program and independently performs risk‑based operational audits, partnering with stakeholders and co‑sourced providers to deliver timely, high‑quality assurance and actionable insights. As the Internal Audit function continues to mature and expand, this role is expected to grow in breadth and scope, taking on increasing responsibility across audit coverage, risk areas, and assurance coordination.

Responsibilities
  • The Internal Audit Lead works with the Vice President of Internal Audit and business unit leadership to execute the Company’s internal audit plan
  • Fosters relationships with business unit personnel at appropriate levels and serve as a subject matter expert for control design, data integrity, and documentation standards
  • Consistently deliver quality internal audit services in accordance with relevant professional standards
  • Contributes to the annual audit plan and periodic risk updates, partnering with other assurance providers to coordinate activities and enhance overall assurance coverage
  • Independently plan and execute risk‑based audits, including defining objectives and scope, developing test procedures, performing fieldwork, synthesizing findings, assessing impact, and recommending practical, actionable remediation
  • Drives high-quality work products within expected time frames and budget
  • Coordinate multiple projects and proactively manage stakeholder expectations for service delivery and timelines
  • Stays abreast of current business and industry trends
  • Performs other duties as assigned
  • Supports execution of the SOX 404 program and coordinate closely with third party service providers
  • Facilitates and lead walkthroughs and design effectiveness assessments of key controls, including evaluation of control objectives, risk alignment, and IPE completeness and accuracy
  • Oversees and review co‑sourced operating effectiveness testing of key controls, ensuring testing approaches, evidence, and conclusions meet Internal Audit standards and support external auditor reliance
  • Performs effectiveness testing as needed, validating evidence, and ensuring conclusions are supportable and audit‑ready
  • Provides day‑to‑day oversight and project management of co‑sourced resources supporting SOX and operational audits, including coordinating scope, timelines, deliverables, and review of workpapers for quality and consistency
  • Serves as one of the primary points of contact for assigned co‑source engagements, facilitating communication, resolving issues, and escalating risks or delivery concerns as appropriate
  • Independently manage and execute assigned audit engagements end‑to‑end, while balancing oversight responsibilities and ensuring alignment with Internal Audit standards and expectations
  • Supervisory Responsibility: Yes
Qualifications
  • Bachelor’s in Accounting, Finance, Information Systems, or related field.
  • 5–7+ years in Internal Audit or external audit (Big 4/national firm or corporate IA), with substantial SOX 404 ownership and hands-on operational audit execution.
  • Industry Experience: Healthcare/provider, pharmacy services, payer, or life sciences experience; understanding of revenue cycle, 340B risk, supply chain, and regulatory compliance preferred
  • CPA, CIA, CISA, or CFE preferred.
  • Strong knowledge of COSO, IIA Standards, SOX/PCAOB expectations, and ITGC concepts; comfortable testing IPE and data flows.
  • Proficiency with audit management platforms preferred (e.g., Workiva, AuditBoard, TeamMate).
  • Strong capabilities in productivity tools (Excel/PowerPoint; Power Query/Power BI a plus).
  • Excellent writing and presentation skills; ability to explain complex issues to non-technical stakeholders.
  • Percentage of Travel: 0-25%
  • Driving Position: No

**To perform this role will require frequently sitting, and typing on a keyboard with fingers, and occasionally standing, walking, and climbing (stairs/ladders). The physical requirements push/pull and lift/carry 1-10 lbs**

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