VP, Internal Audit

Job Summary VP, Internal Audit is a highly visible senior‑leadership role responsible for directing the internal audit function at Alignment Healthcare, Inc., with accountability for SOX compliance, enterprise risk management, and regulatory oversight across all business operations. This leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function. Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, the role drives continuous improvement of internal controls, proactively surfaces emerging risks, and ensures the organization operates with the highest standards of accountability, protecting patients, maintaining regulatory standing, and supporting the mission of delivering high‑quality, cost‑effective care to Medicare Advantage‑enrolled seniors. Key Responsibilities Lead the design, execution, and continuous improvement of the company’s SOX 404 program, including scoping, risk assessment, control design, testing, and documentation. Drive governance over the outsourced internal audit partner, holding them accountable for quality, timelines, and professional standards. Ensure all SOX documentation and testing results are complete, accurate, and maintained in accordance with PCAOB standards and internal policy. Oversee the company’s ERM process by developing and executing a risk‑based annual audit plan that provides comprehensive coverage of financial, operational, IT, and regulatory risks across the organization. Proactively identify control‑environment gaps and emerging risks before they escalate, communicating findings with timeliness and transparency to senior management and the Audit Committee when needed. Assess compliance requirements specific to the Medicare Advantage regulatory landscape, including the Model Audit Rule, RADV readiness, and encounter data integrity. Partner with compliance, legal, and actuarial leaders to ensure audit programs reflect current CMS regulations. Oversee the identification of root causes behind control failures, monitor remediation efforts, and hold management accountable for timely and durable resolution of deficiencies. Deliver regular, clear status updates to executive leadership and the Audit Committee—translating complex audit findings into actionable business intelligence. Lead operational audits across all functional areas—finance, HR, claims, medical management, pharmacy, and technology—applying a consistent, risk‑based methodology to evaluate process integrity and identify efficiency opportunities. Oversee IT general controls (ITGCs) and system‑level controls related to ERP, claims, and data‑migration initiatives. Embed a culture of accountability by serving as a trusted advisor to business leaders on effective control design, helping them understand what "good" looks like in practice and moving the organization from a compliance‑driven mindset to one of ownership. Serve as the primary liaison to the Audit Committee Chair, providing regular reporting on audit results, risk exposure, program quality, and remediation progress, and translating audit data into strategic insights for the Board and senior leadership. Provide supervisory responsibility over the company’s third‑party external audit team, including oversight of quality, work standards, timelines, reporting, and cost management. Job Requirements & Experience 15+ years of progressive internal audit, external audit, or financial controls experience, with at least 5 years in a senior‑leadership role. 8+ years of experience with a publicly traded company, including demonstrated knowledge of SEC reporting requirements and PCAOB auditing standards. Deep expertise in Medicare Advantage plans, risk adjustment, and healthcare operations, including familiarity with CMS regulations, RADV, and the Model Audit Rule. Experience leading audit work in complex, regulated healthcare or insurance environments with strong emphasis on SOX and COSO framework application. Demonstrated experience directing and governing outsourced or co‑sourced audit partnerships, including vendor management and quality oversight. Preferred: Experience supporting Audit Committee reporting and direct interaction with Board‑level governance bodies. Preferred: Prior experience at a Big 4 public accounting firm or national advisory firm within a healthcare or managed care practice. Preferred: Exposure to ERP implementation controls, data‑migration audits, and IT general controls in a healthcare setting. Education Bachelor’s degree in Accounting, Finance, Business Administration, or a closely related field. Preferred: Master’s degree in Accounting, Business Administration (MBA), or Healthcare Administration. Training Required Ongoing professional development in internal auditing standards, including IIA standards and the COSO Internal Control Integrated Framework. Demonstrated working knowledge of PCAOB standards, SEC reporting requirements, and SOX Section 404 implementation. Preferred: Training in Medicare Advantage regulatory compliance, including CMS audit readiness, RADV methodologies, and encounter data management. Preferred: Coursework or training in enterprise risk management frameworks (e.g., COSO ERM, ISO 31000). Preferred: Data analytics and audit technology training (e.g., ACL/Galvanize, TeamMate, or similar audit management tools). Skills & Competencies SOX 404 Program Management (Advanced). Medicare Advantage & Healthcare Regulatory Compliance (Advanced). Enterprise Risk Management (Advanced). IT General Controls & Systems Audit (Intermediate to Advanced). Audit Committee & Executive Communication (Advanced). Remediation Management & Root Cause Analysis (Advanced). Data‑Driven Audit Analytics (Intermediate). Licensure Active professional standing in a recognized auditing or accounting credential is strongly expected at this level. Preferred: Certified Public Accountant (CPA) – strongly preferred. Preferred: Certified Internal Auditor (CIA). Preferred: Certified Information Systems Auditor (CISA). Physical Requirements Essential physical functions include regularly required talk or hearing, standing, walking, sitting, using hands and fingers to handle tools or controls, reaching with hands and arms, frequently lifting and/or moving up to 10 pounds, and maintaining close vision and visual focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. Equal Opportunity Statement Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and affirmative action. We are looking for diversity in qualified candidates for employment: minority, female, disabled, and protected veteran. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. Accommodations If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre‑employment testing or otherwise participating in the employee selection process, please contact View email address on click.appcast.io . Pay Range Pay Range: $227,952.00 – $341,928.00. Pay may be based on a number of factors including market location, education, responsibilities, experience, etc. Disclaimer Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment‑related offers in exchange for money or other sensitive personal information. Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any payment as part of consideration for employment. If you feel that you have been the victim of a scam, report the incident to the Federal Trade Commission at . If you would like to verify the legitimacy of an email sent on behalf of Alignment Health’s talent acquisition team, please email View email address on click.appcast.io . #J-18808-Ljbffr