Internal auditor senior, Internal Audit

Senior Internal Auditor

The Senior Internal Auditor at St. Charles Health System provides independent and objective assurance through audits of operational, compliance, financial, and strategic activities. This role evaluates the adequacy of management controls, assesses SCHS’s compliance with laws, rules, and regulations, and performs best practice or best-in-class benchmarking analyses. This position is also responsible for developing the methodology, foundational materials, and implementing the Internal Audit internship/light duty program. This position directly manages assigned light-duty caregiver(s) and students.

Assists in the development and execution of the annual risk-based internal audit plan, including operational, financial, compliance, information technology, and advisory engagements.

Leads and performs internal audit assignments and other assurance and consulting activities designed to evaluate governance, risk management, internal controls, operational effectiveness, and regulatory compliance throughout SCHS.

Plans and executes audits by assessing risk, developing audit programs, determining testing methodologies, conducting fieldwork, evaluating results, preparing audit reports, presenting findings, and facilitating management responses and corrective action plans.

Assesses the design, reliability, and effectiveness of internal controls using data analytics, traditional audit methodologies, and risk-based auditing techniques to identify opportunities for improvement and mitigate organizational risk.

Recommends enhancements to management controls designed to safeguard organizational assets, improve operational effectiveness and efficiency, support organizational growth, and ensure compliance with applicable laws, regulations, and organizational policies.

Monitors multiple audit and control-testing activities, ensuring quality, timeliness, appropriate documentation, and effective communication with key stakeholders regarding findings, recommendations, and remediation efforts.

Partners with Information Security, Compliance, Legal, Risk Management, Enterprise Risk Management, and operational leaders to assess risks, evaluate controls, and support organization-wide risk mitigation activities.

Develops and maintains risk registers, internal control libraries, audit universes, dashboards, reports, and related audit documentation used to support audit planning, risk assessments, and program effectiveness evaluations.

Conducts audits and other reviews under attorney-client privilege and attorney work-product protections when directed.

Uses statistical and non-statistical sampling techniques, computer-assisted audit tools and techniques (CAATTs), data analytics, and data visualization tools to support audit activities, identify trends, and enhance stakeholder understanding of risks and opportunities.

Researches and applies current auditing standards, industry best practices, healthcare regulations, and emerging risks to maintain professional competence and strengthen audit program effectiveness.

Prepares, reviews, and maintains audit workpapers and supporting documentation in accordance with Institute of Internal Auditors (IIA) Standards and departmental requirements.

Serves as a professional role model, promotes the Internal Audit function through high-quality work and collaborative relationships, and maintains the highest standards of integrity, objectivity, professionalism, and confidentiality.

Serves as the lead auditor for assigned organizational areas and functional activities under the Internal Audit Annual Plan approved by the Audit & Compliance Committee.

Leads compliance-focused audits and may conduct compliance monitoring activities to assess compliance with applicable laws, regulations, organizational policies, and accreditation requirements.

Utilizes organizational and regulatory knowledge, risk assessment information, and industry trends to identify emerging risks, shape audit priorities and support the organization's compliance program.

Reviews and incorporates internal and external risk assessment information, regulatory guidance and industry trends to identify emerging risks and support audit planning and prioritization activities.

Supports the organization's compliance program through auditing, monitoring, risk assessment, and related compliance activities.

Participates in special projects, investigations, advisory engagements, enterprise initiatives, and other activities as assigned by the Chief Compliance Officer.

Serves as the program lead for the Internal Audit internship and light-duty program, including recruitment, onboarding, training, mentorship, evaluation, workload management, and program effectiveness monitoring.

The scope of responsibility includes the entire SCHS system, its divisions, departments, hospitals, clinics, employed providers, and affiliated operations.

Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service in a manner that promotes goodwill, is timely, efficient, and accurate.

Bachelor’s degree in Accounting, Business, Economics, Finance, Health Sciences, Mathematics, or related field.

Master’s degree in related field.

Licensure/Certification/Registration

Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or Certified Internal Auditor (CIA) is required or must be obtained within 6 months. Other health information management, revenue cycle, coding, audit, or compliance-related credentials (CHC, CPC, CHPC, CHRC, CPMA, RHIA/T, CHPS, CHFP, CRCR, CFE, etc.).

Required: Minimum of five (5) years of audit, accounting, analytics, compliance experience, or an equivalent combination of education and experience. Knowledge and experience with audit and analytics software (ACL/IDEA, Power BI, Tableau, etc.).

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