Director, Internal Audit

Job Summary

The Director of Internal Audit is responsible for providing leadership, direction, and management of all aspects of the internal audit function through a systematic and disciplined approach to identify risks, monitor compliance with internal controls, evaluate whether such internal controls/governance practices are working effectively, and educate and train staff. This position will participate with the Chief Compliance Officer in the continuous assessment process and in the development and maintenance of the Internal Audit Plan approved by the Internal Compliance Committee and Board of Governors.  Position reports to the Chief Compliance Officer. 

This position will direct all aspects of running an efficient  team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.

Duties

Directs and manages the Internal Audits based on industry best practices and in accordance with the Institute of Internal Auditor’s International Professional Standards for the Practice of Internal Audit ("Audit Standards").  

Manage business process reviews and new process support that may require full compliance with the Audit Standards.  

Develop and implement effective plans to improve business operations and remediate potential risks while observing Compliance department and L.A. Care enterprise needs.

Conducts follow-up to determine whether identified findings have been resolved and that corrective action has occurred to minimize risks.

Establishes and maintains a quality assurance and improvement program  that covers all aspects of the internal audit activity.

Ensures appropriate allocation of existing audit resources for adequate audit coverage and completion of the Annual Audit Plan.

Provides quarterly updates to the Compliance leadership regarding the status of the Audit Plan and communicates factors that could impact completion of the plan or necessitate revisions to the annual Audit Plan.

Ensures the work product of direct reports, consultants, temporary employees, and other team members, is performed in accordance with acceptable audit standards, project plans, budgets and schedules.

Duties Continued

Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.

Develops and implements departmental policies and procedures, desk procedures and workflows as required.

Develops and implements trainings for staff and other stake holders as needed; partners with other internal partners as needed. Ensures staff has access to appropriate training and education opportunities.

Perform other duties as assigned. 

Education Required

Education Preferred

Experience

Required:
At least 7 years of audit experience including management and extensive auditing in health care or other highly regulated industry. 

At least 5-7 years supervisory/management experience in health care or other highly regulated industry.

Preferred:

At least 5 years of experience IT audits or IT risk assessments 

Skills

Required:
Knowledge of Professional Audit Standards: Institute of Internal Auditors Standards for the Professional Practice of Internal Auditing (SPPIA); AICPA Generally Accepted Auditing Standards (GAAS); ISACA Standards; and IIA Code of Ethics. 

High level of tact and ability to communicate complex and potentially sensitive issues to various levels of management. Excellent presentation, relationship building and interaction skills. Ability to communicate effectively with all levels of leadership.  
                                                                                                             
Ability to coordinate and share audit results with other health plans 

Demonstrated project management, organization and facilitation skills.

Strategic thinker with business risk awareness and outstanding analytical and problem-solving capabilities.

Ability to analyze data and unique situations, determine errors and potential problems arising from the analyses, and formulate practical and workable solutions to problems identified.

Ability to effectively prioritize and execute tasks in a high-pressure environment.

High level of personal integrity, and the ability to professionally handle confidential matters and exude the appropriate level of judgment and maturity.

Must be able to work effectively with all levels of management and manage interdisciplinary projects and teams.

Knowledge of finance, accounting, assurance and control principles. 

Knowledge of Medicare, Medi-Cal, and Managed Care regulations.

Knowledge of DHCS, DMHC, and CMS regulatory requirements.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Additional Information