Assurance Senior Manager – Internal Audit Services

Posted Yesterday
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Indianapolis, IN, USA
In-Office
Senior level
Professional Services • Consulting
The Role
Lead and grow the Healthcare Internal Audit Services practice through business development, proposal development, client relationship management, and engagement oversight. Manage complex internal audit projects, assess financial, operational, and IT controls, evaluate healthcare technology risks, identify control weaknesses, and guide remediation. Supervise teams, review audit documentation, ensure professional standards compliance, support revenue cycle effectiveness, and mentor staff. Requires strong healthcare industry knowledge, internal audit expertise, communication skills, and willingness to travel 5–10% overnight.
Summary Generated by Built In

Blue & Co., LLC is a dynamic and innovative professional services firm providing growth-committed entrepreneurial clients with accounting and advisory services across multiple industries. With a commitment to remain independent, we have grown to 17 offices across six states.

We are seeking an experienced Manager or Senior Manager with a strong Business Development background to build and lead our growing Internal Audit Services practice. In this role you will help drive our strategic growth initiatives while delivering exceptional client service and providing strong guidance and mentorship to our existing team. This role will encompass market and client development while overseeing or managing client‑facing Internal Audit engagements mainly within the Healthcare industry. The ideal candidate brings deep technical expertise, strong communication skills, business development skills, and a commitment to exceptional client service. 

This role will focus on the Healthcare Industry (our largest niche) and will ideally be based in Indianapolis, IN, Louisville, KY, Columbus, OH, or Dallas, TX. Other Blue & Co. locations may be considered.

Position Details:

  • Support practice growth through proposal development, solution design, and thought leadership in the Healthcare internal audit space.
  • Drive the implementation of best practices and efficiencies in relation to client engagement, market growth, and staff/team workflows.
  • Manage complex audit projects, oversee engagement teams, and serve as a trusted advisor to clients on internal controls, financial and operational risks, IT risk environments, and healthcare‑specific regulatory and compliance matters.
  • Build and expand relationships with client and community contacts; contribute to the overall marketing and growth efforts of the firmwide Healthcare practice.
  • Participate in project planning, timelines, and deliverable management across multiple client engagements.
  • Assess the design and operating effectiveness of financial, operational, and IT‑related controls.
  • Develop and review audit programs, process flows, risk/control matrices, and workpapers to ensure accuracy and completeness.
  • Identify control weaknesses, propose practical remediation solutions, and support clients in implementing corrective actions.
  • Plan, execute, and oversee testing and evaluation of internal controls, procedural controls, and operational processes in accordance with professional standards (e.g., IIA, AICPA).
  • Assess IT risks related to EHR systems, data security, access controls, and key healthcare technology environments.
  • Collaborate with client leadership to monitor KPIs and ensure ongoing revenue cycle effectiveness.
  • Perform various other duties to support the continued growth and success of the Assurance Team and Blue & Co. overall.

Position Requirements:

  • Bachelor’s degree in accounting, finance, business, or related field (Master’s a plus).
  • Professional certifications preferred: CPA, CIA, CISA, CHFP.
  • 5–10+ years of experience in public accounting, internal audit, advisory, or business development, ideally serving healthcare clients.
  • Familiarity with healthcare operations, payer/provider environments, regulatory compliance, and financial risks.
  • Demonstrated ability to oversee and manage engagements, prioritize engagements, and supervise/motivate staff
  • Ability and desire to drive business growth and new client acquisition.
  • Experience assessing IT risk and controls in healthcare systems.
  • Excellent communication, presentation, and client‑relationship skills.
  • Ability to multi-task and manage changing priorities of multiple projects.
  • Effective and professional written and verbal communication skills. 
  • Travel of up to 5 - 10% overnight required, mostly to regional clients, prospects, or events.

 

We are responsive. We are caring. We are advocates.

Blue & Co., LLC, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, sex, sexual orientation, gender identity, disability, genetic information, national origin, race, religion, veteran status, or any other protected category.

Candidates must be authorized to work in the U.S. without current or future employer sponsorship.

Agency candidates will not be considered for this position.


#LIHybrid

Skills Required

  • Bachelor's degree in accounting, finance, business, or a related field
  • 5–10+ years of experience in public accounting, internal audit, advisory, or business development
  • Experience serving healthcare clients or familiarity with healthcare operations, payer/provider environments, regulatory compliance, and financial risks
  • Demonstrated ability to oversee and manage engagements, prioritize engagements, and supervise or motivate staff
  • Ability and desire to drive business growth and new client acquisition
  • Experience assessing IT risk and controls in healthcare systems
  • Excellent communication, presentation, and client-relationship skills
  • Ability to multitask and manage changing priorities across multiple projects
  • Effective professional written and verbal communication skills
  • CPA, CIA, CISA, or CHFP certification
  • Master's degree
  • Authorization to work in the U.S. without current or future employer sponsorship
  • Willingness to travel up to 5–10% overnight
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The Company
HQ: Carmel, IN
626 Employees
Year Founded: 1970

What We Do

Blue & Co., LLC is an independent accounting and advisory firm serving closely held businesses, growth-oriented organizations, and individual clients. Its public-accounting work includes assurance, tax compliance and consulting, healthcare consulting, benefit-plan services, valuation, litigation support, and client accounting services. The firm also specializes in healthcare, construction, nonprofits, manufacturing and distribution, technology, financial services organizations, and agribusiness. It emphasizes responsive, client-centered support.

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