The Role
The Senior Internal Auditor plans and executes enterprise-wide risk-based audits covering operational, IT, financial, and compliance activities. Responsibilities include risk assessment, control walkthroughs, audit testing, data analysis, issue identification, reporting, recommendations, stakeholder engagement, and follow-up validation. The role also supports advisory reviews, special projects, audit methodology improvements, and professional development while applying recognized internal audit standards and control frameworks.
Summary Generated by Built In
At Astrana Health, the Internal Audit function plays a critical role in supporting our mission by helping to strengthen governance, risk management, and internal controls across the organization. Internal Audit offers broad insights into the organization’s operations and the chance to build meaningful relationships across departments. The Internal Audit team at Astrana is for those who thrive in a fast-paced, rapidly transforming and expanding organization.
The Senior Internal Auditor works alongside and supports Internal Audit leadership in planning and executing an enterprise-wide, risk-based audit plan that encompasses operational, IT, financial, and compliance activities. These audits provide the organization with valuable insights into key processes, promote consistency with organizational expectations, regulatory standards, and industry-leading practices, and foster a culture of continuous improvement. The Senior Internal Auditor consistently upholds all organizational and professional and ethical standards, performs internal audit work in conformance with relevant standards and principles of the internal audit profession, and can work independently under general supervision with latitude for initiative and independent, sound judgment.
This position requires technical knowledge and a collaborative mindset, both within the Internal Audit team and across the organization. The role is ideal for someone who is process-oriented, enjoys working cross-functionally, and engages comfortably across all levels of the organization.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
Audit Planning & Risk Assessment
- Assist Internal Audit leadership in developing and executing on the annual enterprise-wide, risk-based audit plans.
- Identify relevant and emerging risks, control objectives, and existing controls using recognized control frameworks (e.g., COSO) and other leading-practice resources; apply accepted risk assessment techniques to propose appropriate audit scope and objectives.
Audit Execution
- Perform and lead audits from planning through reporting, including risk assessment, process and control walkthroughs, evaluation of control design, development of test plans, independent testing procedures and analyses, and organized documentation.
- Interview stakeholders, gather and evaluate relevant information and support, and document key details to support sound, evidence-based conclusions.
- Analyze the significance of test results; assess the design and operating effectiveness of controls; and identify and document audit issues, root causes, and risk implications.
- Leverage data analytics, technology tools (including authorized emerging AI-enabled capabilities), and automation to maximize efficiency while obtaining deep insights.
- Manage timelines and deadlines for effective and efficient completion of audit activities.
Recommendations, Reporting and Follow-Up
- Communicate audit results through clear, concise written reports and oral presentations.
- Provide practical, cost-conscious, value-added recommendations for strengthening the control environment and implementing leading practices.
- Track the progress of management action and mitigation plans from completed audits through regular follow-up and validation.
Stakeholder Engagement
- Lead effective discussions and meetings with stakeholders throughout the audit lifecycle.
- Build and maintain strong cross-functional relationships with key stakeholders across the organization.
Other Projects and Advisory Reviews
- Without assuming management responsibilities, participate in special projects or ad hoc engagements that are consultative or advisory in nature. Such projects may support system implementations, new or updated policies or regulations, readiness assessments, process changes, or other reviews of emerging issues.
- Support other Internal Audit department initiatives or activities as assigned, to help maintain the high quality, responsiveness, effectiveness, and efficiency of the function.
Continuous Improvement & Professional Development
- Stay current on evolving healthcare risks, key regulatory requirements, and the organization’s business.
- Stay current on auditing best practices, including updates to professional standards, and contribute to continuous improvement of audit methodologies, tools, and technology within the Internal Audit function.
- Share knowledge, insights, and leading practices within the Internal Audit team to strengthen the department’s collective capabilities and contributions.
Qualifications
Required
- Bachelor’s degree in auditing, business, or a related field.
- 4+ years of relevant experience (e.g., internal audit, public accounting, SOX, compliance, or healthcare operations).
- Working knowledge of Internal Audit professional standards (i.e., The IIA), recognized internal control frameworks (e.g., COSO), and risk assessment practices.
- Working knowledge of information technology and cybersecurity risks and controls.
- Excellent interpersonal, verbal, and written communication skills, including the ability to discuss the audit work and support audit results confidently and clearly with management.
- Ability to grasp complex processes, think critically to assess risks and glean relevant insights.
- Proficiency in data analytic skills and a willingness to apply technology and automation to enhance audit work and insights.
Preferred
- Experience in public accounting (Big 4 is a plus), internal audit, SOX, and/or the healthcare industry.
- Professional certification (e.g., CIA, CPA, CISA, CHIAP, CFE, or equivalent), or actively pursuing one.
- Familiarity with healthcare operations and the industry’s regulatory requirements and standards (e.g., HIPAA, CMS, quality ratings).
- Experience with audit management software, data analytics tools, GRC tools, and ERP systems.
- Experience working in fast-paced organizations with rapid growth and frequent change.
Environmental Job Requirements and Working Conditions
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801.
- The total compensation target pay range for this role is: $110,000 - $125,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
About
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Skills Required
- Bachelor's degree in auditing, business, or a related field
- 4+ years of relevant experience in internal audit, public accounting, SOX, compliance, or healthcare operations
- Working knowledge of Internal Audit professional standards, including IIA standards
- Working knowledge of recognized internal control frameworks, such as COSO
- Working knowledge of information technology and cybersecurity risks and controls
- Excellent interpersonal, verbal, and written communication skills
- Ability to assess complex processes, think critically, evaluate risks, and identify relevant insights
- Proficiency in data analytics and willingness to apply technology and automation to audit work
- Experience in public accounting, internal audit, SOX, and/or healthcare
- Professional certification such as CIA, CPA, CISA, CHIAP, or CFE, or active pursuit of one
- Familiarity with healthcare operations and regulatory requirements, including HIPAA, CMS, and quality ratings
- Experience with audit management software, data analytics tools, GRC tools, and ERP systems
- Experience working in fast-paced, rapidly growing organizations
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The Company
What We Do
Astrana Health is a physician-centric, technology-powered healthcare company that operates an integrated delivery platform. It enables providers to participate in value-based care arrangements, helping them deliver accessible, high-quality, and cost-effective care to patients. The company provides care coordination services to patients, primary care physicians, specialists, and health plans, leveraging proprietary technology to streamline operations and improve patient outcomes across local communities.
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