Assurance Senior Manager – Internal Audit Services

Blue And Company; Indianapolis (IN); On-site; USD 130,000 - 180,000; Full time

Job summary

Blue & Co., LLC is seeking an experienced Assurance Senior Manager to lead internal audit services focused on healthcare. You will drive growth, manage client engagements, and mentor the team while serving as a trusted advisor on controls, risk, and regulatory matters.

The role offers regional flexibility with Indianapolis and nearby markets, travel up to 10%, and the opportunity to shape the healthcare practice's future through proposals, solutions, and thought leadership.

Qualifications

• 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 (healthcare focus ideal).
• Familiarity with healthcare operations, payer/provider environments, regulatory compliance, and financial risk.
• Strong communication and leadership skills; ability to manage engagements and supervise staff.
• Travel up to 5–10% overnight.

Responsibilities

• Support practice growth through proposals, solution design, and thought leadership in Healthcare internal audit space.
• Drive implementation of best practices and efficiencies in client engagement, market growth, and staff/workflows.
• Manage complex audit projects, oversee engagement teams, and serve as trusted advisor on controls and risks.
• Build and expand relationships with client and community contacts; contribute to marketing and growth of Healthcare practice.
• Participate in project planning, timelines, and deliverable management across multiple engagements.
• Assess design and operating effectiveness of financial, operational, and IT controls.
• Develop and review audit programs, process flows, risk/control matrices, and workpapers.
• Identify control weaknesses, propose remediation solutions, and support corrective actions.
• Plan, execute, and oversee testing of internal controls per standards (IIA, AICPA).
• Assess IT risks related to EHR systems, data security, and access controls.
• Collaborate with client leadership to monitor KPIs and revenue cycle effectiveness.
• Perform other duties to support the Assurance Team and Blue & Co.

Skills

Business development

Internal audit

Leadership

Communication

Multi-tasking

Education

Bachelor's degree in accounting/finance/business

Master's degree a plus

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Assurance Senior Manager - Internal Audit Services

Full-time Regular Indianapolis, IN, US

30+ days ago Requisition ID: 1501

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.

• 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.