Assurance Senior Manager – Internal Audit Services

Blue & Co., LLC; Indianapolis (IN); On-site; USD 125,000 - 165,000; Full time

Job summary

Blue & Co., LLC is seeking an experienced Manager or Senior Manager to build and lead the Internal Audit Services practice, focusing on healthcare, guiding engagement teams, and driving growth.

Based in Indianapolis or nearby markets, the role requires strong technical expertise, leadership, and the ability to develop new client relationships while delivering high-quality assurance services in a dynamic, client-focused firm.

Qualifications

• 5–10+ years in public accounting, internal audit, advisory, or business development.
• Healthcare client experience strongly preferred.
• Ability to oversee engagements and supervise staff.
• Strong communication and business development skills.
• Willingness to travel up to 5–10% overnight.

Responsibilities

• Support practice growth through proposals, design, and thought leadership in healthcare internal audit.
• Drive best practices and efficiencies in client engagements, market growth, and workflows.
• Manage complex audit projects; oversee engagement teams; advise on controls and regulatory matters.
• Expand relationships with client and community contacts; contribute to marketing of the Healthcare practice.
• Plan, timeline, and deliverables across multiple client engagements.
• Assess design and operating effectiveness of financial, operational, and IT controls.
• Develop audit programs, process flows, risk/control matrices, and workpapers.
• Identify control weaknesses; propose remediation solutions; assist client implementation.
• Plan and oversee testing of internal controls per IIA/AICPA standards.
• Assess IT risks related to EHR systems and healthcare technology environments.
• Collaborate with client leadership to monitor KPIs and revenue cycle effectiveness.
• Support the Assurance Team and Blue & Co. overall with other duties.

Skills

Business development

Internal audit

Healthcare industry

Engagement management

Team leadership

Client relationship

Strategic growth

Project management

Education

Bachelor’s degree in accounting, finance, бизнес, or related field

Master’s degree preferred

CPA/CIA/CISA/CHFP certifications

Job description

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 firm‑wide 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.

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.