Executive VP, Internal Audit & Enterprise Risk

E2E Alignment Healthcare USA, LLC; California; Hybrid; USD 228,000 - 342,000; Full time

Job summary

Alignment Health seeks a seasoned executive to lead the Internal Audit function, overseeing SOX compliance, enterprise risk management, and regulatory oversight across the organization. The VP will partner with the CFO, Audit Committee, and senior leaders to strengthen controls and deliver high-quality assurance for Medicare Advantage operations.

This role focuses on optimizing control environments, RADV readiness, data integrity, and proactive risk management while guiding a collaborative,

Qualifications

• 15+ years of progressive internal or external audit or financial controls experience
• At least 5 years in a senior leadership role
• 8+ years with a publicly traded company, SEC reporting knowledge
• Deep expertise in Medicare Advantage risk adjustment and CMS regulations
• Experience leading audit work in regulated healthcare or insurance environments
• Experience directing outsourced audit partnerships, vendor management and quality oversight

Responsibilities

• Lead the SOX 404 program design, testing, and documentation
• Govern outsourced internal audit partner and ensure quality and timelines
• Oversee enterprise risk assessment and annual audit planning across func tions
• Identify control gaps and emerging risks; communicate findings to leadership
• Oversee Medicare Advantage regulatory compliance efforts including RADV readiness
• Lead IT general controls and ERP-related control assessments
• Engage Audit Committee with regular status updates and strategic insights
• Drive a culture of accountability, ownership, and effective control design

Skills

SOX 404

Audit governance

ERM

Regulatory compliance

Data analytics

Stakeholder mgmt

Education

Bachelor's degree in Accounting/Finance/Business

MBA preferred

Tools

PCAOB standards

ERP controls

ACL/IDEA

Job description

Alignment Health seeks a seasoned executive to lead the Internal Audit function, overseeing SOX compliance, enterprise risk management, and regulatory oversight across the organization. The VP will partner with the CFO, Audit Committee, and senior leaders to strengthen controls and deliver high-quality assurance for Medicare Advantage operations.

This role focuses on optimizing control environments, RADV readiness, data integrity, and proactive risk management while guiding a collaborative,