Head of Internal Audit & Compliance Strategy

Childrens Aba; Kearny, Northern (NJ, KY); Hybrid; USD 140,000 - 190,000; Full time

Job summary

Children's Specialized ABA is building an independent internal audit function to protect revenue integrity, payer relationships, and regulatory standing. The Director of Internal Audit will design and run the monthly program, then scale to a team and operating model as the company grows.

This role blends hands-on execution with function design, requiring meticulous testing, cross-state coverage, and clear executive reporting on risk and improvement opportunities.

Qualifications

• 8+ years of progressive experience in healthcare internal audit, compliance, or regulatory/payer audit functions.
• Knowledge of Medicaid and commercial payer billing requirements; ABA/behavioral health billing experience is a plus.
• Experience reviewing clinical documentation for medical necessity and credentialing/licensure compliance.
• Track record coordinating external audits or records requests with payers, regulators, or accreditors.
• Ability to start as an individual contributor and grow a functional team.
• Strong written communication for clear audit findings and executive reporting.
• Bachelor’s degree in accounting, healthcare administration, nursing, or related field; internal audit certifications are a bonus.

Responsibilities

• Design the monthly audit methodology, sampling, testing procedures and documentation standards.
• Select a representative monthly provider sample across states and payers; execute audit testing until team is in place.
• Audit testing areas include credentialing, HR file completeness, client file completeness, authorizations and documentation, billing accuracy, and medical necessity.

Skills

Healthcare internal audit

Payer/audit experience

Credentialing/licensure

Regulatory/compliance

Executive reporting

Audit leadership

Education

Bachelor’s degree in accounting/healthcare admin/nursing

Internal audit certification

Tools

Central Reach

ABA practice management/EHR

QA/flagging tools

Job description

Children's Specialized ABA is building an independent internal audit function to protect revenue integrity, payer relationships, and regulatory standing. The Director of Internal Audit will design and run the monthly program, then scale to a team and operating model as the company grows.

This role blends hands-on execution with function design, requiring meticulous testing, cross-state coverage, and clear executive reporting on risk and improvement opportunities.