Internal Audit Lead

BrightSpring Health Services; Louisville (KY); On-site; USD 110,000 - 170,000; Full time

Job summary

BrightSpring Health Services is seeking an Internal Audit Lead to support the SOX 404 program and independently perform risk-based operational audits. You will partner with stakeholders and cosourced providers to deliver timely, high-quality assurance and actionable insights.

The role offers growth across audit coverage and supervises cosourced resources. The ideal candidate has 5-7+ years in internal or external audit with SOX ownership, preferably in healthcare or related fields, and

Qualifications

• Bachelor's in Accounting, Finance, Information Systems, or related field.
• 5-7+ years in Internal Audit or external audit with SOX 404 ownership.
• Healthcare/provider, pharmacy services, payer, or life sciences exp. preferred.
• CPA, CIA, CISA, or CFE preferred.
• Strong knowledge of COSO, IIA Standards, and SOX/PCAOB expectations.

Responsibilities

• Execute the Company's internal audit plan with the VP of Internal Audit.
• Coordinate with cosourced providers and stakeholders for audits.
• Lead riskbased audits with defined objectives and scope.
• Develop test procedures, perform fieldwork, and synthesize findings.
• Manage timelines, budgets, and quality of audit deliverables.

Skills

SOX testing

Audit coordination

Stakeholder mgmt

Power BI

Excel/PowerPoint

Education

Bachelor's in Accounting, Finance, Information Systems, or related field

Tools

Workiva

AuditBoard

TeamMate

Power BI

Excel

Job description

Internal Audit Lead

Job Information

ID: 2026-188490

Line of Business: BrightSpring Health Services

Position Type: Full-Time

Job Locations: US-KY-LOUISVILLE

Our Company

BrightSpring Health Services

Overview

The Internal Audit Lead supports the execution of the SOX 404 program and independently performs riskbased operational audits, partnering with stakeholders and cosourced providers to deliver timely, highquality assurance and actionable insights. As the Internal Audit function continues to mature and expand, this role is expected to grow in breadth and scope, taking on increasing responsibility across audit coverage, risk areas, and assurance coordination.

Responsibilities

• The Internal Audit Lead works with the Vice President of Internal Audit and business unit leadership to execute the Company's internal audit plan
• Fosters relationships with business unit personnel at appropriate levels and serve as a subject matter expert for control design, data integrity, and documentation standards
• Consistently deliver quality internal audit services in accordance with relevant professional standards
• Contributes to the annual audit plan and periodic risk updates, partnering with other assurance providers to coordinate activities and enhance overall assurance coverage
• Independently plan and execute riskbased audits, including defining objectives and scope, developing test procedures, performing fieldwork, synthesizing findings, assessing impact, and recommending practical, actionable remediation
• Drives high-quality work products within expected time frames and budget
• Coordinate multiple projects and proactively manage stakeholder expectations for service delivery and timelines
• Stays abreast of current business and industry trends
• Performs other duties as assigned
• Supports execution of the SOX 404 program and coordinate closely with third party service providers
• Facilitates and lead walkthroughs and design effectiveness assessments of key controls, including evaluation of control objectives, risk alignment, and IPE completeness and accuracy
• Oversees and review cosourced operating effectiveness testing of key controls, ensuring testing approaches, evidence, and conclusions meet Internal Audit standards and support external auditor reliance
• Performs effectiveness testing as needed, validating evidence, and ensuring conclusions are supportable and auditready
• Provides daytoday oversight and project management of cosourced resources supporting SOX and operational audits, including coordinating scope, timelines, deliverables, and review of workpapers for quality and consistency
• Serves as one of the primary points of contact for assigned cosource engagements, facilitating communication, resolving issues, and escalating risks or delivery concerns as appropriate
• Independently manage and execute assigned audit engagements endtoend, while balancing oversight responsibilities and ensuring alignment with Internal Audit standards and expectations
• Supervisory Responsibility: Yes

Qualifications

• Bachelor's in Accounting, Finance, Information Systems, or related field.
• 5-7+ years in Internal Audit or external audit (Big 4/national firm or corporate IA), with substantial SOX 404 ownership and hands-on operational audit execution.
• Industry Experience: Healthcare/provider, pharmacy services, payer, or life sciences experience; understanding of revenue cycle, 340B risk, supply chain, and regulatory compliance preferred
• CPA, CIA, CISA, or CFE preferred.
• Strong knowledge of COSO, IIA Standards, SOX/PCAOB expectations, and ITGC concepts; comfortable testing IPE and data flows.
• Proficiency with audit management platforms preferred (e.g., Workiva, AuditBoard, TeamMate).
• Strong capabilities in productivity tools (Excel/PowerPoint; Power Query/Power BI a plus).
• Excellent writing and presentation skills; ability to explain complex issues to non-technical stakeholders.
• Percentage of Travel: 0-25%
• Driving Position: No

To perform this role will require frequently sitting, and typing on a keyboard with fingers, and occasionally standing, walking, and climbing (stairs/ladders). The physical requirements push/pull and lift/carry 1-10 lbs

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.

For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.