Lead Internal Audit Manager – Medicare Advantage & ORSA

Zing Health, Inc.; Northern (KY); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Competitive salary based on market

Medical, Dental, and Vision

Employer-Paid Life Insurance

Paid Maternal Leave

Paid Paternal Leave

401(K) match up to 4%

Paid-Time-Off

Employee Assistance Programs

Job summary

Zing Health, Inc. in Kentucky is seeking an Internal Audit Manager to lead risk-based audits across health insurance operations, with a focus on governance, risk management, and internal controls in Medicare Advantage contexts.

You will plan and execute MAR and ORSA programs, prepare regulatory reports, mentor staff, and advise on process improvements while collaborating with senior management.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field.
• Seven or more years of internal audit, external audit, or risk management experience within the health insurance industry.
• Demonstrated experience with ORSA and Model Audit Rule (MAR) requirements.
• Strong knowledge of internal control frameworks and risk management principles.
• Strong analytical, written, and verbal communication skills.

Responsibilities

• Plan, lead, and execute complex internal audit engagements across health insurance operations, including claims, provider relations, utilization management, finance, compliance and FDR functions.
• Evaluate the adequacy and effectiveness of internal controls, operational processes, and risk management practices in accordance with professional auditing standards.
• Plan, lead and execute audits and testing related to the Model Audit Rule (MAR).
• Lead and support development of the Own Risk and Solvency Assessment (ORSA) annual process and reporting, regulatory examinations, and external audits.
• Prepare ORSA regulatory reports.
• Assess compliance with federal and state regulations applicable to health insurers, including CMS requirements for Medicare Advantage programs.
• Develop audit scopes, risk assessments, and work programs using a risk-based audit approach.
• Prepare audit reports and present findings and remediation plans to senior management.
• Monitor corrective action plans and validate remediation of audit findings.
• Provide advisory support on risk mitigation, control design, and process improvements.
• Manage, coach, and mentor audit staff or co-sourced resources as applicable.

Skills

Analytical skills

Written communication

Verbal communication

Risk management

Education

Bachelor's degree in Accounting, Finance, or related field

Tools

ORSA knowledge

MAR knowledge

Internal control frameworks

Job description

Zing Health, Inc. in Kentucky is seeking an Internal Audit Manager to lead risk-based audits across health insurance operations, with a focus on governance, risk management, and internal controls in Medicare Advantage contexts.

You will plan and execute MAR and ORSA programs, prepare regulatory reports, mentor staff, and advise on process improvements while collaborating with senior management.