Manager - Accounting

Sentara Healthcare Inc; Norfolk, Northern (VA, KY); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Sentara Healthcare Inc. is seeking an Accounting Audit Manager, Financial Controls & Regulatory Assurance to lead MAR testing, SOC reviews, and compliance initiatives.

You will coordinate with internal teams and external auditors, oversee control documentation, and guide audit staff to ensure robust internal controls across the organization. Responsibilities include managing MAR testing, documenting risk assessments, and aligning with NAIC requirements and other regulatory frameworks within a

Qualifications

• Bachelor level degree required.
• CPA certification preferred but not required.
• Certified Internal Auditor (CIA) preferred.
• Certified Information Systems Auditor (CISA) preferred.
• Certified Risk Management Assurance (CRMA) preferred.

Responsibilities

• Develop, maintain MAR testing program and schedules.
• Monitor testing progress and adjust plans as needed.
• Oversee MAR methodologies, guides, procedures and docs.
• Ensure documentation of testing, risk assessments, and RCMS.
• Review testing workpapers for quality and compliance.
• Evaluate testing results and remediation actions.
• Coordinate MAR activities with stakeholders and external partners.
• Provide technical guidance to audit staff and teams.

Education

Bachelor's Degree

CPA

CIA

CISA

CRMA

Tools

MAR Program

SOC Reporting

NAIC Requirements

ORSA

Job description

Accounting Audit Manager, Financial Controls & Regulatory Assurance

Position Summary

The Audit Manager, Financial Controls & Regulatory Assurance, is responsible for leading and overseeing regulatory compliance testing, internal control assessments, audit support activities, and operational risk monitoring across the organization. This role manages the Model Audit Rule (MAR) testing program, coordinates Service Organization Control (SOC) report reviews, supports external audits, directs termination access review processes, and provides leadership for regulatory and operational compliance initiatives.

The position serves as a key liaison between business areas, external auditors, regulatory stakeholders, and senior leadership to ensure internal controls are effectively designed, operating as intended, and appropriately documented. The Audit Manager also provides staff leadership, audit methodology oversight, reporting, and continuous improvement support for audit and compliance processes.

Essential Duties and Responsibilities

Regulatory Compliance and Model Audit Rule (MAR) Program Management

• Develop, maintain, and administer the annual Model Audit Rule (MAR) testing program and related testing schedules.

• Monitor testing progress and adjust schedules, priorities, and resource assignments as necessary.

• Oversee maintenance of MAR methodologies, testing guides, procedures, templates, and supporting documentation.

• Ensure accurate and consistent documentation of control testing, risk assessments, process narratives, process maps, and Risk Control Matrices (RCMs).

• Review testing workpapers and audit documentation to ensure quality, completeness, and compliance with established standards.

• Evaluate testing results and assess control deficiencies, exceptions, and remediation activities.

• Compile and maintain MAR testing exception reporting for executive leadership and governance committees.

• Coordinate MAR-related activities with internal stakeholders and external audit partners to avoid duplication of testing efforts.

• Participate in MAR testing engagements and provide technical guidance to audit staff.

Education

• Bachelors Level Degree Required

Certification/Licensure

• CPA Preferred/not required
• Other Preferred Qualifications:
• Certified Internal Auditor (CIA)
• Certified Information Systems Auditor (CISA)
• Certified Risk Management Assurance ( CRMA)

Experience

• 5 years required Accounting/Finance experience, required
• Internal audit/regulatory compliance, risk management, financial controls, public accounting, or related field strongly preferred
• 1 year of Management or Supervisory experience required
• Healthcare, insurance, managed care, or financial services industry experience
• Experience with Model Audit Rule (MAR), SOC reporting, NAIC requirements, ORSA, or similar regulatory frameworks