Senior Auditor, Harris Health

Harris County Auditor's Office; Houston (TX); Hybrid; USD 106,000 - 130,000; Full time

Benefits offered by this job

Competitive pay up to $118,000 per yr

Zero-premium medical plan for employee

Generous retirement program

Parental leave up to 12 weeks

Paid time off and holidays

Transit/commute assistance and PSLF-PS

Job summary

The Harris County Auditor's Office is seeking a Senior Auditor to join the HHIA team in Houston. The role focuses on planning, evaluating, and reporting on internal controls within Harris Health facilities and related operations.

The position requires 3–5 years of healthcare audit experience and a BA in accounting or related field. Certification such as CIA or CPA is preferred, with a hybrid on-site work arrangement in Houston, TX.

Qualifications

• Three to five years of healthcare industry experience.
• Bachelor's degree in accounting or related subject from an accredited college or university.
• Relevant professional certifications are desired (e.g., CIA, CPA, CISA or CFE). CIA is preferred.
• Strong knowledge of CMS Conditions of Participation, HIPAA, and healthcare accreditation standards.

Responsibilities

• Plan engagements: assess risks, identify controls, set scope and objectives, and develop procedures.
• Evaluate internal controls and financial information for accuracy and compliance with policies and regulations.
• Prepare workpapers adhering to IIA Global Standards and Yellow Book guidelines.
• Draft clear audit findings and actionable recommendations.
• Mentor junior staff and explore new audit tools and techniques.

Skills

Project management

Audit planning

Regulatory knowledge

Communication

Attention to detail

Confidentiality

Education

Bachelor's degree in accounting or related field

Job description

About the Auditor's Office

Harris County is the 3rd most populous county in the nation and provides an array of critical services to its community, including public health initiatives, disaster recovery efforts, toll road management, flood mitigation, and justice administration. The Harris County Auditor's Office plays an essential role in supporting these services by overseeing the financial operations of over 90 departments. Under the leadership of the County Auditor, the office includes the Accounting and Internal Audit divisions, ensuring integrity and efficiency in the County's fiscal management.

The Harris Health Internal Audit (HHIA) team within the County Auditor's Office serves as the designated internal audit function for Harris Health, the public healthcare safety-net provider serving Harris County residents. It consists of more than 30 facilities that are staffed by physician faculty, residents, and researchers from Baylor College of Medicine, The University of Texas Health Science Center at Houston, and MD Anderson Cancer Center. The facilities include clinics, community health centers, a dental center, a surgical center, and two full-service hospitals: Ben Taub Hospital and Lyndon B. Johnson Hospital (LBJ). Ben Taub and LBJ are verified as Level I and Level III trauma centers, respectively, and operate the two busiest emergency centers in the Houston area. Additionally, Harris Health provides healthcare services to incarcerated individuals in the Harris County Jail.

Join our HHIA team as a Senior Auditor , where you'll apply your expertise to strengthen accountability, enhance operational effectiveness, and promote public trust in a healthcare system dedicated to serving the Harris County community!

What We Offer Future Team Members

• Competitive pay of up to $118, 000.00 annually , commensurate with pay
• Comprehensive Benefits: Including a zero-premium medical plan for employees, with affordable coverage options for spouses and dependents
• Outstanding Retirement Program
• Paid Parental Leave: Up to 12 weeks
• Generous Paid Time Off : Vacation, sick leave, 11 paid holidays, and 1 floating holiday
• Additional Perks: Subsidized transit/commute assistance, professional development/growth opportunities, Public Service Loan Forgiveness (PSLF) qualifying employer status, and corporate discounts/memberships.

Job Overview

The Harris Health Internal Audit team seeks an experienced, motivated, and highly collaborative Senior Auditor who takes true ownership and pride in their work. If you are a self-starter who enjoys solving complex problems, engaging with client leadership, and driving meaningful operational improvements, you will thrive in this role.

Under the direct leadership of the Audit Manager with support from the Chief Assistant, the Senior Auditor will:

• Effectively Plan Engagements: Drive well-reasoned engagement planning processes to assess relevant risks, identify key controls, establish a clear scope and objectives, and develop appropriate audit procedures.
• Accurately Evaluate Processes and Controls: Assess the adequacy of internal controls, the accuracy of financial information, and adherence to policies, procedures, state/federal regulations (e.g., CMS Conditions of Participation, HIPAA), and accreditation standards.
• Prepare High-Quality Workpapers: Prepare timely, clear, concise, complete, accurate, and well-organized workpapers adhering to the IIA's Global Internal Audit Standards, Yellow Book standards, and Internal Audit division guidelines.
• Contribute to Evidence-Based Reports: Identify root causes of control or process deficiencies and draft clear, impactful audit findings and actionable recommendations that add tangible value.
• Maintain Positive Relationships: Foster open communication and work collaboratively with the audit team and client, clearly and confidently present essential information and solicit client feedback to ensure accuracy and buy-in, and coordinate audit activities to ensure minimal disruption of the client's daily operations.
• Diversify Operational Exposure: Conduct on-site audit procedures within the various Harris Health clinical facilities, administrative offices, and specialized service areas, including the correctional healthcare setting.
• Support Mentorship & Continuous Improvement: Serve as a mentor to junior staff and actively explore new tools and techniques to enhance audit efficiency.

Qualifications

Experience

• Three to five years of healthcare industry experience.

Education

• Bachelor's degree in accounting or related subject from an accredited college or university.
• Relevant professional certification is desired (e.g., CIA, CPA, CHIAP, CISA or CFE). CIA is preferred.

Knowledge, Skills & Abilities

• Highly effective project management skills with the ability to adeptly handle multiple tasks.
• Understanding of IIA's Global Internal Audit Standards, other applicable professional standards and frameworks, and policies and procedures.
• Exceptional ability to think critically and accurately analyze complex issues and information.
• Strong knowledge of Centers for Medicare and Medicaid Services Conditions of Participation, state and federal healthcare regulations, Health Insurance Portability and Accountability Act, and healthcare accreditation standards.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office, electronic workpapers, and enterprise resource planning systems.
• Ability to work in a fast-paced environment and consistently meet deadlines.
• Well-developed interpersonal skills.
• Ability to maintain a high degree of judgment, discretion, and confidentiality of sensitive information.
• Ability to work independently and collaboratively in a team environment.
• Willingness to take on additional tasks and projects outside of core areas of expertise.

General Information

• Position Type: Full-time | Regular
• Work Location:
• Harris County Auditor's Office: 1111 Fannin Street, 10th Floor, Houston, TX
• Harris Health: 4800 Fournace Place, 2nd Floor, Bellaire, TX
• Work Environment: This position operates in a hybrid work environment and requires a minimum of three (3) days per week on-site , based on operational needs.
• Schedule: Monday – Friday | 40 hrs. per week
• Travel: Ability to travel to various locations within Harris County
• Physical Requirements: Ability to sit for extended periods of time, ability to push/pull up to 20 lbs. and lift/carry up to 20 lbs.

The mission of the Harris County Auditor's Office is to be an independent and progressive organization recognized for professionalism in carrying out the County Auditor's statutory duties and responsibilities. The vision of the Harris County Auditor's Office is to create and maintain an environment of sound fiscal management and efficient financial operations at all levels of county government, while providing support to Commissioners Court, County Officials, Department Heads, and the public with the highest level of integrity and financial stewardship.

Harris County is an Equal Opportunity Employer https://hrrm.harriscountytx.gov/Pages/EqualEmploymentOpportunityPlan.aspx