Senior Auditor, Harris Health

Harris County; Houston (TX); Hybrid; USD 104,000 - 127,000; Full time

Benefits offered by this job

Competitive pay up to 115k

Zero-premium medical plan

Strong retirement program

Paid parental leave

Paid time off & holidays

Transit/PSLF discounts

Job summary

Harris County is seeking a Senior Auditor for the Harris Health Internal Audit team to strengthen accountability and improve operational effectiveness within a healthcare system serving the county. The role involves planning engagements, evaluating controls, preparing high-quality workpapers, and drafting impactful audit findings.

You will engage with client leadership, conduct on-site procedures across facilities, and mentor junior staff while maintaining confidentiality and professionalism in

Qualifications

• Healthcare industry experience is required (3–5 years).
• Bachelor's degree in accounting or related field. Certifications preferred (CIA/CPA/etc.).
• Strong knowledge of healthcare regulations, HIPAA, CMS conditions of participation.

Responsibilities

• Plan engagements with clear scope, risks, and objectives.
• Evaluate internal controls and financial information for accuracy and compliance.
• Prepare concise, well-organized workpapers per standards (IIA, Yellow Book).
• Draft evidence-based audit findings and actionable recommendations.
• Maintain collaborative relationships with clients and audit team; minimize disruption to operations.
• Perform on-site audits across Harris Health facilities and administrative offices.
• Mentor junior staff and pursue continuous improvement in tools and techniques.

Skills

Project management

Critical thinking

Written and verbal comms

Time management

Education

Bachelor's degree in accounting or related field

CIA/CPA/CHIAP/CISA/CFE preferred

Tools

Electronic workpapers

ERP systems

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 $115, 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.

Harris County is an Equal Opportunity Employer

https://hrrm.harriscountytx.gov/Pages/EqualEmploymentOpportunityPlan.aspx

If you need special services or accommodations, please call [phone] or email [e-mail].

This position is subject to a criminal history check. Only relevant convictions will be considered and, even when considered, may not automatically disqualify the candidate.

Harris County is an Equal Opportunity Employer. Learn more about our equal employment opportunity plan here: Harris County EEO Plan.

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.

NOTE:

Qualifying education, experience, knowledge, and skills must be documented on your job application. You may attach a resume to the application as supporting documentation but ONLY information stated on the application will be used for consideration. "See Resume" will not be accepted for qualifications.

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.