Senior Internal Audit Manager – Medicare Advantage & ORSA

Tecsa; Illinois; On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

Employer-Paid Life Insurance

401(K) match up to 4%

Paid Time Off

Employee Assistance Programs

Maternal Leave

Paternal Leave

Job summary

Zing Health is seeking an Internal Audit Manager to lead risk-based audits across health insurance operations, ensuring governance, risk management, and controls are effective and compliant with MAR and ORSA. The role emphasizes regulatory understanding and stakeholder communication.

Requirements include a bachelor’s degree and 7+ years in health insurance auditing, with CPA/CIA/CISA preferred. Occasional travel to the corporate office is required; the role is full-time and on-site.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• 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

ORSA

MAR

Internal controls

Risk management

Regulatory experience

Communication skills

Regulators interaction

Education

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

CPA/CIA/CISA or similar

Tools

Audit software

Job description

Zing Health is seeking an Internal Audit Manager to lead risk-based audits across health insurance operations, ensuring governance, risk management, and controls are effective and compliant with MAR and ORSA. The role emphasizes regulatory understanding and stakeholder communication.

Requirements include a bachelor’s degree and 7+ years in health insurance auditing, with CPA/CIA/CISA preferred. Occasional travel to the corporate office is required; the role is full-time and on-site.