Senior Internal Auditor

St. Charles Health System Inc.; Bend (OR); Hybrid; USD 85,000 - 127,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

403(b) retirement plan

Earned Time Off

Job summary

St. Charles Health System is seeking a Senior Internal Auditor to independently assess compliance, governance, and financial processes. You will lead audits, develop risk-based plans, and evaluate control effectiveness across the organization.

The role requires a CPA/CISA/CIA or equivalent within 6 months, 5+ years of relevant experience, and strong data analytics skills using tools like Power BI or Tableau.

Qualifications

• Bachelor’s degree in Accounting or related field required.
• Minimum five years of audit, accounting, analytics, or compliance experience.
• CPA, CIA, or CISA certification required or within 6 months.

Responsibilities

• Lead internal audit assignments and advisory activities.
• Develop annual risk-based internal audit plan.
• Assess design and effectiveness of internal controls.
• Perform data analytics and sampling for audits.
• Prepare reports and facilitate management responses.

Skills

Audit analytics

Internal controls

Data analytics

Communication

Leadership

Education

Bachelor’s degree in Accounting

Finance or related field

Tools

Power BI

Tableau

ACL/IDEA

Job description

Pay range: $84,760 - $127,171 annually, based on experience. This position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program.

ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE:

Senior Internal Auditor

REPORTS TO POSITION:

Chief Compliance Officer

DEPARTMENT:

Compliance

DATE LAST REVIEWED:

July 2026

OUR VISION:

Creating America’s healthiest community, together

OUR MISSION:

In the spirit of love and compassion, better health, better care, better value

OUR VALUES:

Accountability, Caring and Teamwork

DEPARTMENT SUMMARY:

The Compliance Department includes privacy officers, internal auditors, and compliance analysts who proactively support adherence to legal, regulatory, ethical, and accreditation requirements. The work of the department is accomplished through its members who stay current with the ever-changing framework of laws, regulations, and ethical standards that apply to the St. Charles Health System (SCHS). The department educates the health system and its caregivers about how those requirements and standards apply to their work. The Compliance Department works collaboratively with the Legal, Regulatory, Finance, and Risk Management Departments when questions arise that require the particular expertise of any one or more of those departments. Members of the Compliance Department help develop and implement policies and practices that mitigate and prevent risk to the organization, to its patients, and to its patients’ families. Through that work, the department fosters an environment where compliance is a core business principle embedded in the everyday decision-making and work processes of SCHS.

POSITION OVERVIEW:

The Senior Internal Auditor at St. Charles Health System provides independent and objective assurance through audits of operational, compliance, financial, and strategic activities. This role evaluates the adequacy of management controls, assesses SCHS’s compliance with laws, rules, and regulations, and performs best practice or best-in-class benchmarking analyses. This position is also responsible for developing the methodology, foundational materials, and implementing the Internal Audit internship/light duty program. This position directly manages assigned light-duty caregiver(s) and students.

ESSENTIAL FUNCTIONS AND DUTIES:

• Assists in the development and execution of the annual risk-based internal audit plan, including operational, financial, compliance, information technology, and advisory engagements.
• Leads and performs internal audit assignments and other assurance and consulting activities designed to evaluate governance, risk management, internal controls, operational effectiveness, and regulatory compliance throughout SCHS.
• Plans and executes audits by assessing risk, developing audit programs, determining testing methodologies, conducting fieldwork, evaluating results, preparing audit reports, presenting findings, and facilitating management responses and corrective action plans.
• Assesses the design, reliability, and effectiveness of internal controls using data analytics, traditional audit methodologies, and risk-based auditing techniques to identify opportunities for improvement and mitigate organizational risk.
• Recommends enhancements to management controls designed to safeguard organizational assets, improve operational effectiveness and efficiency, support organizational growth, and ensure compliance with applicable laws, regulations, and organizational policies.
• Monitors multiple audit and control-testing activities, ensuring quality, timeliness, appropriate documentation, and effective communication with key stakeholders regarding findings, recommendations, and remediation efforts.
• Partners with Information Security, Compliance, Legal, Risk Management, Enterprise Risk Management, and operational leaders to assess risks, evaluate controls, and support organization-wide risk mitigation activities.
• Develops and maintains risk registers, internal control libraries, audit universes, dashboards, reports, and related audit documentation used to support audit planning, risk assessments, and program effectiveness evaluations.
• Conducts audits and other reviews under attorney-client privilege and attorney work-product protections when directed.
• Uses statistical and non-statistical sampling techniques, computer-assisted audit tools and techniques (CAATTs), data analytics, and data visualization tools to support audit activities, identify trends, and enhance stakeholder understanding of risks and opportunities.
• Researches and applies current auditing standards, industry best practices, healthcare regulations, and emerging risks to maintain professional competence and strengthen audit program effectiveness.
• Prepares, reviews, and maintains audit workpapers and supporting documentation in accordance with Institute of Internal Auditors (IIA) Standards and departmental requirements.
• Serves as a professional role model, promotes the Internal Audit function through high-quality work and collaborative relationships, and maintains the highest standards of integrity, objectivity, professionalism, and confidentiality.
• Builds productive working relationships with Board members, executive leadership, management, caregivers, physicians, and other stakeholders throughout the organization.
• Serves as the lead auditor for assigned organizational areas and functional activities under the Internal Audit Annual Plan approved by the Audit & Compliance Committee.
• Leads compliance-focused audits and may conduct compliance monitoring activities to assess compliance with applicable laws, regulations, organizational policies, and accreditation requirements.
• Utilizes organizational and regulatory knowledge, risk assessment information, and industry trends to identify emerging risks, shape audit priorities, and support the organization’s compliance program.
• Reviews and incorporates internal and external risk assessment information, regulatory guidance, and industry trends to identify emerging risks and support audit planning and prioritization activities.
• Supports the organization’s compliance program through auditing, monitoring, risk assessment, and related compliance activities.
• Participates in special projects, investigations, advisory engagements, enterprise initiatives, and other activities as assigned by the Chief Compliance Officer.
• Serves as the program lead for the Internal Audit internship and light-duty program, including recruitment, onboarding, training, mentorship, evaluation, workload management, and program effectiveness monitoring. The scope of responsibility includes the entire SCHS system, its divisions, departments, hospitals, clinics, employed providers, and affiliated operations.
• Supports the vision, mission, and values of the organization in all respects.
• Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients, and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Delivers customer service in a manner that promotes goodwill, is timely, efficient, and accurate.
• May perform other duties of similar complexity within the organization, as required or assigned.

EDUCATION:

Required: Bachelor’s degree in Accounting, Business, Economics, Finance, Health Sciences, Mathematics, or related field.

Preferred: Master’s degree in related field.

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or Certified Internal Auditor (CIA) is required or must be obtained within 6 months.

Valid Oregon driver’s license and ability to meet SCHS driving requirements.

Preferred: Other health information management, revenue cycle, coding, audit, or compliance-related credentials (CHC, CPC, CHPC, CHRC, CPMA, RHIA/T, CHPS, CHFP, CRCR, CFE, etc.).

EXPERIENCE:

Required: Minimum of five (5) years of audit, accounting, analytics, compliance experience, or an equivalent combination of education and experience. Supervisory experience and non-profit and/or healthcare industry experience.

Preferred: Knowledge and experience with audit and analytics software (ACL/IDEA, Power BI, Tableau, etc.).

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

This position interacts directly with the SCHS Board of Directors, SCHS Board Committees, and Senior Leadership.

SKILLS:

• Communication/Interpersonal Strong interpersonal communication skills.
• Ability to work under pressure in a fast-paced environment.
• Ensures confidentiality 24/7/365.
• Strong influencing and leadership presence with ability to advise senior leaders.
• Must be decisive and exercise good judgment under pressure.
• Excellent organizational and multi-tasking skills.
• Excellent communication and customer service skills, particularly in dealing with stressful personal interactions.
• Attention to detail and ability to work independently.
• Strong analytic and problem-solving skills.
• Advanced decision-making and project leadership capability.
• Computer Proficient in Microsoft applications (Outlook, Word, Excel, and PowerPoint), database management, and document preparation.
• Experience with Electronic Medical Record systems, investigations, and investigational software.

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying, pushing, or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-15 pounds, operation of a motor vehicle.
• Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing, or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors:

• Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category:

No Risk for Exposure to BBP

Schedule Weekly Hours: 40

Caregiver Type: Regular

Shift: First Shift (United States of America)

Is Exempt Position? Yes

Job Family: AUDITOR

Scheduled Days of the Week: Monday-Friday

Shift Start & End Time: 8 am to 5 pm

St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine.