Senior IT Audit Manager

Alt; Des Moines (IA); Hybrid; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical, Dental & Vision

Hybrid-work flexibility

401(k) with Company Match

Life Insurance and more

Job summary

OpenLoop is seeking a Senior IT Audit Manager to lead IT controls testing, risk assessments, and regulatory compliance across cloud-based systems, EHR/EMR, and third-party SaaS integrations. You will partner with technology leadership to design, remediate, and validate controls, ensuring secure and compliant operations in a regulated telehealth environment.

Ideal candidates have 7+ years of IT audit experience, CISA, and deep knowledge of IT governance, cloud security, HIPAA, and AI governance.

Qualifications

• Bachelor's degree in Information Systems, IT, Computer Science, or equivalent
• Active CISA designation required
• 7+ years IT audit experience in risk advisory or internal audit IT specialization
• Strong knowledge of IT governance frameworks (COBIT, COSO, NIST 800-53, ISO 27001)
• Experience auditing cybersecurity and cloud controls (AWS, Azure, GCP)
• Experience auditing EHR/EMR, HIPAA, and data privacy controls; AI governance experience

Responsibilities

• Develop and maintain a risk-based IT audit plan across systems, apps, and infra
• Lead end-to-end IT audit engagements from planning to closure
• Design and execute IT control testing procedures, including ITGC
• Assess cybersecurity controls and cloud infrastructure controls for security and compliance
• Audit EHR/EMR and clinical application controls; ensure HIPAA/CCPA compliance
• Support AI governance controls including model governance and data quality

Skills

IT audit

Cloud security

HIPAA compliance

SaaS controls

AI governance

Communication

SOX ITGC

Independent testing

Education

Bachelor's degree in Information Systems or related field

CISA certification

CRISC/CISSP/CISM or CIA

Tools

AuditBoard

Workiva

Vanta

AWS

Job description

About OpenLoop

OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

About The Role

OpenLoop’s mission is to bring care anywhere by powering telehealth solutions at scale.OpenLoop is looking for a Senior IT Audit Manager to join its Internal Audit function and own the IT controls audit program. Reporting to the Head of Internal Audit, you will assess and validate the design and effectiveness of IT general controls, cybersecurity, data privacy, and emerging technology controls across a cloud-based infrastructure, EHR and EMR systems, and a broad ecosystem of third-party SaaS integrations. The work spans the full IT risk landscape, from SOX ITGC readiness to HIPAA security, AI governance, and data security, in a multi-entity, heavily regulated telehealth environment that is scaling rapidly and preparing for a significant next step in its growth trajectory. This role partners directly with technology and business leadership to design, remediate, and validate controls, ensuring systems and data are secure, reliable, and compliant.

What You’ll Do

• Develop and maintain a risk-based IT audit plan, conducting periodic IT risk assessments across systems, applications, infrastructure, and emerging technology domains to establish audit priorities
• Lead end-to-end IT audit engagements, from planning and scoping through fieldwork, reporting, and issue closure
• Facilitate kickoff, status update, and closing meetings with IT process owners, system owners, and senior management
• Design and execute IT control testing procedures independently, including ITGC testing across access management, change management, computer operations, and system development life cycle (SDLC)
• Assess and validate cybersecurity controls, including network security, identity and access management, vulnerability management, and incident response
• Evaluate cloud infrastructure controls (including AWS environments) for security, reliability, and compliance with applicable frameworks and regulatory requirements
• Conduct audits of EHR and EMR systems and clinical application controls, and assess data privacy controls for compliance with HIPAA Security Rule, CCPA, and applicable state-level regulations
• Support the governance of AI governance frameworks and controls, including model governance, data quality, bias risk, and compliance with emerging AI regulations
• Prepare and maintain IT audit documentation including process narratives, system flowcharts, risk and control matrices (RCMs), testing workpapers, and audit reports
• Partner with management to design, remediate, and validate IT controls, providing practical and prioritized recommendations to address identified gaps and process weaknesses
• Track open IT audit issues and remediation plans through closure, validating the effectiveness of corrective actions
• Monitor the evolving IT risk, cybersecurity, and regulatory landscape to keep the IT audit plan current and relevant

Who You Are

Required

• Bachelor's degree in Information Systems, Information Technology, Computer Science, or equivalent technical field and active Certified Information Systems Auditor (CISA) designation
• 7+ years of progressive IT audit experience in business risk advisory consulting or internal audit IT specialization
• Demonstrated hands-on experience with IT general controls (ITGC) testing, including access management, change management, computer operations, and SDLC
• Strong knowledge of IT governance and control frameworks (COBIT, COSO, NIST 800-53, ISO 27001) and ISACA IT audit standards and professional practices
• Demonstrated experience auditing cybersecurity and cloud infrastructure controls, including network security, identity and access management, vulnerability management, incident response, and cloud environments such as AWS, Azure, or GCP
• Familiarity with HIPAA Security Rule requirements, including technical safeguards, risk analysis, and security incident procedures
• Experience auditing application controls across SaaS platforms and regulated healthcare technology environments, including EHR and EMR systems, with hands-on testing of input, processing, and output controls, data integrity, and access controls
• Demonstrated use of AI tools to enhance audit execution, accelerate control testing, and improve efficiency across the audit lifecycle
• Ability to execute IT audit engagements independently, manage multiple concurrent engagements, and deliver on time without close supervision
• Clear, concise written and verbal communication skills; able to translate complex technical findings into practical, actionable recommendations for both IT and non-IT audiences

Preferred

• Public accounting background (Big 4 or regional firm) with an IT audit or technology risk advisory focus
• Additional certifications such as CRISC, CISSP, CISM, or CIA
• Prior experience supporting SOX ITGC compliance in a pre-IPO, newly public, or high-growth company environment
• Experience auditing or assessing AI governance frameworks, including model governance, data quality controls, and compliance with emerging AI regulations
• Familiarity with data privacy frameworks beyond HIPAA, including CCPA or other applicable state-level regulations
• Knowledge of DevOps practices and SDLC security controls relevant to software development and deployment pipelines
• Proficiency with GRC platforms (e.g., AuditBoard, Workiva, or Vanta) for IT audit management and evidence collection
• Experience in digital health, telehealth, or multi-state healthcare services environments, including familiarity with pharmacy management systems, dispensing technology, or regulated pharmaceutical IT environments

What We Offer

• Competitive compensation
• Medical, Dental & Vision
• Flexible Spending / Health Savings Accounts
• Generous PTO and hybrid-work flexibility
• 401(k) with Company Match
• Life Insurance, Pet Insurance, and more

Our Company

We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Sound like a good fit? We’d love to meet you.