VP, Internal Audit & Enterprise Risk

Alignment Healthcare USA, LLC; Orange (CA); On-site; USD 228,000 - 342,000; Full time

Job summary

Alignment Health is seeking a senior leader to direct the internal audit function, driving SOX 404 program leadership, risk management, and regulatory oversight across the organization. The role partners with the Audit Committee, CFO, CAO, and leaders to strengthen controls and ensure accountability in Medicare Advantage operations.

The VP, Internal Audit will advance control environments, oversee outsourced audit partners, and translate findings into strategic guidance for executives and the

Qualifications

• Bachelor's degree in Accounting, Finance, or Business Administration.
• 15+ years of progressive internal or external audit or financial controls.
• 5+ years in a senior leadership role.
• Experience with SEC reporting and PCAOB standards.
• Deep expertise in Medicare Advantage risk adjustment, RADV and CMS regulations.
• Experience directing outsourced or co-sourced audit partnerships.

Responsibilities

• Lead design, execution, and continuous improvement of the SOX 404 program.
• Oversee governance of outsourced internal audit partner and ensure quality.
• Develop and execute a risk-based ERM audit plan across the organization.
• Assess Medicare Advantage regulatory requirements, including RADV readiness.
• Remediate control deficiencies and drive durable remediation.
• Lead operational audits across finance, HR, claims, medicine management, and IT.
• Engage Audit Committee with regular reporting and strategic insights.
• Supervise external audit partners and manage budgets and timelines.

Skills

SOX 404 Program Management

Medicare Advantage Compliance

Enterprise Risk Management

IT General Controls

Audit Committee Communication

Data Analytics

COSO Framework

PCAOB Standards

ERP Audit

Education

Bachelor's degree in Accounting, Finance, Business Administration

MBA or Healthcare Administration (preferred)

Graduate coursework in risk management / internal auditing / healthcare compliance

Tools

ACL/Galvanize

TeamMate

ERP audit tools

Job description

Alignment Health is seeking a senior leader to direct the internal audit function, driving SOX 404 program leadership, risk management, and regulatory oversight across the organization. The role partners with the Audit Committee, CFO, CAO, and leaders to strengthen controls and ensure accountability in Medicare Advantage operations.

The VP, Internal Audit will advance control environments, oversee outsourced audit partners, and translate findings into strategic guidance for executives and the