VP, Internal Audit & Enterprise Risk Leader

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

Job summary

Alignment Health seeks a VP, Internal Audit to direct the company’s internal audit function, ensuring SOX compliance, enterprise risk management, and regulatory oversight across operations. The role partners with the Audit Committee, CFO, CAO, and business units to strengthen controls and provide strategic insights.

Ideal candidates bring 15+ years in audit, including 5+ years in a senior leadership role, with deep Medicare Advantage risk adjustment and CMS familiarity.

Qualifications

• 15+ years in internal/external audit with 5+ years in senior leadership.
• 8+ years with a publicly traded company, SEC & PCAOB knowledge.
• Deep expertise in Medicare Advantage risk adjustment and CMS regulations.
• Experience directing outsourced or co-sourced audit partnerships.

Responsibilities

• Lead the SOX 404 program design, execution, testing, and governance.
• Oversee ERM process and annual risk-based audit planning across the org.
• Ensure Medicare regulatory compliance, RADV readiness, and CMS alignment.
• Remediate control deficiencies and report progress to leadership and the Board.
• Direct operational audits across finance, IT, HR, claims, and pharmacy.
• Partner with Audit Committee, senior leaders, and external auditors.
• Embed accountability culture and translate findings into actions.

Skills

SOX 404

Regulatory compliance

ERM leadership

Audit analytics

Education

Bachelor's degree in Accounting/Finance

Master's degree (MBA/Healthcare Admin) preferred

Tools

ACL/IDEA

ERP systems auditing

Job description

Alignment Health seeks a VP, Internal Audit to direct the company’s internal audit function, ensuring SOX compliance, enterprise risk management, and regulatory oversight across operations. The role partners with the Audit Committee, CFO, CAO, and business units to strengthen controls and provide strategic insights.

Ideal candidates bring 15+ years in audit, including 5+ years in a senior leadership role, with deep Medicare Advantage risk adjustment and CMS familiarity.