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VP, Internal Audit

External
alignmenthealthcare logoAlignmenthealthcare · Orange, CA
Full-timeOn-site3w ago
ComplianceDocumentationLeadershipRisk Management
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Benefits

Health insurance

Additional Information

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The VP, Internal Audit is a highly visible senior leadership role responsible for directing the internal audit function at Alignment Healthcare, Inc., with accountability for SOX compliance, enterprise risk management, and regulatory oversight across all business operations. This leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor-not merely a compliance function. Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces emerging risks, and ensures the organization operates with the highest standards of accountability. This is a critical enterprise function whose outcomes directly protect patients, maintain regulatory standing, and support the organization's mission of delivering high-quality, cost-effective care to Medicare Advantage-enrolled seniors. Job Profile Summary The VP, Internal Audit is a highly visible senior leadership role responsible for directing the internal audit function at Alignment Healthcare, Inc. , with accountability for SOX compliance, enterprise risk management, and regulatory oversight across all business operations. This leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor-not merely a compliance function. Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces emerging risks, and ensures the organization operates with the highest standards of accountability. This is a critical enterprise function whose outcomes directly protect patients, maintain regulatory standing, and support the organization's mission of delivering high-quality, cost-effective care to Medicare Advantage - enrolled seniors. Job Duties / Responsibilities SOX Program Leadership & Internal Control Governance Lead the design, execution, and continuous improvement of the company's SOX 404 program, including scoping, risk assessment, control design, testing, and documentation. Drive governance over the outsourced internal audit partner, holding them accountable for quality, timelines, and professional standards. Ensure all SOX documentation and testing results are complete, accurate , and maintained in accordance with PCAOB standards and internal policy. Enterprise Risk Assessment ("ERM") & Audit Planning Oversees the Company's ERM process by developing and executing a risk-based annual audit plan that provides comprehensive coverage of financial, operational, IT, and regulatory risks across the organization. Proactively identify control environment gaps and emerging risks before they escalate, and communicate findings with timeliness and transparency to senior management and the Audit Committee when needed . Medicare Advantage Regulatory Compliance Oversight Assess compliance requirements specific to the Medicare Advantage regulatory landscape, including the Model Audit Rule, RADV readiness, and encounter data integrity . Partner with compliance, legal, and actuarial leaders to ensure audit programs reflect current CMS regulations . Control Deficiency Remediation & Management Accountability Oversee the identification of root causes behind control failures, monitor remediation efforts, and hold management accountable for timely and durable resolution of deficiencies. Deliver regular, clear status updates to executive leadership and the Audit Committee-translating complex audit findings into actionable business intelligence. Operational Audit Leadership Lead operational audits across all functional areas-finance, HR, claims, medical management, pharmacy, and technology- applying a consistent, risk-based methodology to evaluate process integrity and identify efficiency opportunities. This includes overseeing IT general controls (ITGCs) and system-level controls related to ERP, claims, and data migration initiatives. Contro


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