VP, Internal Audit

Bachelor's degree in accounting, finance, business, healthcare administration, or related field • Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) • U.S. Citizen • Must be able to receive a favorable interim and adjudicated final Department of Defense (DoD) background investigation • 12+ years of progressive experience in internal audit, risk management, or related fields, with at least 5 years in healthcare or health plans • 7+ years of experience leading and managing audit teams and complex audit engagements, including at least 5 years at the Director level or above • Strong business judgment and ability to translate complex risk and control matters into clear implications and actions • Expertise in healthcare regulatory requirements and claims/benefits administration. • Master's degree in Business Administration, Accounting, Healthcare Administration, or related field, or Juris Doctor (JD) • Experience auditing health plans, managed care, or healthcare organizations • Experience auditing federal contracts, including TRICARE, VA, Medicare, or Medicaid programs • Experience and knowledge of the Military Health System and/or the VA health system • Experience building or restructuring an audit function • Veteran, Military Spouse or Military Affiliated.

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MI, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

Under the direction of the Chief Compliance and Legal Officer (CCLO) who oversees and maintains strategic and operational accountability for TriWest's audit function, the VP, Internal Audit is responsible for building, leading, and overseeing TriWest's corporate audit function. The role evaluates key financial, operational, technology, cybersecurity and compliance controls. The VP, Internal Audit combines deep audit expertise with sound judgment and courage, focusing the function on the risks that matter most, and turning findings into practical actions that strengthen performance, controls, regulatory adherence and contractual compliance. The VP, Internal Audit reports to the CCLO and keeps the CCLO informed of audit activity, findings, and emerging risks. The VP, Internal Audit presents audit results to the Audit Committee in coordination with the CCLO and the Committee; exercises objective judgment; and has unrestricted access to the records, personnel, and systems needed to perform audits.

Education & Experience

Required:
• Bachelor's degree in accounting, finance, business, healthcare administration, or related field • Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) • U.S. Citizen • Must be able to receive a favorable interim and adjudicated final Department of Defense (DoD) background investigation • 12+ years of progressive experience in internal audit, risk management, or related fields, with at least 5 years in healthcare or health plans • 7+ years of experience leading and managing audit teams and complex audit engagements, including at least 5 years at the Director level or above • Strong business judgment and ability to translate complex risk and control matters into clear implications and actions • Expertise in healthcare regulatory requirements and claims/benefits administration. • Working knowledge of COSO, risk assessment methodology, and IT general controls • Strong understanding of health plan systems, claims processing platforms, data integrity, and vendor/delegated entity oversight. • Excellent communication, leadership, analytical depth and technical writing skills, with ability to present complex issues to executive audiences.

Preferred:
• Master's degree in Business Administration, Accounting, Healthcare Administration, or related field, or Juris Doctor (JD) • Experience auditing health plans, managed care, or healthcare organizations • Experience auditing federal contracts, including TRICARE, VA, Medicare, or Medicaid programs • Experience and knowledge of the Military Health System and/or the VA health system • Experience building or restructuring an audit function • Veteran, Military Spouse or Military Affiliated

Key Responsibilities

• Develop and execute a risk-based enterprise audit plan covering finance, IT and information security, Human Capital, procurement, claims and payment integrity, network operations, legal and compliance functions, and vendors/external contractors (as required). • Coordinate the audit risk assessment with enterprise risk management. • Maintain the audit charter, methodology, and quality assurance program, consistent with recognized audit standards. • Build and lead a high-performing Internal Audit team, with a strong focus on talent, professional development, accountability and business acumen. • Audit performance against DHA and VA contract requirements and the internal controls supporting them, including controls for mandatory disclosure under FAR 52.203-13. • Evaluate internal controls supporting compliance with FAR, DFARS business system requirements (including 252.242-7006), and Cost Accounting Standards. • Evaluate HIPAA and Privacy Act controls in coordination with the privacy function. • Issue clear, well-supported audit reports, and track findings through remediation and report status and trends. • Coordinate with Finance and the external auditors to avoid duplication and support reliance on audit work.

• Evaluate organizational readiness for regulatory exams, client contractual audits, and accreditation reviews (e.g., URAC). • Manage audit forecasting, any co-sourced or third-party audit arrangements, and performance metrics. • Prepare and present audit results, risk dashboards, and trend analyses to executive leadership and the Audit Committee. • Establish audit data governance, metrics, and analytics to enable informed decision-making. • Develop and execute a professional development program, including required continuing education to maintain licenses and certifications. • Other duties as required.

Competencies

Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback.

Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.

Leadership: Successfully manage different styles of employees; Provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Working Conditions

Working Conditions:
• Remote/Hybrid, with travel to Corporate Headquarters in Phoenix, AZ required • Availability to work non-regular hours as necessary • Extensive computer work with prolonged periods of sitting

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $290,000 to $330,000 per year.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.