About The Position

The Senior II Healthcare Operations Internal Auditor leads operational audits within the health services division and provides strategic insight to Internal Audit and operational leadership. The role brings healthcare operations subject matter expertise to the audit process, assists other auditors, and influences enterprise risk management related to clinical operations. The position is based at the Steel Tower in Pittsburgh, Pennsylvania, with the potential to work a hybrid schedule that includes some days in the office and some days at home. Travel may be required as needed.

Requirements

  • Bachelor’s degree or equivalent clinical certification; alternatively, a high school diploma or GED and seven years of related work experience.
  • Five or more years of progressive clinical, audit, or compliance experience, or seven years of related work experience with a high school diploma or GED.
  • Demonstrated expertise in healthcare operations.
  • Strong executive communication and influence skills.
  • Superior computer skills, including experience with Microsoft Office tools: Word, Excel, Outlook, PowerPoint, CoPilot, and SharePoint.
  • Strong understanding of risk analysis and process improvement.
  • Willingness to travel as needed.
  • Strong written and verbal communication.
  • Risk assessment, process improvement, and root cause analysis skills.
  • Excellent project management skills.
  • Sound professional judgment and discretion.

Nice To Haves

  • RN, LPN, CHC, CPC, CIA, Six Sigma, or CPMA credentials are preferred.

Responsibilities

  • Lead operational, clinical, and regulatory audits.
  • Contribute to risk assessments and the annual audit plan.
  • Evaluate enterprise-level clinical controls and governance structures.
  • Provide advisory support for new clinical initiatives, acquisitions, and regulatory changes.
  • Assist and train other auditors.
  • Coordinate with and assess Compliance, Legal, Quality, and Revenue Cycle functions as second lines of defense.
  • Present audit results to senior and executive leadership.
  • Identify systematic trends and surface emerging risks across multiple locations.
  • Use operational, clinical, and revenue cycle data and workflow design knowledge in the audit process.
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