Internal Auditor II (Full-time Remote, North Carolina Based)

Alliance Health•Durham, NC

2d•$91,192 - $116,270•Remote

About The Position

The Internal Auditor II provides senior-level staff advisory, consultative, and audit work, including preparing audit programs and independently reviewing functions, policies, and programs for soundness, adequacy, and application. The role ensures resources are efficiently and effectively employed and operations comply with the Institute of Internal Auditors (IIA) Global Internal Audit Standards. It applies a systematic and disciplined approach to evaluating and improving governance, risk management, and internal controls in support of Alliance’s objectives. This is a full-time remote position. The selected candidate must reside in North Carolina and be willing to travel to the home office in Morrisville, North Carolina, for onsite team meetings as needed.

Requirements

Bachelor’s degree in accounting, business administration, human services, or another appropriate area from an accredited college or university, plus at least seven years of auditing experience or experience related to the field; alternatively, a relevant master’s degree plus at least five years of such experience.
Contract review and/or delegation oversight experience.
Demonstrated experience developing audit criteria where no prior audit framework exists.
Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certification in Risk Management Assurance (CRMA).
Knowledge of auditing standards, compliance standards, enterprise risk management, and audit best practices.
Knowledge of state and federal Medicaid laws, administrative rules, state policies, and other guidelines.
General understanding of major MCO functions, particularly claims processing, utilization reviews, grievance management, provider credentialing, and contracting.
Ability to interpret contractual agreements and other business documents.
Ability to maintain confidentiality and handle highly sensitive information with discretion.
Ability to evaluate financial documents for accuracy, completeness, and compliance.
Ability to communicate professionally and succinctly with various stakeholders.
Excellent analytical, decision-making, and time-management skills.
Ability to analyze financial data and identify concerning trends, patterns, and other risks.
Knowledge of investigative techniques and methods, such as interviewing and gathering evidence.
Advanced computer skills in Microsoft Office, including Word and Excel.
Must reside in North Carolina and be willing to travel to the Morrisville home office for onsite team meetings as needed.

Nice To Haves

At least three years of experience in managed care or government in an audit capacity.

Responsibilities

Drive internal audit initiatives, special projects, and improvement initiatives in accordance with IIA Global Internal Audit Standards, including planning, performing, and communicating results.
Develop and apply audit criteria and performance measures for assigned engagements.
Apply IIA-aligned audit methodology to evaluate the adequacy, effectiveness, and efficiency of internal controls and ongoing operations.
Provide task assignments, guidance, and initial workpaper reviews for Internal Auditor I staff.
Perform detailed workpaper reviews to ensure evidence quality, analysis, and documentation meet IIA expectations.
Conduct periodic audit follow-ups to assess and report on management’s corrective actions.
Conduct other audit and compliance activities, including internal investigations, as assigned.
Prepare audit and advisory reports for review by the Director of Internal Audit.
Apply IIA risk-assessment and prioritization guidance to develop engagement-level audit objectives and testing strategies.
Design audit programs and testing procedures consistent with IIA guidance on planning and due professional care.
Maintain and refine internal audit methodology, including policies, procedures, templates, and tools.
Align audit activities with internal audit strategy, goals, and objectives.
Assist in defining and managing content for the internal audit manual.
Contribute to the internal audit training program and work with the supervisor to establish training goals.
Participate in organizational risk management activities, including the annual risk assessment that informs the audit plan.
Assist with the annual system-wide Enterprise Risk Management risk assessment cycle.
Support protocols that promote consistent use of IIA audit methodology.
Provide input on staff development needs and support skill-building activities.
Answer staff questions and help resolve methodological issues to support consistent application of IIA Standards.
Assist with knowledge sharing or focused training as needed.
Mentor and coach internal auditor staff and compliance auditors (analysts).
Communicate effectively with internal audit staff, the Director of Internal Audit, and Alliance management.
Build relationships with key constituents and provide professional audit advice as appropriate.
Build and nurture management and business relationships.
Manage external relationships with external auditors, regulators, and consultants.
Document audit results accurately and completely using designated internal audit software.
Communicate audit results through written reports and oral presentations to appropriate management and other stakeholders.