Manager, Healthcare Operations Internal Audit

UPMC•Pittsburgh, PA

9d•Hybrid

About The Position

The Manager, Healthcare Operations Internal Audit reports to the Director, Physician and Healthcare Services Audit, provides operational and staff leadership for the clinical audit function within the Internal Audit Department. This role is responsible for planning, executing, and overseeing operational audits across the Health Services Division (HSD) Operations, including multi-site academic medical centers, outpatient facilities, and post-acute patient care, while directly supervising healthcare operations audit staff. The Manager serves as a strategic partner to healthcare operations, compliance, patient experience, risk management, quality, and senior leadership, ensuring that clinical audit activities address enterprise risk, regulatory compliance, and operational effectiveness. This role balances hands on audit leadership with talent development, quality assurance, and stakeholder engagement.

Requirements

Bachelors degree or equivalent healthcare certification required
8+ years of progressive experience in: Healthcare operations or clinical practice, Internal audit, compliance, quality, or healthcare risk management
3+ years of leadership or supervisory experience
Strong knowledge of: Federal and state healthcare regulations, Academic medical center and teaching hospital operations, Operations in a variety of healthcare settings
Ability to manage work across multiple geographically dispersed sites
Clinical and regulatory subject matter expertise
Audit planning, execution, and reporting leadership
Staff development and performance management
Executive level written and verbal communication
Risk assessment and root cause analysis
Influence without authority in matrixed organizations
Sound professional judgment and discretion

Nice To Haves

Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Certified Internal Auditor (CIA)
Certified in Healthcare Compliance (CHC)
Certified Professional Coder (CPC)
Certified Professional Medical Auditor (CPMA)

Responsibilities

Lead and oversee clinical, regulatory, and operational related audits across inpatient, outpatient, academic practice, and post-acute settings
Translate enterprise risk assessments into actionable audit plans
Enhance divisional risk assessment process and develop audit plan projects continually
Approve audit scopes, objectives, and methodologies for assigned engagements
Ensure audits evaluate operational and compliance/regulatory risks, effective and efficient processes, and second lines of defense coverage
Review and approve audit workpapers and final reports for quality, accuracy, and consistency
Directly supervise, coach, and evaluate Internal Auditors
Assign audit engagements and manage workload across multiple locations
Provide ongoing feedback, mentoring, and professional development support
Support onboarding and training of new audit staff
Identify skill gaps and coordinate continuing education and certification support
Foster a culture of collaboration, accountability, and continuous improvement
Partner with operational, clinical, compliance, risk management, legal, and quality leaders to communicate audit objectives and results, facilitate understanding of risks and control gaps, and support practical, sustainable remediation
Serve as a trusted advisor on clinical risk and operational matters
Participate in advisory reviews for new clinical programs or service lines, mergers, acquisitions, or site expansions, and significant regulatory or reimbursement changes
Present audit results and trend analyses to senior leadership and committees
Ensure audit practices align with Institute of Internal Auditors (IIA) standards and Departmental quality assurance and improvement programs
Identify opportunities to enhance audit tools, templates, and analytics
Monitor remediation plans and validate corrective actions
Track and report clinical risk trends across the health system
Support coordination between Internal Audit and Second Line of Defense functions