VP, Internal Audit

Alignment Healthcare•Orange, CA

22h•Remote

About The Position

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.

Requirements

15+ years of progressive internal audit, external audit, or financial controls experience, with at least 5 years in a senior leadership role
8+ years of experience with a publicly traded company, including demonstrated knowledge of SEC reporting requirements and PCAOB auditing standards
Deep expertise in Medicare Advantage plans, risk adjustment, and healthcare operations, including familiarity with CMS regulations, RADV, and the Model Audit Rule
Experience leading audit work in complex, regulated healthcare or insurance environments with strong emphasis on SOX and COSO framework application
Demonstrated experience directing and governing outsourced or co-sourced audit partnerships, including vendor management and quality oversight
Bachelor's degree in Accounting, Finance, Business Administration, or a closely related field
Ongoing professional development in internal auditing standards, including IIA (Institute of Internal Auditors) standards and the COSO Internal Control Integrated Framework
Demonstrated working knowledge of PCAOB standards, SEC reporting requirements, and SOX Section 404 implementation
SOX 404 Program Management (Advanced)
Medicare Advantage & Healthcare Regulatory Compliance (Advanced)
Enterprise Risk Management (Advanced)
IT General Controls & Systems Audit (Intermediate to Advanced)
Audit Committee & Executive Communication (Advanced)
Remediation Management & Root Cause Analysis (Advanced)
Data-Driven Audit Analytics (Intermediate)

Nice To Haves

Master's degree in Accounting, Business Administration (MBA), or Healthcare Administration
Graduate coursework or certification in risk management, internal auditing, or healthcare compliance
Training in Medicare Advantage regulatory compliance, including CMS audit readiness, RADV methodologies, and encounter data management
Coursework or training in enterprise risk management frameworks (e.g., COSO ERM, ISO 31000)
Data analytics and audit technology training (e.g., ACL/Galvanize, TeamMate, or similar audit management tools)
Certified Public Accountant (CPA) — strongly preferred; indicates technical grounding in financial reporting, accounting standards, and attestation
Certified Internal Auditor (CIA) — preferred; the global standard for internal audit professionals, demonstrating proficiency in IIA Standards, risk management, and governance
Certified Information Systems Auditor (CISA) — preferred, particularly given the IT controls and ERP oversight responsibilities of this role

Responsibilities

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.
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.
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.
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.
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.
Embed a culture of accountability by serving as a trusted advisor to business leaders on effective control design, helping them understand what "good" looks like in practice.
Move the organization from a compliance-driven mindset to one of ownership, where controls are embedded in daily operations rather than layered as an after-thought.
Serve as the primary liaison to the Audit Committee Chair, providing regular reporting on audit results, risk exposure, program quality, and remediation progress.
Apply strong executive presence and communication skills to translate audit data into strategic insights for the Board and senior leadership.
This role carries supervisory responsibility over the Company's third-party external audit team, including oversight of quality, work standards, timelines, reporting, and cost management.
Fulfill supervisory responsibilities in accordance with organization policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.