Director, Audit Services - The Health Plan

 
Position: Director, Audit Services - The Health Plan

Job ID: 402914

Location: US-TX-Houston

Department: TCHP Audit

Talent Area: Professional - Non-Clinical

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8a-5p Monday - Friday

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


Summary:

We are searching for a Director of Audit Services -- someone who works well in a fast-paced setting. In this position, you will direct and lead management of the Internal Audit function primarily related to the Texas Children's Health Plan (TCHP) third-line of defense activities while being a controls and assurance thought leader, solutions-focused, and collaborative with management. Identify, assess and evaluate financial, operational, compliance and information system risks and propose solutions and/or recommendations to assist TCHP in the decision-making process to minimize or eliminate risks. Prepare impactful reports for various levels of leadership and applicable governing bodies. The Director of Audit Services must have an excellent ability to drive outcomes and manage multiple projects and deliverables simultaneously and with high quality.

Think you’ve got what it takes

Job Duties & Responsibilities

  • Directs and manages the TCHP Internal Audit function based on industry best practices and in accordance with the Institute of Internal Auditor’s International Professional Standards for the Practice of Internal Audit
  • Ensures appropriate allocation of existing audit resources for adequate audit coverage and completion of the TCHP Annual Audit Plan
  • Obtains the Audit & Compliance Subcommittee of the Board of Trustees’ approval of the annual TCHP Audit Plan
  • Provides periodic updates to Governing Bodies (ACR, ACSG, TCHP Board) and communicate factors that could impact completion of Audit Plan
  • Direct and coordinate the design, execution, and periodic reporting of Audit-led and Audit-supported projects
  • Responsible for conducting health plan-wide annual risk assessment to use as the basis for the annual TCHP Audit Plan
  • Identify opportunities to coordinate and to partner with organization-wide initiatives, community programs and volunteer and fundraising events to enhance the overall transparency and visibility of TCHP Audit Services within Texas Children's.
  • Lead the ongoing key performance indicators of the Audit team and individual team members and perform ongoing evaluation of skillset inventory.
  • Communicate with executive management and leadership to evaluate and report the impact of unmitigated risks, deferred implementation of remediation plans, and/or the impact of assessments to mitigate key regulatory, contractual, compliance, financial, technology and operational risks.

Skills & Requirements

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption
  • Required Bachelor's Degree. Preferred Bachelor's Degree in Accounting or related field or other Advanced degree
  • 7 years Audit, finance, or similar experience, including at least two (2) years of formal management/supervisory experience
  • Certified Internal Auditor (CIA), Certified Fraud Examiner (CFA), or Certified Public Accountant (CPA) , Certified Info Systems Auditor (CISA), Certified in Healthcare Compliance (CHC)preferred. 


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