Director of Internal Audit

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

The Director of Internal Audit (DIA) is the chief audit executive and directs San Juan Regional Medical Center’s (SJRMC) independent internal audit program. The DIA coordinates a broad range of risk-based audit functions in support of the corporate governance provided by the Board of Directors to achieve SJRMC’s mission, vision, and goals. The DIA is therefore responsible for creating and managing a program that delivers financial, operational, performance, information technology and compliance audits and reviews as needed. The DIA is furthermore responsible for providing management with independent analysis and evaluations of internal controls to ensure compliance with policies, processes, procedures, and regulations of SJRMC and other external agencies. The DIA reports directly to the Audit Committee of the Board of Trustees and is managed administratively by the Chief Financial Officer in adherence to the professional standards issued by the Institute of Internal Auditors. The DIA will provide strategic leadership and direction to the audit program, while also providing effective audit project management. The DIA will collaborate with SJRMC colleagues to address complex issues effectively and efficiently and will be an advisor and partner with stakeholders. The DIA will mentor and develop Internal Audit staff.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications:

• Bachelor’s degree from an accredited institution in either accounting, finance, business administration, management, computer science, MIS, or other relevant fields.
• Certified Public Accountant (CPA), or Certified Internal Auditor (CIA), or Certified Information System Auditor (CISA), or Certified Risk Manager Assurance (CRM(A)), or Financial Risk Manager (FRM). Or testing for one of these certifications which must be obtained within twelve (12) months of obtaining this position.
• Minimum of seven (7) years of progressive experience in a healthcare financial leadership position, or public accounting firm in the healthcare audit or consulting divisions.
• If education is in an unrelated bachelor’s degree, then experience requirement will be ten (10) years of progressive experience in a healthcare financial leadership position, or public accounting firm in the healthcare audit or consulting divisions.
• An equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job.
• Proficient with computer applications and programs associated with the position including Workday Applications, Audit Software, and Windows-based software. Must be proficient in all Microsoft Office Applications (Outlook, Word, Excel, and PowerPoint).
• Excellent leadership and people management skills with the ability to coach, motivate and mentor staff, creating an environment supportive of employee development and knowledge/skill enhancement.
• Experience with best-in-class audit methodologies, leading internal or external audit strategies.
• Superior verbal and written communication skills. Comfortable presenting in formal and informal settings to a wide variety of audiences, including both technical and non-technical key stakeholders, the Board of Trustees, and external entities.
• Demonstrated skills in researching, collecting, and analyzing complex data, evaluating processes and internal controls, and drawing logical conclusions.
• Effective project management skills which promote productivity and completion of audit projects within time budgets and deadlines.
• Thorough knowledge of generally accepted accounting principles and practices.
• Thorough knowledge of internal auditing and accounting procedures and techniques, and applicable laws and regulations.
• Thorough knowledge of management principles and skills to effectively direct and manage an Internal Audit process and special investigations.
• Experience in performing compliance reviews and internal auditing.
• Ability to be collaborative and solution-oriented while maintaining appropriate independence.
• Ability to challenge the status quo, explain the necessity for change and help others accept and implement change.
• Experience in management, supervision, or leadership.
• Excellent oral and written communication skills to both technical and non-technical audiences.
• Ability to successfully manage multiple projects.
• Ability to attract, retain, and manage high performing employees.

Preferred Qualifications:

• Master’s degree from an accredited institution in either accounting, finance, business administration, management, computer science, MIS, or other relevant fields.
• Ten (10) years’ experience as a Hospital Chief Financial Officer, or Hospital Controller, or Hospital Internal Auditor, or large public accounting firm healthcare audit manager.

Duties and Responsibilities:

• Directs the Internal Audit Department.
• Establishes appropriate goals and objectives for the audit department.
• Develops and executes a comprehensive audit plan using risk assessment to effectively identify SJRMC’s potential exposure to loss or risk.
• Plans, executes, and evaluates the SJRMC’s internal auditing program.
• Conducts risk-based audits, both scheduled and unscheduled, with concentration on policies, procedures, and practices that relate to the control, safeguarding, and accountability of assets.
• Conducts operational, financial and information technology audits to ensure compliance with policies, processes, procedures, and laws of and for the Board of Directors, State of New Mexico, and the Federal government.
• Supervises the internal audit staff to ensure that audit and investigative work is performed effectively and in accordance with professional standards.
• Maintains a list of ad-hoc members of the Internal Audit team from the staff of various SJRMC departments who will act as subject matter experts (SMEs) while conducting rick base audits or investigations.
• Enhances and maintains the proficiency of departmental personnel through coaching, continuing education, and participation in training.
• Maintains the Audit Policy and Operations Manual (Manual) that establishes policies, processes, and procedures for the Internal Audit Department.
• Ensures the Manual is efficient and effective and that it complies with applicable Institute of Internal Auditors (IIA) professional standards.
• Directs and supervises audit staff in preparing and submitting audit/investigation programs and working papers using the audit software for each engagement and/or investigation.
• Directs and supervises audit staff to assist with planning, organizing, monitoring, and preparing the quarterly reports (i.e., Status of Audit Findings Report and Status of Audit Plan Report) required by the Audit Committee of the Board of Directors.
• Plans and coordinates post-fieldwork activities related to each audit assignment including discussions with management regarding audit observations, preparation of the audit report, submission of client satisfaction surveys, review of management responses, and reporting to the Audit Committee of the Board of Directors.
• Prepares and distributes reports on the results of reviews and audits including recommendations for modification of management practices, fiscal policies, and accounting procedures as justified by audit findings.
• On a periodic basis, reports to the Chief Financial Officer and the Audit Committee of the Board of Directors on the status of the current year's audit plan and outstanding audit findings.
• Performs follow-up reviews to determine whether corrective actions to audit recommendations have been implemented.
• Annually assesses the internal audit department's performance and effectiveness as well as compliance with applicable standards in accordance with the Institute of Internal Auditors professional standards.
• Ensures the Internal Audit Department receives an external quality assurance assessment from an independent party at least every five years in accordance with the Institute of Internal Auditors professional standards.
• Administers the Ethics and Compliance Program in accordance with code of ethics of the Institute of Internal Auditors professional standards.
• Investigates allegations of fraud, waste, and abuse in collaboration with other SJRMC departments as required (Legal Affairs, Human Resources, Police, etc.) and keeps the Chief Financial Officer and the Audit Committee of the Board of Directors informed on these matters.
• Reviews and monitors SJRMC’s Conflict of Interest documentation.
• Provides advice to personnel regarding policy and disclosure requirements.
• Collaborates with the Compliance Department staff and Risk Manager to reduce risk to the organization. Performs special reviews or investigations as requested by leadership.
• Facilitates communication and coordination of stakeholders for effective governance.
• Advises in the establishment or revision of accounting systems and procedures in various departments or divisions.
• Provides advice upon request by the staff regarding processes, practices, policies, and/or procedures.
• Participates with various committees to assist and remain informed of impending changes in processes or functions.
• Maintains effective communications with the Chief Financial Officer through regularly scheduled meetings.
• Presents on topics related to auditing and accounting to SJRMC leadership as requested or needed.

Physical Demands and Environmental Work Conditions:

• Prolonged periods of sitting at a desk and working on a computer.
• Occasional irregular work hours (to meet the needs of SJRMC).
• Must be able to lift twenty-five (25) pounds.
• Occasional: lifting, carrying, reaching, bending, pushing, pulling, and stooping.
• Must be able to: talk (ordinary and conversations), hear (ordinary and conversations), and see (acuity: near and far, depth perception, and color vision).