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Internal Audit Director

The Institute of Internal Auditors, San Antonio, TX, United States


University Health is seeking a strategic and highly experienced Director of Internal Audit to serve as a trusted advisor to executive leadership, the Audit Committee, and the Board of Managers.

This critical leadership role reports directly to the President/Chief Executive Officer, with functional accountability to the Audit Committee and Board of Managers, ensuring independent oversight of governance, risk management, compliance, and internal controls across the organization.

The Director will lead the development and execution of a comprehensive, risk‑based internal audit plan aligned with University Health’s strategic priorities. This role will oversee the Internal Audit Department and collaborate extensively with executive leaders and department heads to promote operational excellence, regulatory compliance, and fiscal stewardship.

Key Responsibilities

Develop and execute an annual risk‑based internal audit plan

Provide independent assurance to the CEO, Audit Committee, and Board of Managers

Oversee internal controls, governance processes, and enterprise risk management

Evaluate financial, operational, compliance, and information systems controls

Present audit findings and strategic recommendations to executive leadership and the Board

Ensure compliance with healthcare regulations, public sector governance standards, and auditing best practices

Foster a collaborative, team‑oriented audit culture throughout the organization

Support continuous improvement initiatives and organizational transparency

Education & Experience Required:

Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) designation

Minimum 7 years of progressive experience in internal audit or a related field

Demonstrated experience leading complex audits and reporting to executive leadership

Strong knowledge of internal controls, risk management, and governance frameworks

Preferred:

Master’s or advanced degree (Accounting, Finance, Business Administration, or related field)

Public accounting experience

Healthcare industry experience, preferably within a hospital or integrated health system

Experience presenting to Boards or Audit Committees

Why Join University Health?

Direct access to executive leadership and Board governance

Opportunity to influence enterprise-wide strategy and risk management

Work within a growing academic health system preparing for future expansion

Competitive executive compensation and comprehensive benefits

Mission‑driven culture focused on service, accountability, and excellence

Apply today! Send CV to arlena.jonas@uhtx.com or apply online at UniversityHealtySystem.com/Careers.

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