Internal Auditor Sr - NC ROOTS Grant

About the role

This position supports UNC Health’s participation in the North Carolina Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) Hub as part of the State’s Rural Health Transformation Program. This position will perform risk-based financial, operational, and compliance audits supporting the NC ROOTS Region 4 Hub.

Responsibilities

• Evaluate internal controls, regulatory compliance, and program governance related to Hub operations, including partnerships, subrecipient arrangements, and grant-funded activities.
• Serve as a strategic audit partner by developing and executing risk-based audit plans aligned to NC ROOTS priorities, regulatory requirements, and organizational risk.
• Provide independent, objective assurance and advisory services to support the effective implementation and sustainability of the ROOTS initiative.
• Evaluate grant governance frameworks to determine whether roles, responsibilities, oversight, and internal controls effectively support compliance with federal, state, sponsor, and organizational requirements.
• Develop and maintain a risk-based audit plan for NC ROOTS statement of work and contract activities, with emphasis on federal and state grant compliance risks.
• Evaluate compliance with federal and state regulations, grant provisions, and UNC Health policies and procedures, while aligning audit coverage with NCDHHS contract and requirements, Uniform Guidance (2 CFR 200), and applicable state funding requirements.
• Review subrecipient monitoring processes to ensure compliance with grant requirements and funding conditions.
• Support audit readiness and response activities for external audits, grant reviews, and regulatory inquiries.
• Perform risk assessments and internal control evaluations across governance, financial, and operational processes and develop audit test plans that link identified risks, controls, and audit procedures.
• Identify internal control weaknesses, non-compliance issues, and opportunities to improve program effectiveness and grant accountability and communicate accordingly to Audit Department standards and processes.
• Prepare audit documentation and reports that communicate risks, control gaps, and recommendations to leadership.
• Serve as an internal consultant by providing guidance on grant compliance, risk management, and control design and is current on compliance requirement changes.
• Engage with internal stakeholders, NCDHHS representatives, and community partners to evaluate risks and strengthen oversight processes.
• Evaluate financial reporting, grant tracking, and data integrity supporting NC ROOTS funding and performance measures.
• Support continuous improvement efforts to enhance governance, oversight, and program sustainability.

Requirements

• Education Requirements: Bachelor’s degree in Accounting, Business Administration, Finance, Health Administration or related field.
• Licensure/Certification Requirements: Certified or in process of obtaining certification (i.e., CIA, CPA, CMA, CFE).
• Professional Experience Requirements: Three (3) years of progressive auditing and accounting experience within Healthcare or with public accounting firm or combined internal audit work.

Preferred

• Experience auditing both federal and state grants, including testing compliance and regulatory requirements with government-funded healthcare programs or large-scale grant initiatives preferred.

Skills and Abilities

• Strong knowledge: 1) Internal Auditing Standards, framework, and risk-based audit methodologies, 2) Internal control frameworks (e.g., COSO), 3) Federal and state grant compliance requirements, including Uniform Guidance (2 CFR 200), 4) State funding requirements and grant oversight practices.
• Technical skills: 1) Experience with electronic audit workpaper applications (e.g., TeamMate+), 2) Data analysis and mining tools (e.g., IDEA, ACL, SQL, Business Objects).
• Analytical and communication skills: 1) Ability to develop risk-based audit plans and translate risks into audit coverage, 2) Ability to analyze complex grant requirements and data, and communicate results to Senior Leadership and external stakeholders.
• Professional competencies: 1) Strong attention to detail and accuracy, 2) Ability to maintain confidentiality and safeguard sensitive information, 3) Ability to work independently and collaborate with cross-functional teams and external partners, 4) Acts as a change agent by identifying improvement opportunities, influencing stakeholders, and driving enhancements to controls, processes, and grant oversight practice, 5) Demonstrates critical thinking, professional skepticism, and curiosity in evaluating risks and controls.

Other Information

Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: NC ROOTS
Grant Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $33.37 - $47.97 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day
Job Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.