VP, Internal Audit

Job Profile Summary

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.

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.

Job Duties / 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.

• Oversee 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.

• Include oversight of 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.

• 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.

• Carry supervisory responsibility over the Company's third-party external audit team, including oversight of quality, work standards, timelines, reporting, and cost management.

Job Requirements

• Experience Required: 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.

• Prior experience at a Big 4 public accounting firm or national advisory firm within a healthcare or managed care practice. Exposure to ERP implementation controls, data migration audits, and IT general controls in a healthcare setting.

• Education Required: Bachelor's degree in Accounting, Finance, Business Administration, or a closely related field. Preferred: Master's degree in Accounting, Business Administration (MBA), or Healthcare Administration. Graduate coursework or certification in risk management, internal auditing, or healthcare compliance.

• Training Required: 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. Preferred: 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).

• Skills & Competencies: 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).

Essential Physical Functions

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.