Senior Auditor - General Compliance - Health Plan

Position: Senior Auditor - General Compliance - Health Plan

Job ID: 149050

Location: US-TX-Bellaire

Department: Controls & Compliance

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

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 13,000 dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at


We are searching for a Senior Auditor — someone who works well in a fast-paced setting. In this position, you'll plan and conduct independent, objective assurance and consulting activities designed to add value and improve the operations, using a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control, governance processes, and claims payment compliance and to mitigate potential risks.


Think you’ve got what it takes?

Responsibilities :

  • Collect and analyze complex data, evaluate information and systems, and draw logical conclusions
  • Plan and manage projects as well as multiple priorities
  • Ability to negotiate issues and resolve problems
  • Utilize word processing, spreadsheet and other business software to prepare reports, memos, summaries, and analyses
  • Effectively communicate both verbally and in writing, and by using active listening skills
  • Work with finance management team to identify high risk areas within the Health Plan and to initiate audit projects designed to evaluate what the risks and related financial impact is and implement controls designed to mitigate those risks
  • Identifies risks outside the scope of assigned audits and other projects, documents the risks, and communicates risks to finance management
  • Identifies and evaluates potential projects to improve management of risks, add value, and improve the organization's operations
  • Independently plans, facilitates, and manages operational, financial, and compliance audits, investigations, and external audits conducted by governmental and other outside agencies
  • Performs audits and other assignments in accordance with professional auditing standards and
    departmental policies and procedures
  • Communicates audit information such as results and conclusions in accordance with professional auditing standards and departmental policies and procedures
  • Creates collaborative positive working relationships with finance staff, clients and other staff, and external parties
  • Performs audit procedures, including conducting and documenting interviews, reviewing and analyzing evidence, identifying and defining issues, developing criteria, documenting client processes and procedures, and composing summary memos


  • Bachelor’s degree in a business-related field
  • 5 years of progressive experience in an audit and/or accounting environment, including specific experience in performing audit assignments in a lead role (a combination of education and experience may be considered as substitutions for the minimum experience requirements)
  • Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) is preferred
  • Experience in public accounting, assurance, and consulting is preferred
  • Experience in auditing within the healthcare industry is preferred

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