Auditor, Sr

Position: Auditor, Sr

Job ID: 154008

Location: US-TX-Bellaire

Department: TCHP AUDIT

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Texas Children’s Health Plan 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 14,000+ dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


We are searching for a Senior Auditor -- someone who works well in a fast-paced setting. In this position, you will plan and conduct independent, objective assurance and consulting activities designed to add value and improve 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 identified so that external audits result in no findings.

Think you’ve got what it takes?

Responsibilities :

  • Engages in risk assessment and other departmental planning activities
  • 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
  • Oversees the Financial Statistical audit conducted by the Health and Human Services Commission on an annual basis and is responsible for gathering information in response to the auditor’s requests and reconciling variances in the expected versus the actual outcomes
  • Performs audits and other assignments in accordance with professional auditing standards and departmental policies and procedures
  • Assists with claims payment compliance audits to determine if payment of medical claims is in compliance with contractual agreements with the provider
  • 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, staff, and external parties


  • Bachelor’s degree in business-related field required
  • 5 years’ progressive experience in an audit and/or accounting environment, including specific experience in performing audit assignments in a lead role required (a combination of education and experience may be considered as substitutions for the minimum experience requirements)
  • CPA with State of Texas or CIA with Institute of Internal Auditors is highly preferred

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