Assistant Vice President, Audit

Hourly Pay Range:

$90.48 - $140.24 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Assistant Vice President, Audit

The Assistant Vice President, Audit is a strategic and tactical leadership role accountable for the design, execution, and continuous improvement of Endeavor Health’s internal audit program in full conformance with the International Standards for the Professional Practice of Internal Auditing (Standards) issued by the Institute of Internal Auditors (IIA). The role will oversee internal audit, billing compliance audits (revenue cycle, CMS, and payer regulations) and IT audits (cybersecurity, EHR, cloud, HIPAA Security), with direct engagement, planning and reporting to Executive leaders over the audit areas and the Corporate Compliance Committee. With the addition of this role to the Audit, Compliance and Enterprise Risk team, the AVP, Audit will be tasked to build and lead a new audit analytics function leveraging data analytics, AI/ML, and continuous monitoring to drive risk-based auditing and predictive insights.

This position serves as the Chief Compliance Officer’s primary deputy as it relates to internal audit functions, acting with full authority in the CCO’s absence. The AVP, Audit role will be a highly-visible and accountable system leader with direct roles and responsibilities to the Corporate Compliance Committee and the Board’s Audit, Compliance and Enterprise Risk (ACER) Committee, including to provide independent assurance and advisory services that strengthen governance, enterprise risk management, and compliance.

Position Highlights:

• Position: Assistant Vice President, Audit

• Location: Warrenville, IL

• Full Time/Part Time: Full Time

• Hours: Monday-Friday, 8am-4:30pm

• Required Travel: travel throughout the system for meetings will be required

What you will do:

Internal Audit Leadership - Program Development, Continuous Improvement and Professional Development

• Lead the development and execution of a risk-based annual audit plan covering clinical, financial, operational, and research processes that is responsive to the needs of senior management and the board of directors and aligns with internal audit best practices and the Standards.

• Establish, monitor and respond to internal audit key performance indicators to help assess the impact and effectiveness of the internal audit function (i.e., post audit surveys, etc.).

• Collaborate with CCO to ensure audit priorities approved by the Corporate Compliance Committee reflect System strategic objectives and Enterprise Risk Management planning.

• Responsible for audit methodology, tools and continuous improvement of audit processes throughout the department (i.e., internal audit, billing compliance, IT internal audit, general compliance). This includes responsibility for:

  • Fostering a culture of continuous improvement and innovation in the department.

  • Change management within the audit team and identifying technology needs and developing and executing plans for implementation.

• Responsible for people development including:

  • Professional development and developing audit team talent throughout the department with focus on needs assessment and current skill levels.

  • Assessing methodology best practices and gaps, developing and implementing a plan to address the gaps

  • Continuous learning, staying current with industry trends and regulatory changes both personally and for the Team including representing the audit function externally with external auditors and peer networking organizations.

• Audit Analytics Program (New Function): Build and scale an analytics program including collaboration with the enterprise analytics team.

• Oversee Report Writing & Recommendation Tracking:

  • Support the team in authoring concise, impactful audit reports per IIA Standard 2400–Communicating Results, with root-cause analysis, risk-rated findings, and actionable recommendations.

  • Implement and maintain a GRC platform (e.g., AuditBoard, Workiva) for real-time tracking of recommendation implementation, aging analysis, and executive dashboards.

  • Supervise the team in performing validation testing to confirm remediation effectiveness and report status quarterly to the Corporate Compliance Committee and the Audit, Compliance and Enterprise Risk Committee of the Board of Directors.

• Fraud Prevention Program Leadership (New Program)

  • Develop a Fraud Risk Program with Legal and Finance.

  • Embed fraud risk assessments into every audit engagement (per IIA Standard 2210.A1).

  • Design and monitor key risk indicators (KRIs) for billing anomalies, kickbacks, and conflicts of interest.

Billing Compliance & Revenue Cycle Audits

• Oversee the development and execution of a risk-based annual billing compliance audit plan covering all Endeavor Health provider facilities (i.e., acute care facility, behavioral health facility, outpatient hospital, hospice, professional fee, etc.). The risk assessment program should include a real time component so that it can be flexible enough to adjust to new developments.

• Oversees the maintenance of billing compliance and audit software that assists in identifying risk and maintaining audit documentation and is a part of the advanced analytics program.

• Collaborates with Clinical Research Compliance in developing and maintaining an annual research related billing compliance audit plan.

Integration with Enterprise Risk Management (ERM) Program:

• Serve as Internal Audit’s primary liaison to the ERM Program providing independent assurance on the effectiveness of enterprise risk management including:

  • Comprehensive risk identification and identifying blind spots and new or emerging risks

  • Adequacy of mitigation efforts

  • Proper communication to the board and senior management

  • Advise on risk appetite development

• Collaborate on annual ERM risk identification to refresh the enterprise risk universe including facilitating risk identification workshops.

• Map top-tier ERM risks to controls and mitigation activities; incorporate targeted testing into the audit plan.

• Provide independent validation of management’s self-assessed risk ratings and mitigation effectiveness.

Strategic & Advisory:

• Present quarterly to the Corporate Compliance Committee; prepare materials for System Board, including the ACER Committee, and executive leadership meetings as requested.

• Advise management on system implementations (ERP, EHR upgrades, M&A due diligence).

• Benchmark audit maturity against peer health systems and The IIA standards.

Special Projects and Continuing Education:

• Perform other duties or special projects as assigned.

• Assist management in their development of controls as requested.

• Team member continuing education.

Team Management and Leadership:

• Manage performance, resourcing, budgeted spend and other administrative oversight of Audit team members;

• Understand, communicate, and demonstrate leadership pursuant to system policies, code of conduct and other applicable processes;

• Maintain strict confidentiality around sensitive matters and information sharing;

• Highly professional and experienced communicator within essentials areas of expertise with ability to adapt messaging for wide-range of internal and external audiences as needed.

What you will need:

• Education: Bachelor’s degree in accounting or finance required. Master’s degree in accounting, preferred

• Certification: Certified Public Accountant (CPA), required. CFE, CISA, CIA, CHIAP, preferred

• Experience: 12+ years progressive audit leadership in healthcare (Public accounting firm, hospital system, health plan, or academic medical center).

  • Manager level experience in evaluating risk in healthcare providers through employment in public accounting and/or leadership level experience in internal audit for a healthcare provider.

• Unique or Preferred Skills:

  • Executive presence and the ability to meaningfully engage with senior leadership.

  • Proven leader with past experience managing others through appropriate delegation and oversight to support successful execution across the team.

  • Proven track record building audit analytics functions (tools, dashboards, continuous monitoring).

  • Demonstrated expertise in audit report writing and recommendation tracking.

  • Leadership of a fraud prevention/detection program

  • Experience using tools to analyze and visualize data for audit purposes, manage audit workflow.

  • Proficiency in MS Office's suite of products and experience with EPIC EMR, 3M and other encoding/computer assisted coding & billing applications is preferred.

Benefits (For full time or part time positions):

• Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance. (For AIP eligible positions)

• Opportunity for annual increases based on performance

• Career Pathways to Promote Professional Growth and Development

• Various Medical, Dental, Pet and Vision options

• Tuition Reimbursement

• Free Parking

• Wellness Program Savings Plan

• Health Savings Account Options

• Retirement Options with Company Match

• Paid Time Off and Holiday Pay

• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.