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Lead, Audit (Internal Audit)

Baylor College of Medicine and Careers
Houston, TX Full Time
POSTED ON 3/7/2026
AVAILABLE BEFORE 5/2/2026

Summary

The Lead Auditor will be responsible for planning, supervising and conducting complex audits and special reviews across the Clinical, Research and Education missions and Administrative functions based on the annual Audit Plan. Evaluates the adequacy and effectiveness of financial, operational, and compliance processes and controls. Determines whether organizational units are performing their duties in compliance with management instructions and BCM guidelines.


The ideal candidate will have direct auditing experience gained in a healthcare or educational institution, including experience with clinical processes, revenue cycle, research, grants and contracts, and education processes. The Lead Auditor will have the opportunity to lead strategic audits that directly impact financial integrity and operational efficiency in a leading healthcare institution.


This position may be eligible to work hybrid within the Greater Houston, TX area with occasional onsite as needed.

Job Duties

Audit Execution

  • Plans, supervises, and executes a range of internal audits and special reviews, including functional/process, consultative and investigation reviews.
  • Leads planning of internal audits and conducts research to obtain background information.
  • Assesses risk, develops scope, audit objectives and work program.
  • Executes fieldwork activities, conducts interviews, performs data analysis and performs testing independently.
  • Utilizes available analytics and visualization tools in the execution of audit activities.
  • Independently documents work performed in line with Department requirements and IIA Standards.
  • Assesses risk and identifies relevant observations and provides recommendations to improve the control environment and efficiency of processes/controls based on leading practices.
  • Teams with other internal audit team members to provide process and controls analysis where needed.


Project Management

  • Sets deadlines for the completion of projects.
  • Monitors project timelines and budget.
  • Proactively communicates status to Audit leadership and team.


Reporting and Communications

  • Communicates timely and clearly with stakeholders, including leadership, to articulate identified observations and recommendations and to provide ongoing updates regarding status of projects.
  • Prepares well written audit reports, including drafts, audit closing discussion documents, and preparation of the final reports or memos.
  • Maintains contemporaneous supporting documentation and evidence in the workpapers in support of all report observations.
  • Performs follow up validation related to prior audit observations and management action plans.


Performs other job related duties as assigned.

Minimum Qualifications

  • Bachelor's degree.
  • Six years of relevant experience.

Preferred Qualifications

  • Bachelor's degree in Accounting, Finance or related field.
  • Master's degree in Accounting, Finance or related field and five years of relevant audit experience will also be considered.
  • Healthcare or Academic institution experience, including Clinical, Research, and Education related processes and controls.
  • Deep experience in healthcare revenue cycle auditing, including patient billing, coding, and reimbursement processes.
  • Certified Internal Auditor (CIA); Certified Information Systems Auditor (CISA), Certified Public Accountant (CPA) or other certification in related field.
  • Basic knowledge of internal control concepts (e.g., COSO), internal audit, IIA Standards, accounting and information technology.
  • Ability to develop and leverage technologies, including AI, data analytics and visualizations (e.g., Power BI, ACL), a plus.
  • SAP and Epic experience, a plus.


Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Salary : $105,000 - $116,000

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