Director of Internal Audit

The Director of Internal Audit will lead the internal audit function for a Nasdaq-listed healthcare payment technology company, providing independent and objective assurance across financial reporting, operations, technology, and compliance. Oversee a comprehensive, risk-based audit program aligned with SOX 404(a)/(b), and corporate governance standards. Partner with executive leadership to strengthen control frameworks, enhance risk management, and drive accountability across the enterprise. Deliver clear, data-driven insights to the Audit Committee, management, and regulators with precision and strategic perspective. Work with external auditors on all audit results.

Responsibilities

• Lead the enterprise internal audit program—from planning through execution and reporting, covering SOX 404(a)/(b), SOC 1, SOC 2, and related frameworks.
• Evaluate internal controls across financial, operational, and IT processes; identify deficiencies; recommend and monitor remediation to strengthen compliance and reduce risk.
• Assess IT general and application controls to safeguard payment and patient data, ensure data integrity, and prevent fraud or misuse.
• Identify and evaluate cybersecurity and technology risks, articulate business impacts, and collaborate with IT/Security to improve resilience.
• Integrate automation and analytics to enhance audit coverage, continuous monitoring, and efficiency.
• Partner cross-functionally with Finance, Compliance, IT/Security, Legal, and external auditors to align assurance activities and ensure audit readiness.
• Present concise, actionable reports to the Audit Committee, management, external auditors and regulatory stakeholders.
• Champion continuous improvement, innovation, and a strong governance culture across the organization.

Key Competencies

• Mastery of SOX 404(a) and (b), risk assessment, and control testing across financial and IT domains.
• Demonstrated expertise in auditing against recognized frameworks and standards, including SOC 1 (SSAE 18), SOC 2 (Trust Services Criteria), COSO Internal Control Framework, and familiarity with related compliance requirements (PCI, HIPAA). Ability to assess control design and operating effectiveness within these frameworks
• Risk & Technology Governance – Ability to translate payment and healthcare compliance requirements into practical risk mitigation strategies.
• Analytical & Data-Driven – Applies analytics to quantify risk and strengthen continuous assurance.
• Executive Communication & Influence – Distills complex audit findings into clear, strategic insights for senior leadership and the Audit Committee.
• Leadership & Collaboration – Builds trusted relationships across the enterprise; mentors internal audit talent and manages co-sourced specialists effectively.
• Innovation & Efficiency – Modernizes audit methodologies and enhances coverage through automation and data analytics.
• Ethics & Independence – Demonstrates integrity, confidentiality, and sound judgment in all audit and investigative activities.

Experience & Qualifications

• 7–10 years of progressive experience in public accounting and internal audit, spanning financial, operational, and IT/system audits (SOX 404, ICFR, COSO, ERP, SDLC, ITGCs, and automated controls), including 3 years in a leadership role.
• Fintech experience a plus.
• CPA or CIA certification strongly preferred.
• Bachelor’s degree in Accounting, Finance, or a related discipline.
• Proficiency in NetSuite or equivalent ERP/general ledger platforms, with experience integrating audit processes across financial and transaction systems.

Why Paysign

Paysign is transforming access and affordability in healthcare and specialty payments. Our team builds products that simplify complex financial flows while ensuring security, transparency, and trust.

• Mission With Real-World Impact: Improve patient access and affordability in healthcare while enabling seamless, compliant payment experiences.
• Builders’ Culture: We move fast, measure what matters, and take ownership. Curiosity, teamwork, and accountability drive our success.
• Growth & Development: Clear goals, mentorship, and stretch opportunities across functions and leadership tracks.