What are the responsibilities and job description for the Manager, Healthcare Operations Internal Audit position at UPMC?
Purpose:
The Manager, Healthcare Operations Internal Audit reports to the Director, Physician and Healthcare Services Audit, provides operational and staff leadership for the clinical audit function within the Internal Audit Department. This role is responsible for planning, executing, and overseeing operational audits across the Health Services Division (HSD) Operations, including multi-site academic medical centers, outpatient facilities, and post-acute patient care, while directly supervising healthcare operations audit staff. The Manager serves as a strategic partner to healthcare operations, compliance, patient experience, risk management, quality, and senior leadership, ensuring that clinical audit activities address enterprise risk, regulatory compliance, and operational effectiveness. This role balances hands on audit leadership with talent development, quality assurance, and stakeholder engagement.
Location: This position will be based out of the Steel Tower in Pittsburgh, PA. This position will have the potential to work from home on a hybrid schedule which includes some days in office and some days at home per week.
Responsibilities:
Audit Leadership & Execution
One or more of the following preferred: Registered Nurse (RN) Licensed Practical Nurse (LPN) Certified Internal Auditor (CIA) Certified in Healthcare Compliance (CHC) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA)
The Manager, Healthcare Operations Internal Audit reports to the Director, Physician and Healthcare Services Audit, provides operational and staff leadership for the clinical audit function within the Internal Audit Department. This role is responsible for planning, executing, and overseeing operational audits across the Health Services Division (HSD) Operations, including multi-site academic medical centers, outpatient facilities, and post-acute patient care, while directly supervising healthcare operations audit staff. The Manager serves as a strategic partner to healthcare operations, compliance, patient experience, risk management, quality, and senior leadership, ensuring that clinical audit activities address enterprise risk, regulatory compliance, and operational effectiveness. This role balances hands on audit leadership with talent development, quality assurance, and stakeholder engagement.
Location: This position will be based out of the Steel Tower in Pittsburgh, PA. This position will have the potential to work from home on a hybrid schedule which includes some days in office and some days at home per week.
Responsibilities:
Audit Leadership & Execution
- Lead and oversee clinical, regulatory, and operational related audits across inpatient, outpatient, academic practice, and post-acute settings
- Translate enterprise risk assessments into actionable audit plans
- Enhance divisional risk assessment process and develop audit plan projects continually
- Approve audit scopes, objectives, and methodologies for assigned engagements
- Ensure audits evaluate operational and compliance/regulatory risks, effective and efficient processes, and second lines of defense coverage
- Review and approve audit workpapers and final reports for quality, accuracy, and consistency
- Directly supervise, coach, and evaluate Internal Auditors
- Assign audit engagements and manage workload across multiple locations
- Provide ongoing feedback, mentoring, and professional development support
- Support onboarding and training of new audit staff
- Identify skill gaps and coordinate continuing education and certification support
- Foster a culture of collaboration, accountability, and continuous improvement
- Partner with operational, clinical, compliance, risk management, legal, and quality leaders to:
- Communicate audit objectives and results
- Facilitate understanding of risks and control gaps
- Support practical, sustainable remediation
- Serve as a trusted advisor on clinical risk and operational matters
- Participate in advisory reviews for:
- New clinical programs or service lines
- Mergers, acquisitions, or site expansions
- Significant regulatory or reimbursement changes
- Present audit results and trend analyses to senior leadership and committees
- Ensure audit practices align with:
- Institute of Internal Auditors (IIA) standards
- Departmental quality assurance and improvement programs
- Identify opportunities to enhance audit tools, templates, and analytics
- Monitor remediation plans and validate corrective actions
- Track and report clinical risk trends across the health system
- Support coordination between Internal Audit and Second Line of Defense functions
- Bachelors degree or equivalent healthcare certification required
- 8 years of progressive experience in:
- Healthcare operations or clinical practice
- Internal audit, compliance, quality, or healthcare risk management
- 3 years of leadership or supervisory experience
- Strong knowledge of:
- Federal and state healthcare regulations
- Academic medical center and teaching hospital operations
- Operations in a variety of healthcare settings
- Ability to manage work across multiple geographically dispersed sites
- Clinical and regulatory subject matter expertise
- Audit planning, execution, and reporting leadership
- Staff development and performance management
- Executive level written and verbal communication
- Risk assessment and root cause analysis
- Influence without authority in matrixed organizations
- Sound professional judgment and discretion
One or more of the following preferred: Registered Nurse (RN) Licensed Practical Nurse (LPN) Certified Internal Auditor (CIA) Certified in Healthcare Compliance (CHC) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA)
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