• Coordinate and lead all internal and external audits, including SOC 1, SOC 2, and critical healthcare regulatory audits (e.g., CMS, HIPAA, state Department of Insurance) • Facilitate timely and effective fulfillment of complex audit requests, acting as the primary liaison between auditors and internal stakeholders • Oversee the development, implementation, and rigorous execution of remediation and corrective action plans to address audit findings • Report audit progress, findings, and outcomes to senior leadership and relevant committees • Develop and execute a risk-based internal audit plan with a strong focus on core health plan operations such as claims processing, provider data management, member enrollment/eligibility, and payment integrity • Ensure adherence to state and federal healthcare regulations (including the Affordable Care Act, CMS requirements, DOL requirements, and specific state mandates) across all audited functions • Conduct operational audits to evaluate the design and operating effectiveness of key business processes within the health plan • Facilitate the annual enterprise risk assessment and subsequent quarterly updates, focusing on risks unique to the highly-regulated healthcare industry • Drive accountability for the development and execution of corrective action plans stemming from risk assessments • Maintain detailed, organized documentation on audit outcomes, risk mitigation activities, and follow-up actions • Provide regular, insightful progress reports to leadership on risk exposure and audit status