Lexington Health is a respected and growing healthcare network that includes a 607-bed teaching hospital, six community medical centers, nearly 80 physician practices, and more than 9,000 healthcare professionals serving the greater Columbia area. Recognized among the Best Places to Work in Healthcare by Modern Healthcare, Lexington Health offers a collaborative, mission-driven work culture focused on quality and integrity. <br> The Senior Internal Auditor plays a key role within the Internal Audit Department, helping strengthen the organization’s governance, compliance, and operational efficiency. Reporting to the Director of Internal Audit, this position leads and performs a variety of audit projects designed to assess internal controls, risk management, and compliance across a multi-entity healthcare system. <br> This role involves both independent and team-based work—reviewing business processes, performing data analytics, identifying risks, and recommending practical process improvements. The environment is collaborative and open, with strong leadership support and a clear path for detail oriented growth as the department continues to expand. <br> Key Responsibilities: Lead and execute operational, compliance, and financial audits across the health system. Design, implement, and document audit programs within the department’s electronic audit management system. Conduct fieldwork, interviews, and data analysis to evaluate process efficiency and regulatory compliance. Prepare clear, actionable audit reports with findings, root causes, and recommendations. Collaborate with management to develop effective corrective action plans and monitor implementation. Support annual risk assessments and assist in developing the organization’s annual audit plan. Participate in special projects such as compliance reviews, system access evaluations, and process improvement initiatives. Maintain strong working relationships across departments and communicate audit results effectively to leadership.

Education & Experience: Bachelor’s degree in Accounting, Finance, or a related business discipline. Minimum of 3–5 years of internal audit or public accounting experience. Healthcare experience strongly preferred (hospital, health system, or healthcare consulting). Public accounting professionals with healthcare client experience are encouraged to apply. Certifications (Required within 12 months of permanent): Must hold or obtain one of the following: CPA, CIA, or CHIAP. Additional preferred credentials: CFE or CISA. Technical & detail oriented Skills: Strong knowledge of operational and compliance auditing principles. Ability to lead audits from planning through reporting with minimal supervision. Proficiency in data analytics tools (ACL preferred) and advanced Excel skills. Excellent written and verbal communication skills with the ability to present findings to leadership. Strong critical thinking, problem-solving, and process improvement mindset. Familiarity with electronic audit management systems or automation tools a plus. Attributes & Culture Fit: Self-motivated and intellectually curious with strong attention to detail. Team-oriented with an approachable, collaborative style. Comfortable in a growing department with opportunities to influence processes and standards. Commitment to integrity, professionalism, and continuous learning. Additional Information: Reports to both the Director of Internal Audit and the CFO/Board. Department is expanding—future growth opportunities as the team scales Continuing education and certification reimbursement available. Relocation assistance may be provided.

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