Audit Manager

Hi, we’re Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.

A Little More About the Role:

We are seeking an experienced Audit Manager to lead and oversee the planning, execution, and reporting of internal and external audits, including System and Organization Controls (SOC) audits, develop and execute annual internal audit plans, facilitate the annual enterprise risk assessment, ensure corrective action plans are implemented and effective, and report findings and outcomes to leadership. The Audit Manager will bridge regulatory requirements and industry standard practices with practical health plan operations, ensuring quality and effectiveness through data-driven reviews and strategic improvements.

The ideal candidate brings deep expertise in internal auditing standards and SOC frameworks, particularly as they relate to the healthcare industry.

You will:

Internal and External Audit Support

●      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.

Health Plan Specific Audit Focus

●      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.

Enterprise Risk Assessment

●      At the direction of the General Counsel, 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.

You bring:

●       Bachelor's degree or equivalent work experience

●       7+ years of experience in a highly regulated industry such as healthcare or finance, and demonstrated familiarity with regulatory compliance

●       Experience in internal audit and risk management

●       Strong analytical skills and ability to interpret complex regulatory requirements

●       Proven ability to work independently and prioritize multiple competing demands

●       Strong project management and organizational skills

Extra credit:

●       In-depth knowledge of SOC 1 and SOC 2 controls

●       Experience designing and implementing internal audit and enterprise risk management programs

●       Certified Internal Auditor (CIA) certification

●       Health plan experience

Gravie: 

In order to create a more equitable and sustainable future for employer-sponsored health insurance, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package.

The salary range for this position is $107,250- $178,750 annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation.

Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave. 

A Little More About Us:

● We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.

●       We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.

●       Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% – nearly 40 points above the industry average.

●       Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.