Director - Internal Audit Operations

Astrana Health is a physician-centric, technology-powered healthcare company built to deliver accessible, high-quality, high-value care. We have grown quickly, through both organic expansion and acquisition, across multiple states, lines of business, and delegated arrangements. That growth has outpaced the maturity of some of the operating controls that sit underneath it. The Director, Internal Audit Operations owns the operational side of Astrana's internal audit function. Where financial and SOX audit answers whether the numbers are right, this role answers whether the operating processes that produce those numbers, and the outcomes patients and health plans depend on, are actually working as designed. That means auditing claims and encounter processes, utilization and care management, credentialing, provider data, revenue cycle, delegated oversight, and the integration of newly acquired organizations onto Astrana's platforms. This is a builder's seat rather than a caretaker's. You will design the operational audit plan, run the engagements, and stand behind the findings in front of business leaders who own the processes you are testing. The value of the role is not the report; it is whether the process is measurably better six months later. We are looking for someone who is comfortable being both rigorous and useful, and who can hold a hard finding without losing the relationship. This role is positioned to be independent of the functions it reviews. It reports functionally to the Audit Committee of the Board of Directors, with an administrative reporting line to the Chief Accounting Officer. The annual audit plan is approved by the Audit Committee, and material changes to scope are taken back to the Committee. Findings are reported without management filtering.