VP, Internal Audit

About this role

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The VP, Internal Audit is a highly visible senior leadership role responsible for directing the internal audit function at Alignment Healthcare, Inc., with accountability for SOX compliance, enterprise risk management, and regulatory oversight across all business operations. This leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function. Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces emerging risks, and ensures the organization operates with the highest standards of accountability. This is a critical enterprise function whose outcomes directly protect patients, maintain regulatory standing, and support the organization's mission of delivering high-quality, cost-effective care to Medicare Advantage-enrolled seniors.

Job Profile Summary  

The VP, Internal Audit is a highly visible senior leadership role responsible for directing the internal audit function   at Alignment Healthcare, Inc. , with accountability for SOX compliance, enterprise risk management, and regulatory oversight across all business operations. This leader works in close partnership with the Audit Committee, CFO,   CAO,   executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function. Drawing on deep   expertise   in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces emerging risks, and ensures the organization   operates   with the highest standards of accountability. This is a critical enterprise function whose outcomes directly protect patients,   maintain   regulatory standing, and support the organization's mission of delivering high-quality, cost-effective care to Medicare   Advantage - enrolled seniors.  

Job Duties / Responsibilities  

SOX Program Leadership & Internal Control Governance  

• Lead the design, execution, and continuous improvement of the company's SOX 404 program, including scoping, risk assessment, control design, testing, and documentation.  

• Drive governance over the outsourced   internal   audit partner, holding them accountable for quality, timelines, and professional standards.  

• Ensure   all SOX documentation and testing results are complete,   accurate , and maintained   in accordance with   PCAOB standards and internal policy.  

Enterprise Risk Assessment   (“ERM”)   & Audit Planning  

• Oversees   the Company’s ERM process   by   developing   and   executing   a risk-based annual audit plan that provides comprehensive coverage of financial, operational, IT, and regulatory risks across the organization.  

• Proactively   identify   control   environment gaps and emerging risks before they   escalate, and   communicate findings with timeliness and transparency to senior management and the Audit Committee   when needed .     

Medicare Advantage Regulatory Compliance Oversight  

• Assess compliance requirements specific to the Medicare Advantage regulatory landscape, including the Model Audit Rule, RADV readiness,   and   encounter data integrity .  

• Partner with compliance, legal, and actuarial leaders to ensure audit programs reflect current CMS regulations .   

Control Deficiency Remediation & Management Accountability  

• Oversee the identification of root causes behind control failures,   monitor   remediation efforts, and hold management accountable for   timely   and durable resolution of deficiencies.  

• Deliver regular, clear status updates to executive leadership and the Audit Committee—translating complex audit findings into actionable business intelligence.   

Operational Audit Leadership  

• Lead operational audits across all functional areas—finance, HR, claims, medical management, pharmacy, and   technology— applying   a consistent, risk-based   methodology   to evaluate process integrity and   identify   efficiency opportunities.  

• This includes overseeing IT general controls (ITGCs) and system-level controls related to ERP, claims, and data migration initiatives.   

Control Culture & Business Partnership  

• Embed a culture of accountability by serving as a trusted advisor to business leaders on effective control design, helping them understand what "good" looks like in practice.  

• Move the organization from a compliance-driven mindset to   one of   ownership, where controls are embedded in daily operations rather than layered as an after-thought.   

Audit Committee Engagement & Executive Reporting  

• Serve as the primary liaison to the Audit Committee Chair, providing regular reporting on audit results, risk exposure, program quality, and remediation progress.  

• Apply strong executive presence and communication skills to translate audit data into strategic insights for the Board and senior leadership.   

Supervisory Responsibilities  

This role carries supervisory responsibility over

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