Director, Internal Audit

University Health is one of the nation’s leading public academic health systems, serving the South Texas community with excellence in patient care, education, and research. As the primary teaching partner of UT Health San Antonio, we are committed to innovation, accountability, and operational integrity across our expanding hospital and ambulatory network.

Position Summary

University Health is seeking a strategic and highly experienced Director of Internal Audit to serve as a trusted advisor to executive leadership, the Audit Committee, and the Board of Managers.

This critical leadership role reports directly to the President/Chief Executive Officer , with functional accountability to the Audit Committee and Board of Managers , ensuring independent oversight of governance, risk management, compliance, and internal controls across the organization.

The Director will lead the development and execution of a comprehensive, risk-based internal audit plan aligned with University Health’s strategic priorities. This role will oversee the Internal Audit Department and collaborate extensively with executive leaders and department heads to promote operational excellence, regulatory compliance, and fiscal stewardship.

Key Responsibilities

• Develop and execute an annual risk-based internal audit plan

• Provide independent assurance to the CEO, Audit Committee, and Board of Managers

• Oversee internal controls, governance processes, and enterprise risk management

• Evaluate financial, operational, compliance, and information systems controls

• Present audit findings and strategic recommendations to executive leadership and the Board

• Ensure compliance with healthcare regulations, public sector governance standards, and auditing best practices

• Foster a collaborative, team-oriented audit culture throughout the organization

• Support continuous improvement initiatives and organizational transparency

Education & Experience

Required:

• Certified Public Accountant ( CPA ) or Certified Internal Auditor ( CIA ) designation

• Minimum 7 years of progressive experience in internal audit or a related field

• Demonstrated experience leading complex audits and reporting to executive leadership

• Strong knowledge of internal controls, risk management, and governance frameworks

Preferred:

• Master’s or advanced degree (Accounting, Finance, Business Administration, or related field)

• Public accounting experience

• Healthcare industry experience, preferably within a hospital or integrated health system

• Experience presenting to Boards or Audit Committees

Why Join University Health?

• Direct access to executive leadership and Board governance

• Opportunity to influence enterprise-wide strategy and risk management

• Work within a growing academic health system preparing for future expansion

• Competitive executive compensation and comprehensive benefits

• Mission-driven culture focused on service, accountability, and excellence