Healthcare Process Risk Senior Associate (Internal Audit)

As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business risks and assist in addressing risk in both proactive and responsive contexts for the Risk, Compliance & Controls Practice – all with the resources, environment, and support to help you excel.

The ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as revenue cycle optimization, billing, and compliance with regulatory standards.

From day one, you’ll be empowered by the greater Risk team to help clients make the moves that will help them achieve their vision and help you achieve more, confidently.

Your day-to-day may include :

Review operational, financial, and administrative processes to assess risk, internal control, and the overall effectiveness and efficiency of the process.

Obtain an understanding of clients’ business, objectives, strategy, operations, processes, IT systems, service providers and controls.

Actively participate in client engagements from start to completion, which includes planning, executing, and reporting. Common engagements include but are not limited to co-sourced and outsourced internal audit, internal control assessments, enterprise risk management program assessments, tests of control design and operating effectiveness for Sarbanes-Oxley (SOX) and other compliance requirements, and helping clients design and implement internal controls

Support engagement Manager and / or Senior Manager / Director in project management activities, such as preparing and managing engagement project plans, timelines, budgets, and status reporting

Supervise, train, mentor Associates and Interns on engagements, assess performance and provide feedback

Develop and execute internal audit workplans and control test procedures based on engagement scope, and client environment risk factors.

Apply knowledge of risk and control trends to evaluate findings for significance, risk and develop recommendations

Work with project team and client to deliver services in accordance with project leadership and client expectations

Other duties as assigned

You have the following technical skills and qualifications :

Proficiency in EPIC or other EHR system utilization : Demonstrated experience in implementing or working with an EHR system (90% of our clients use EPIC).

Revenue Cycle : Proven track record of successfully managing projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and operational efficiency.

Extensive Healthcare Provider Experience : Minimum of 3 years' experience working directly with diverse healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a comprehensive understanding of their unique operational challenges and regulatory environments.

Familiarity with Regulatory Landscape : Proficient understanding of key healthcare regulations and initiatives, including the No Surprise Act, Price Transparency Regulation, and guidelines set forth by the Office of Inspector General (OIG), ensuring compliance and proactive adaptation to evolving regulatory requirements.

Bachelor’s degree in Accounting, Finance, Information Technology, MIS, Business Intelligence, or related field required

CIA, CPA, CISA, Six Sigma, or related license / certification preferred

Experience with Sarbanes-Oxley Section 404 is a plus

Experience assessing the design and operating effectiveness of enterprise or operational risk management programs, and / or entity-level and business process controls for Internal Audit, or other risk management, compliance, and assurance activities

Proficiency in data analytics and Power BI is a plus.

Understanding of COSO Internal Control – Integrated Framework (2013), the Institute of Internal Auditors International Professional Practices Framework (IIA IPPF), and / or current focus areas of external financial statement auditors (completeness and accuracy of key reports, level of precision, etc.)

Ability to execute multiple engagements and completing priorities in a rapidly growing team environment

Exceptional client service, communication, analytical, organizational and project management skills

Strong computer skills, including proficiency in Microsoft Visio and Office Suite applications

Can travel as needed

The base salary range for this position in Los Angeles, CA and Orange County, CA only is between $95,000 to 142,600.

#Hybrid

About Us

At Grant Thornton, we believe in making business more personal and building trust into every result – for our clients and you. Here, we go beyond your expectations of a career in professional services by offering a career path with more : more opportunity, more flexibility, and more support. It’s what makes us different, and we think being different makes us better.

In the U.S., Grant Thornton delivers professional services through two specialized entities : Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed CPA firm), which exclusively provides non-attest offerings, including tax and advisory services.

In 2025, Grant Thornton formed a multinational, multidisciplinary platform with Grant Thornton Ireland. The platform offers a premier Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning the U.S., Ireland and other territories, the platform delivers a singular client experience that includes enhanced solutions and capabilities, backed by powerful technologies and a roster of 12,000 quality-driven professionals enjoying exceptional career-growth opportunities and a distinctive cross-border culture.

Grant Thornton is part of the Grant Thornton International Limited network, which provides access to its member firms in more than 150 global markets.

About the Team

The team you’re about to join is ready to help you thrive. Here’s how :

• Whether it’s your work location, weekly schedule or unlimited flex time off, we empower you with the options to work in the way that best serves your clients and your life.
• Here, you are supported to prioritize your overall well-being through work-life integration options that work best for you and those in your household.
• We understand that your needs, responsibilities and experiences are different — and we think that’s a good thing. That’s why we support you with personalized and comprehensive benefits that recognize and empower all the identities, roles and aspirations that make you, well, you.
• When it comes to inclusion, we are committed to doing more than checking boxes. Explore all the ways we’re taking action for diversity, equity & inclusion at Grant Thornton () .

Here’s what you can expect next :

If you apply and are selected to interview, a Grant Thornton team member will reach out to you to schedule a time to connect. We encourage you to also check out other roles that may be a good fit for you or get to know us a little bit better at Grant Thornton careers () .

Benefits :

We understand that your needs, responsibilities and experiences are different, and we think that’s a good thing. That’s why we support you with personalized and comprehensive benefits that recognize and empower all the identities, roles and aspirations that make you, well, you. For an overview of our benefit offerings, please visit :

Benefits for internship positions : Grant Thornton interns are eligible to participate in the firm’s medical, dental and vision insurance programs and the firm’s employee assistance program. Interns also receive a minimum of 72 hours of paid sick leave and are paid for firm holidays that fall within their internship period.

Benefits for seasonal employee positions : Grant Thornton seasonal employees are eligible to participate in the firm’s medical, dental and vision insurance programs and the firm’s employee assistance program. Seasonal employees may also be eligible to participate in the firm’s 401(k) savings plan and employee retirement plan in accordance with applicable plan terms and eligibility requirements. Seasonal employees receive a minimum of 72 hours of paid sick leave.

Grant Thornton employees may be eligible for a discretionary, annual bonus based on individual and firm performance, subject to the terms, conditions and eligibility criteria of the applicable bonus plan or program. Interns and seasonal employees are not eligible for bonus compensation.

Additional Details :

It is the policy of Grant Thornton to promote equal employment opportunities. All personnel decisions (including, but not limited to, recruiting, hiring, training, working conditions, promotion, transfer, compensation, benefits, evaluations, and termination) are made without regard to race, color, religion, national origin, sex, age, marital or civil union status, pregnancy or pregnancy-related condition, sexual orientation, gender identity or expression, citizenship status, veteran status, disability, handicap, genetic predisposition or any other characteristic protected by applicable federal, state, or local law.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Grant Thornton LLP to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. To make an accommodation request, please contact HRHelp@us.gt.com

For Los Angeles Applicants only : We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.

For Massachusetts Applicants only : It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Grant Thornton does not require or administer lie detector tests as a condition of employment or continued employment.