Internal Auditor Sr - NC ROOTS Grant Job Morrisville area,North Carolina USA,Accounting

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well‑being of the communities we serve across North Carolina.

Summary:

Reports to the VP of Audit Services and performs audit activities in accordance with UNC Health Audit Services' audit methodology, the Internal Audit Standards, and established departmental policies and procedures. This position supports UNC Health’s participation in North Carolina Rural Organizations Orchestrating Transformation for Sustainability (ROOTS) Hub as part of the State’s Rural Health Transformation Program.

This position will perform risk‑based financial, operational, and compliance audits supporting the NC ROOTS Region 4 Hub. Evaluate internal controls, regulatory compliance, and program governance related to Hub operations, including partnerships, subrecipient arrangements, and grant‑funded activities. Serve as a strategic audit partner by developing and executing risk‑based audit plans aligned to NC ROOTS priorities, regulatory requirements, and organizational risk. Provide independent, objective assurance and advisory services to support the effective implementation and sustainability of the ROOTS initiative.

Ensure alignment with federal and state healthcare regulations, NCDHHS requirements, Uniform Guidance (2 CFR 200), and UNC Health policies and procedures.

Responsibilities:

Evaluate grant governance frameworks to determine whether roles, responsibilities, oversight, and internal controls effectively support compliance with federal, state, sponsor, and organizational requirements.

Develop and maintain a risk‑based audit plan for NC ROOTS statement of work and contract activities, with emphasis on federal and state grant compliance risks.

Evaluate compliance with federal and state regulations, grant provisions, and UNC Health policies and procedures, while aligning audit coverage with NCDHHS contract and requirements, Uniform Guidance (2 CFR 200), and applicable state funding requirements.

Review subrecipient monitoring processes to ensure compliance with grant requirements and funding conditions.

Support audit readiness and response activities for external audits, grant reviews, and regulatory inquiries.

Perform risk assessments and internal control evaluations across governance, financial, and operational processes and develop audit test plans that link identified risks, controls, and audit procedures.

Identify internal control weaknesses, non‑compliance issues, and opportunities to improve program effectiveness and grant accountability and communicate accordingly to Audit Department standards and processes.

Prepare audit documentation and reports that communicate risks, control gaps, and recommendations to leadership.

Serve as an internal consultant by providing guidance on grant compliance, risk management, and control design and is current on compliance requirement changes.

Engage with internal stakeholders, NCDHHS representatives, and community partners to evaluate risks and strengthen oversight processes.

Evaluate financial reporting, grant tracking, and data integrity supporting NC ROOTS funding and performance measures.

Support continuous improvement efforts to enhance governance, oversight, and program sustainability.

Preferred

Experience auditing both federal and state grants, including testing compliance and regulatory requirements with government‑funded healthcare programs or large‑scale grant initiatives preferred.

Other Information

Education Requirements:

Bachelor’s degree in Accounting, Business Administration, Finance, Health Administration or related field.

Licensure/Certification Requirements:

Certified or in process of obtaining certification (i.e., CIA, CPA, CMA, CFE).

Professional Experience Requirements:

Three (3) years of progressive auditing and accounting experience within Healthcare or with public accounting firm or combined internal audit work.

Knowledge/Skills/and Abilities Requirements:

Strong knowledge:

Internal Auditing Standards, framework, and risk‑based audit methodologies.
Internal control frameworks (e.g., COSO).
Federal and state grant compliance requirements, including…