Manager - Accounting

City/State Norfolk, VA

Work Shift First (Days)

The Audit Manager, Financial Controls & Regulatory Assurance, is responsible for leading and overseeing regulatory compliance testing, internal control assessments, audit support activities, and operational risk monitoring across the organization. This role manages the Model Audit Rule (MAR) testing program, coordinates Service Organization Control (SOC) report reviews, supports external audits, directs termination access review processes, and provides leadership for regulatory and operational compliance initiatives.

The position serves as a key liaison between business areas, external auditors, regulatory stakeholders, and senior leadership to ensure internal controls are effectively designed, operating as intended, and appropriately documented. The Audit Manager also provides staff leadership, audit methodology oversight, reporting, and continuous improvement support for audit and compliance processes.

• Develop, maintain, and administer the annual Model Audit Rule (MAR) testing program and related testing schedules.
• Monitor testing progress and adjust schedules, priorities, and resource assignments as necessary.
• Oversee maintenance of MAR methodologies, testing guides, procedures, templates, and supporting documentation.
• Ensure accurate and consistent documentation of control testing, risk assessments, process narratives, process maps, and Risk Control Matrices (RCMs).
• Review testing work papers and audit documentation to ensure quality, completeness, and compliance with established standards.
• Evaluate testing results and assess control deficiencies, exceptions, and remediation activities.
• Compile and maintain MAR testing exception reporting for executive leadership and governance committees.
• Coordinate MAR-related activities with internal stakeholders and external audit partners to avoid duplication of testing efforts.
• Participate in MAR testing engagements and provide technical guidance to audit staff.

Bachelors Level Degree Required

CPA Preferred/not required

• Certified Internal Auditor (CIA)
• Certified Information Systems Auditor (CISA)
• Certified Risk Management Assurance (CRMA)

• 5 years required Accounting/Finance experience, required Internal audit/regulatory compliance, risk management, financial controls, public accounting, or related field strongly preferred
• 1 year of Management or Supervisory experience required Healthcare, insurance, managed care, or financial services industry experience
• Experience with Model Audit Rule (MAR), SOC reporting, NAIC requirements, ORSA, or similar regulatory frameworks

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years.

Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan.

The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years.

U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years.

Sentara offers professional development and a continued employment philosophy!