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 SummaryUniversity 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 ResponsibilitiesDevelop and execute an annual risk-based internal audit planProvide independent assurance to the CEO, Audit Committee, and Board of ManagersOversee internal controls, governance processes, and enterprise risk managementEvaluate financial, operational, compliance, and information systems controlsPresent audit findings and strategic recommendations to executive leadership and the BoardEnsure compliance with healthcare regulations, public sector governance standards, and auditing best practicesFoster a collaborative, team-oriented audit culture throughout the organizationSupport continuous improvement initiatives and organizational transparencyEducation & ExperienceRequired:Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) designationMinimum 7 years of progressive experience in internal audit or a related fieldDemonstrated experience leading complex audits and reporting to executive leadershipStrong knowledge of internal controls, risk management, and governance frameworksPreferred:Master’s or advanced degree (Accounting, Finance, Business Administration, or related field)Public accounting experienceHealthcare industry experience, preferably within a hospital or integrated health systemExperience presenting to Boards or Audit CommitteesWhy Join University Health?Direct access to executive leadership and Board governanceOpportunity to influence enterprise-wide strategy and risk managementWork within a growing academic health system preparing for future expansionCompetitive executive compensation and comprehensive benefitsMission-driven culture focused on service, accountability, and excellence

Created: 2026-03-25