Director, Internal Audit - Insurance

Director, Internal Audit

Become a part of our caring community and help us put health first

The Director, Internal Audit develops, plans and evaluates internal audit programs for the organization's accounting and statistical records and the activities of various departments to ensure compliance with the organization's policies, procedures, and standards. The Director, Internal Audit requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

The Director Internal Audit reports to the Vice President, Internal Audit. The Director Internal Audit will develop and lead risk based operational audits and consulting projects to help minimize risk and enhance performance of Humana's organization. This role is responsible for planning, executing, and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit will need to demonstrate strategic, progressive thinking with a keen eye for improving business process and risk management and must be agile and comfortable in working in a constantly evolving environment. The Director Internal Audit acts with a sense of urgency to organize, develop and monitor their teams' efforts in the organization. The Director works closely with their business partners in the applicable segment to identify risks and coordinates across Humana's three lines of defense to assure adequate coverage of same.

Responsibilities

Promotes effective risk-based annual planning, including gathering of information and completing risk assessments to determine the appropriate nature and extent of work

Works directly with business leadership to understand strategic plans and objectives, ensuring continued open lines of communications there and grow (or maintain) a "seat at the table" with segment leadership

Incorporates leading practices to develop and execute a risk-based audit plan consisting of operational audits, targeted reviews, and consulting projects utilizing generative AI, automated audit tools and data analytics to help minimize risk and enhance performance

Proactively inform segment management of significant risks or exposures

Communicate risk management, governance and control issues, opportunities for improvement, and impactful recommendations to senior leadership

Effectively communicate with, and educate, process owners and senior management on the importance of internal controls, an effective control environment, process excellence and the role of Internal Audit

Execution of audits and reviews in compliance with Global Audit Standards and the Code of Ethics developed by the Institute of Internal Auditors.

Lead a team of associates to ensure the execution and completion of annual audit plan in accordance with department goals, including number of audits issued per segment team and coverage of auditable entities

Build, lead and develop a cohesive team of audit professionals - coach and mentor associates with a goal of developing and retaining talent

Ensure segment auditable entities are up-to-date and coverage is monitored regularly to ensure compliance with policies

Collaborate with other risk and compliance functions, including developing and maintaining aligned assurance between the teams

Work closely with other leadership roles within the Chief Audit and Risk organization to ensure completion of department strategic goals

Work closely with the other Internal Audit segment Directors to ensure effective collaboration

Ensure review and completion of AuditBoard steps in accordance with Internal Audit methodology and established deadline goals

Collaborate with Internal Audit leadership on metrics, dashboards, reporting to ensure complete and accurate and deadlines are achieved

Ensure timely follow-up on audit recommendations and monitor management's corrective action plans

Maintain current knowledge of industry trends, best practices, and regulatory changes affecting internal audit

Foster a culture of integrity, accountability, and continuous improvement within the audit function

Drive quality modifications to methodology, as applicable

Use your skills to make an impact

Required Qualifications

Bachelor's Degree

Advanced certification such as Certified Public Accountant, Certified Information Systems Auditor, or Certified Internal Auditor is required

10 or more years of audit or consulting experience including at least 5 years of leadership experience

Strong knowledge of auditing standards, risk assessment, and internal control frameworks.

Experience working within health insurance, preferably Medicare and / or Medicaid.

Excellent communication skills, both oral and written, with ability to present and explain complex information and recommend process improvements to various audiences including management of the business

Aptitude for establishing and maintaining working relationships at all levels in the business

Successful track record in facilitating and consulting across teams and managing projects

Focus on the "big picture" and thrives in a fast paced, multi-project work environment

Ability to understand complex connections across Humana's businesses

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Proven success in team leadership and expanding and elevating the capabilities and performance of the team.

Preferred Qualifications

Data Analytics / Business Intelligence experience a plus. Prior experience with data analytics tools, including but not limited to, PowerBI, Alteryx, Tableau, SQL, R & Python

Six Sigma Black Belt, Process Improvement and / or Quality Control expertise

Familiarity with Generative AI and ability to identify opportunities to leverage where appropriate within audits.

Additional Information

This position is primarily remote; however, occasional travel to a Humana facility may be necessary. The selected candidate must be able to work standard business hours aligned with Eastern or Central Time zones.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

To ensure Home or Hybrid Home / Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office employees must meet the following criteria :

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home / Office employees with telephone equipment appropriate to meet the business requirements for their position / job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

$168,000 - $231,000 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline : 10-13-2025

Humana Inc. (NYSE : HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment,