Current UPMC employees must apply in HR Direct.

Manager, Healthcare Operations Internal Audit

Job ID: 7799411110
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Work Arrangement: HybridWork Arrangement information
Facility: Corporate Finance
Department: Internal Audit
Location: 600 Grant St, Pittsburgh, PA
Union Position: No
Salary Range: $ 51.48-87.36 USD

Purpose:
The Manager, Healthcare Operations Internal Audit reports to the Director, Physician and Healthcare Services Audit, provides operational and staff leadership for the clinical audit function within the Internal Audit Department. This role is responsible for planning, executing, and overseeing operational audits across the Health Services Division (HSD) Operations, including multi-site academic medical centers, outpatient facilities, and post-acute patient care, while directly supervising healthcare operations audit staff. The Manager serves as a strategic partner to healthcare operations, compliance, patient experience, risk management, quality, and senior leadership, ensuring that clinical audit activities address enterprise risk, regulatory compliance, and operational effectiveness. This role balances hands on audit leadership with talent development, quality assurance, and stakeholder engagement.

Location: This position will be based out of the Steel Tower in Pittsburgh, PA. This position will have the potential to work from home on a hybrid schedule which includes some days in office and some days at home per week. 

Responsibilities:
 

 Audit Leadership & Execution

  •  Lead and oversee clinical, regulatory, and operational related audits across inpatient, outpatient, academic practice, and post-acute settings

  • Translate enterprise risk assessments into actionable audit plans

  • Enhance divisional risk assessment process and develop audit plan projects continually

  • Approve audit scopes, objectives, and methodologies for assigned engagements

  • Ensure audits evaluate operational and compliance/regulatory risks, effective and efficient processes, and second lines of defense coverage

  • Review and approve audit workpapers and final reports for quality, accuracy, and consistency

Management & Development

  • Directly supervise, coach, and evaluate Internal Auditors

  • Assign audit engagements and manage workload across multiple locations

  • Provide ongoing feedback, mentoring, and professional development support

  • Support onboarding and training of new audit staff

  • Identify skill gaps and coordinate continuing education and certification support

  •  Foster a culture of collaboration, accountability, and continuous improvement

Stakeholder Engagement & Advisory

  • Partner with operational, clinical, compliance, risk management, legal, and quality leaders to:

    • Communicate audit objectives and results

    • Facilitate understanding of risks and control gaps

    • Support practical, sustainable remediation

     

  • Serve as a trusted advisor on clinical risk and operational matters

  • Participate in advisory reviews for:

    • New clinical programs or service lines

    • Mergers, acquisitions, or site expansions

    • Significant regulatory or reimbursement changes

  • Present audit results and trend analyses to senior leadership and committees

Program & Quality Oversight

  • Ensure audit practices align with:

    • Institute of Internal Auditors (IIA) standards

    • Departmental quality assurance and improvement programs

  • Identify opportunities to enhance audit tools, templates, and analytics

  • Monitor remediation plans and validate corrective actions

  • Track and report clinical risk trends across the health system

  • Support coordination between Internal Audit and Second Line of Defense functions

Qualifications:

Required Qualifications 

  • Bachelors degree or equivalent healthcare certification required 
  • 8+ years of progressive experience in:
  • Healthcare operations or clinical practice
  • Internal audit, compliance, quality, or healthcare risk management 
  • 3+ years of leadership or supervisory experience 
  • Strong knowledge of:
    • Federal and state healthcare regulations
    • Academic medical center and teaching hospital operations
    • Operations in a variety of healthcare settings
    • Ability to manage work across multiple geographically dispersed sites

       

Key Competencies

  • Clinical and regulatory subject matter expertise 
  • Audit planning, execution, and reporting leadership 
  • Staff development and performance management 
  • Executive level written and verbal communication 
  • Risk assessment and root cause analysis 
  • Influence without authority in matrixed organizations 
  • Sound professional judgment and discretion

    Licensure, Certifications, and Clearances:
    One or more of the following preferred: Registered Nurse (RN) Licensed Practical Nurse (LPN) Certified Internal Auditor (CIA) Certified in Healthcare Compliance (CHC) Certified Professional Coder (CPC) Certified Professional Medical Auditor (CPMA)

     

  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

CAREER GROWTH

Grow Your Nursing Career

Spanning over 20 clinical specialties and more than 50 unique nursing roles, every nurse at UPMC can achieve and advance their goals with the My Nursing Career Ladder. Whether you’re looking to progress to an elevated role or continue your education, UPMC equips nurses with the resources, feedback, leadership, and benefits to help you succeed and achieve your career goals. Here’s how a few nurses have grown their careers through the years at UPMC:

Clyde C.

As a Professional Staff Nurse, Expert at UPMC Muncy, Clyde is a great example of someone who has taken advantage of UPMC’s My Nursing Career Ladder to grow his career while remaining in the same hospital location.

Clyde’s Career Journey:

⦁ 2017: Professional Staff Nurse – UPMC Muncy
⦁ 2021: Sr. Professional Staff Nurse – UPMC Muncy
⦁ 2022: Sr. Professional Staff Nurse II – UPMC Muncy
⦁ 2022-present: Professional Staff Nurse, Expert – UPMC Muncy

Male nurse stands in front of hospital, smiling at the camera.

Michelle B.

In her current role as a Professional Staff Nurse, Expert at UPMC Presbyterian, Michelle cares for patients with chronic and ongoing health issues as part of a Medical-Surgical unit. Michelle enjoys the daily change that Med-Surg nursing brings, and has found a career path that is interesting, meaningful, and full of opportunity.

Michelle’s Career Journey:

⦁ 2019: Staff Nurse – UPMC Presbyterian
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian
⦁ 2021: Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2021: Sr. Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2022: Sr. Professional Staff Nurse II, BSN – UPMC Presbyterian
⦁ 2023: Professional Staff Nurse, BSN, Expert – UPMC Presbyterian

Michelle, a blonde nurse, smiles at the camera outside of a hospital setting.

INSURANCE SERVICES DIVISION OF UPMC

Advance Your Future

A career with UPMC means more than just caring for patients – when you’re a part of UPMC Insurance Services Division, it means caring for more than four million insurance members, too. UPMC Insurance Services Division offers a full range of health insurance products and services to our network across the country, providing peace of mind, better health, and financial security to our members, along with limitless career opportunities and a rewarding mission to those on our team.

About UPMC Insurance Services Division

As an integrated health care provider-insurer, UPMC goes beyond patient care to provide insurance products and services to millions of members. Our team partners with UPMC and community network providers to deliver knowledge and expertise that provides the highest quality care at the most affordable price, supporting our members through service, communication, and more.

Fast Facts:

  • We provide insurance products and services to over more than four million members.
  • UPMC’s Insurance Services Division offers a full range of health insurance options including UPMC Health Plan, Workpartners, UPMC for Life, UPMC for You, UPMC for Kids, UPMC Community HealthChoices, and Community Care Behavioral Health.
  • UPMC Health Plan is among the nation’s fastest-growing health plans.

Opportunities on Our Team

We’ve got a job that’s just right for you! UPMC Insurance Services Division team offers a vast array of career paths and opportunities, from career areas like customer service, data analytics, and information technology and even patient care roles like social work, nursing, and care management.

Whether in non-clinical or patient-facing roles, our team impacts patients and members by providing quality experiences before, during, and after their care, building relationships in a unique and meaningful way.

Recognized for Excellence

Be a part of an award-winning team! UPMC Insurance Services Division has been recognized for outstanding care and service with awards that include:

  1. U.S. News and World Report named UPMC for Life a “Best Insurance Company for Medicare Advantage” in Pennsylvania for 2024.
  2. The Human Rights Campaign Foundation has named UPMC Health Plan an “Equality 100 Leader in LGBTQ+ Workplace Inclusion” for 2023–2024.
  3. UPMC for Life ranked #1 in Customer Satisfaction* among Medicare Advantage Plans in Pennsylvania by J.D. Power.
  4. The Ethisphere Institute named UPMC as one of the World’s Most Ethical Companies for the sixth consecutive year.

*Results are based on award-eligible plans in Pennsylvania by J.D. Power. For J.D. Power 2024 award information visit, jdpower.com/awards.

Jump-Start Your Career

Looking to launch a career with longevity and opportunity? With countless entry-level opportunities for recent graduates, along with tools and resources that empower you as you learn and grow, UPMC Insurance Services Division is the perfect place to get a career started.

Interested in taking your career to new heights? Our career paths and advancement opportunities will provide you with chances to achieve your goals at every step.

BENEFITS AND LIFE AT UPMC

Why Work Here

We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons.

Work-Life Balance

Finding the ideal balance to manage the important elements in your life.

Development & Opportunities

Enhancing your career through continued learning opportunities and/or advancement.

Compensation

Receiving competitive pay for the work that you do – base pay, merit, and premium pay.

Performance & Recognition

Rewarding performance that supports the goals and mission of UPMC.

Benefits

Providing assistance and security to meet the current and future needs of you and your family.

Work-Life Balance

Finding the ideal balance to manage the important elements in your life.

Development & Opportunities

Enhancing your career through continued learning opportunities and/or advancement.

Compensation

Receiving competitive pay for the work that you do – base pay, merit, and premium pay.

Performance & Recognition

Rewarding performance that supports the goals and mission of UPMC.

Benefits

Providing assistance and security to meet the current and future needs of you and your family.

Benefits that Matter to You

We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Benefits that Matter to You

We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Benefits that Matter to You

We’re committed to providing our employees with benefits that meet their needs and support their well-being in all areas of life.

  • Earn over 5 weeks of paid time off every year
  • Affordable medical, dental & vision coverage
  • Student loan assistance and tuition reimbursement options
  • Earn up to 8% of your eligible pay in retirement contributions from UPMC
  • Employer-paid life insurance

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Two weeks of paid parental leave
  • Family planning resources
  • Tuition assistance for dependents
  • Comprehensive health care for dependents
  • Emergency child and elder care options
  • Flexible work arrangements

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Two weeks of paid parental leave
  • Family planning resources
  • Tuition assistance for dependents
  • Comprehensive health care for dependents
  • Emergency child and elder care options
  • Flexible work arrangements

Support for You – and Your Family

Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.

  • Flexibility to choose the shifts and work arrangements that work best for your lifestyle
  • Two weeks of paid parental leave
  • Family planning resources
  • Comprehensive health care for dependents
  • Emergency child and elder care options

A Culture That Cares

At UPMC, you can find a home among people who share your passions and care about who you are.

A Culture That Cares

At UPMC, you can find a home among people who share your passions and care about who you are.

A Culture That Cares

UPMC is a place where you can find a home, no matter your gender, race, sexual orientation, age, or culture, and where you can meet people who share your passions and care about you.

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Up to $6,000 of annual tuition assistance
  • Ongoing learning via LinkedIn Learning
  • Accelerated career pathways for growth
  • Robust instructor-led education and learning pathways

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Up to $6,000 of annual tuition assistance
  • Ongoing learning via LinkedIn Learning
  • Accelerated career pathways for growth
  • Robust instructor-led education and learning pathways

Tools to Reach Your Potential

Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.

  • Unlimited educational possibilities, including no-cost BSN and MSN programs
  • Robust career ladders for every nurse – no matter your specialty, location, or career stage
  • Up to $6,000 of annual tuition assistance
  • Ongoing learning opportunities

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

Expansive Opportunity

Where do you want to go with your career? Wherever it is, UPMC can take you there.

* Note: Benefits described may not be applicable to all staff.

Read More about Nursing at UPMC

Kendra wears blue scrubs at a hospital desk, looks at camera with a soft smile on her face.

After working as a nursing assistant for 16 years, Kendra took the leap to go back to nursing school and become an RN.

Collage of four photos of medical-surgical nurses, all smiling.

We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!

Collage of four photos of medical-surgical nurses, all smiling.

Starting her career in Environmental Services, Leah shares how she fell in love with health care and became a nurse.

Read More about UPMC Insurance Services Division

Collage of four photos of medical-surgical nurses, all smiling.

In UPMC Insurance Services Division, analysts work to understand, innovate, and improve the products and services UPMC provides.

Young man smiles at camera in a studio setting.

Eddie S. shares how his passion for football, fishing, and friendship shapes his life and his career with UPMC Health Plan.

Veteran outside hiking.

We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!

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Curious about the culture, roles, and people here at UPMC? The UPMC Careers blog is a great place to read more employee stories, get career tips, and learn about the passions and perspectives of folks who make up our UPMC team.

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