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Internal Audit Lead - Health and Research

The University of Texas at San Antonio

The University of Texas at San Antonio

San Antonio, TX, USA
Posted on Jan 9, 2026

The Lead Auditor position is responsible for conducting moderate to complex audits, investigations, and consulting projects that cover academic, research, and healthcare operations, including hospital activities. This role reviews processes across research, medical, dental, and hospital environments to identify inefficiencies, control gaps, and compliance risks. The position ensures that audit findings and recommendations are practical and sustainable and confirms all exceptions to management so that reportable issues are addressed. The Lead Auditor participates in discussions with business units to collect risk-related information, provides guidance to team members, and supports the connection of risk assessments to strategic objectives. Additionally, this role may lead or mentor other team members to promote ongoing development within the audit team.


Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:
  • Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
  • Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.
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Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

  • Exhibit an advanced knowledge of internal auditing standards (IIA & GAO), risk assessment methodologies, and fraud prevention, detection, and investigation techniques.
  • Demonstrate a proficient level understanding of healthcare and hospital regulations, including billing, coding, and reimbursement practices, to identify inefficiencies, control gaps, and compliance risks.
  • Support the integrity of Institutional operations by recommending improvements that promote ethical conduct, financial stewardship, and operational effectiveness across multidisciplinary settings.
  • Possess strong working knowledge of research-related compliance frameworks, including federal and state regulations (e.g., NIH, NSF, OMB Uniform Guidance), institutional review board (IRB) protocols, and grant administration requirements.
  • Highly skilled in preparing and executing risk-based audit programs, performing substantive testing, evaluating internal controls, and developing evidence-based conclusions and recommendations.
  • Lead and mentors audit teams, fostering a collaborative and respectful environment while driving process improvements and ensuring timely delivery of high-quality audit work.
  • Demonstrate exceptional critical thinking, analytical, and problem-solving abilities, with the capacity to manage complex assignments requiring originality and ingenuity.
  • Exhibit strong project management and documentation skills, including the ability to produce process walkthroughs, flowcharts, and test documentation while managing multiple priorities and deadlines.
  • Maintain professionalism and sound judgment under pressure, with the ability to communicate effectively across all levels of the organization.
  • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Visio) and adaptable to evolving technologies.
  • Experience in data analytics and audit software tools, including emerging technologies such as artificial intelligence and robotic process automation.
  • Familiar with key Institutional systems such as enterprise financial and budget systems (e.g., PeopleSoft and Hyperion) and electronic medical records systems such as EPIC.
  • Possess excellent verbal, written, and interpersonal communication skills, with the ability to present complex findings clearly and persuasively.

EDUCATION:

Bachelor's degree in Accounting, Business, Finance or related field.

PREFERRED:

CPA (Certified Public Accountant), CISA (Certified Information Systems Auditor), CFE (Certified Fraud Examiner),CIA or CICA


  • Support the annual internal audit plan by executing moderate to complex internal audits of the Institution's functions, processes, and control activities to ensure reliability and integrity of information, compliance with policies and procedures, and achievement of operational goals and objectives.
  • Assess compliance with federal and state regulations, institutional policies, and sponsor requirements, particularly in areas such as research administration, grant management, and clinical trials.
  • Apply knowledge of healthcare research regulations and compliance frameworks including those governing clinical trials, grant-funded studies, and academic research protocols to assess adherence to institutional policies and federal/state requirements (e.g., NIH, FDA, OHRP, CMS, OMB Uniform Guidance, IRB, IACUC) to identify inefficiencies, control weaknesses, and areas of compliance risk.
  • Understand and evaluate institutional business processes through interviews, process walkthroughs, and documentation of process narratives and/or flowcharts.
  • Documents work papers in accordance with the standards of the Institute of Internal Auditors (IIA) and Government Auditing Standards (GAO).
  • Analyze evidence, identify gaps and areas for improvement, and evaluate their significance and potential business impact to improve process effectiveness.
  • Communicate assigned tasks to engagement teams clearly and concisely, ensuring high-quality deliverables. Review project team workpapers, provide feedback, ensure closure of review notes, and escalate potential findings for additional review.
  • Monitor and review job progress and workpapers to ensure accurate and timely completion of audit projects.
  • Prioritize audit work for self and project team; escalate issues to Internal Audit management as needed.
  • Provide audit/project-specific feedback from the project team to Internal Audit management.
  • Facilitate communication of audit results and recommendations through written reports and presentations to management.
  • Provide verbal and written recommendations to management on process and internal control improvements.
  • Prepare audit reports and ensure audit findings are confirmed by management and that recommendations are practical and sustainable.
  • Validate all management action plans with process owners and local management to ensure reportable issues are appropriately resolved.
  • Build and maintain professional relationships with audit stakeholders.
  • Attend learning programs, training, and networking sessions while preparing/executing a defined career path.
  • Stay current with industry trends, regulatory changes, and best practices in healthcare, research, and hospital operations to maintain relevance and effectiveness.
  • Perform all other duties as assigned.