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Internal Audit Senior-Health and Research

UT Health San Antonio

UT Health San Antonio

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

Under limited supervision, a senior auditor 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. May mentor lower-level members.


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.

  • Skilled in fraud prevention and detection, demonstrating strong awareness of risks and the ability to implement effective controls and investigative measures.
  • Skilled in auditing methodology, with advanced knowledge of audit frameworks, planning, testing, and reporting practices.
  • Understands healthcare and/or hospital regulations, billing, coding, reimbursement, and compliance risks.
  • Ability to evaluate revenue cycle internal controls to identify potential inefficiency and compliance risk.
  • Familiar with research compliance frameworks and grant administration requirements.
  • Detail-oriented, self-motivated, and accountable for deliverables.
  • Skilled in developing risk-based audit programs, testing controls, and drawing sound conclusions.
  • Supports institutional initiatives and workflow improvements collaboratively.
  • Strong critical thinking and problem-solving abilities. Handles broad assignments with original approaches.
  • Excellent project management, documentation, and multitasking skills.
  • Advanced in Microsoft Office suite and adaptable to new technologies.
  • Experienced with data analytics, audit tools, and emerging tech like AI.
  • Knowledgeable about enterprise systems (e.g., PeopleSoft, Hyperion, EPIC).
  • Strong communicator, both verbally and in writing. Demonstrates a strong ability to integrate into diverse team cultures and work effectively in collaborative environments.
  • Adapts efficiently to changes in audit scope as the risk landscape evolves.

EDUCATION:

A bachelor's degree in accounting, business, or another relevant discipline related to the job is required.

LICENCES/CERTIFICATIONS:

Professional auditing certification (e.g. CPA, CIA, CISA, CFE) or candidate for certification is required.


  • Support the implementation of the annual internal audit plan by conducting moderate to complex audits of the institution's functions, processes, and control activities to ensure information reliability, policy compliance, and achievement of operational objectives.
  • Evaluate adherence to federal and state regulations, institutional policies, and sponsor requirements, with emphasis on research administration, grant management, and clinical trials.
  • Utilize expertise in healthcare research regulations and compliance frameworks-including those governing clinical trials, grant-funded studies, and academic research protocols (e.g., NIH, FDA, OHRP, CMS, OMB Uniform Guidance, IRB, IACUC)-to assess conformance to institutional policies and relevant statutory requirements, identifying inefficiencies, control deficiencies, and areas at risk for non-compliance.
  • Apply comprehensive knowledge of healthcare and hospital regulations (such as HIPAA, Medicaid/Medicare, Joint Commission) to detect shortcomings, control weaknesses, and potential compliance issues in billing, coding, reimbursement, and related activities.
  • Conduct thorough evaluations of institutional business processes through interviews, process walkthroughs, and development of process narratives or flowcharts.
  • Document working papers in accordance with Institute of Internal Auditors (IIA) and Government Auditing Standards (GAO). Analyze evidence to identify gaps and improvement opportunities, assessing their impact to enhance process effectiveness.
  • Clearly communicate assigned tasks to engagement teams, ensuring the delivery of high-quality outcomes. Ensure accurate and timely completion of audit assignments. Prioritize audit work both individually and for project teams, escalating issues to Internal Audit management as necessary.
  • Provide project-specific feedback to Internal Audit management regarding team performance.
  • Facilitate communication of audit findings and recommendations via written reports and presentations to management.
  • Offer verbal and written recommendations for process and internal control enhancements.
  • Prepare comprehensive audit reports, ensure findings are acknowledged by management and recommendations are actionable and sustainable.
  • Validate management action plans with process owners and local management to confirm appropriate issue resolution.
  • Foster and maintain effective professional relationships with audit stakeholders.
  • Participate in learning programs, training sessions, and networking events while pursuing a defined career path.
  • Remain current with industry trends, regulatory developments, and best practices in healthcare, research, and hospital operations to sustain relevance and efficacy.
  • Perform additional duties as assigned.