Full-Time

Director Internal Audit

Posted on 9/10/2025

Deadline 11/1/25
Humana

Humana

10,001+ employees

Medicare Advantage health insurer for seniors

Compensation Overview

$168k - $231k/yr

+ Bonus

Louisville, KY, USA + 4 more

More locations: Nashville, TN, USA | Washington, DC, USA | Chicago, IL, USA | Arlington, VA, USA

Hybrid

Hybrid role requiring ~3 days onsite; candidates should reside within commutable distance to one of the preferred metro areas.

Category
Accounting (3)
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Required Skills
Risk Management
Data Analysis
Requirements
  • 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.
  • 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.
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 cohensive 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
Desired 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.

Humana focuses on health and well-being by offering Medicare Advantage plans (HMO, PPO, and PFFS) mainly for seniors, military personnel, and communities. Its products are health insurance plans funded through a mix of government contracts and member premiums, enrolling members to provide comprehensive coverage with flexible benefits and a broad provider network. Members receive care through a network of providers, with additional services such as free language interpretation to improve accessibility. Humana differentiates itself through its emphasis on inclusivity, accessibility, and tailored benefits, aiming to deliver reliable service and high renewal rates. The goal is to improve health outcomes and overall well-being for members by delivering coverage that meets diverse needs and making care accessible to all.

Company Size

10,001+

Company Stage

IPO

Headquarters

Louisville, Kentucky

Founded

1961

Simplify Jobs

Simplify's Take

What believers are saying

  • Medicare Advantage membership grew 25% to 7.1 million in Q1 2026.
  • CenterWell added 110,500 patients sequentially via MaxHealth acquisition.
  • Cost Plus Drugs partnership automates prescriptions through SwiftyRx AI.

What critics are saying

  • Star Ratings drop to 20% in 4+ plans erodes $3.5 billion bonuses in 2026.
  • 89.4% benefit ratio from coding changes compresses margins below $9 EPS.
  • UnitedHealthcare's 77% 4+ star plans capture Humana's enrollees in 2026.

What makes Humana unique

  • Humana leads with 13.4% market share in Vision Insurance.
  • CenterWell integrates senior primary care and pharmacies for Medicare members.
  • b.well platform enables real-time health data from 2.4 million providers.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Unlimited Paid Time Off

Paid Vacation

Paid Parental Leave

Short-term Disability

Long-term Disability

401(k) Retirement Plan

401(k) Company Match

Wellness Program

Company News

Yahoo Finance
Apr 12th, 2026
Humana appoints healthcare investment expert to board as shares trade 80% below fair value

Humana has appointed Robert S. Field to its Board of Directors, adding healthcare investment and regulatory expertise to its governance structure. The appointment follows direct shareholder input and comes as the health insurer faces valuation scrutiny. Field's background in healthcare investments and legal matters positions him to contribute to discussions on payment models, technology adoption and risk oversight. The addition may influence Humana's priorities across growth initiatives and regulatory engagement. Humana's shares currently trade at $192.15, reflecting a 16.2% gain over the past month but a 33.8% decline over the past year. The stock trades at a price-to-earnings ratio of 19.4, below the healthcare industry average of 22.0. Analysts have set a target price of $212.08, approximately 9% above current levels.

Business Wire
Apr 9th, 2026
Humana goes live with b.well to enable real-time health data access across providers and health plans

Humana has launched a partnership with b.well Connected Health to enable members to securely access and share their health data across providers, pharmacies and health plans. The collaboration supports Humana's commitment to the CMS Health Technology Ecosystem. Through b.well's national health data network, Humana members can connect data from 2.4 million providers and 350 health plans in one place. The platform uses a 13-step data refinery process to normalise and enrich fragmented data into complete longitudinal health records. The partnership allows Humana to access member data in real-time during claims processing and respond to data requests from providers, supporting care coordination and quality improvement. The initiative aims to reduce administrative burden whilst giving individuals greater control over their health information.

Yahoo Finance
Mar 12th, 2026
Humana revenue beats at $32.6B as health insurers face tougher Q4 quarter

Clover Health posted the strongest Q4 results among health insurance providers, reporting revenues of $487.7 million, up 44.7% year on year and beating analyst expectations by 4.4%. The company delivered a solid quarter with revenue outperformance and EPS in line with estimates. The 12 health insurance providers stocks tracked reported a slower Q4 overall. As a group, revenues beat consensus estimates by 0.8%, whilst next quarter's revenue guidance was in line. Share prices have struggled, down 8.4% on average since latest results. Humana reported revenues of $32.64 billion, up 11.8% year on year, exceeding expectations by 1.8%. However, the company missed full-year EPS guidance estimates significantly. The stock has fallen 3.9% since reporting. The health insurance sector faces regulatory scrutiny and rising medical costs alongside opportunities from an ageing population and data analytics advancements.

Yahoo Finance
Feb 26th, 2026
UnitedHealth vs. Humana: Which healthcare stock offers more upside amid Medicare Advantage growth?

UnitedHealth and Humana, two major US managed care providers, face evolving healthcare landscapes shaped by rising medical costs and changing government programmes. Both have significant Medicare Advantage exposure but differ in business models. UnitedHealth, valued at $248.2 billion, operates a diversified structure combining UnitedHealthcare insurance with Optum health services. Fourth-quarter 2025 revenues rose 12.3% year-over-year, with UnitedHealthcare up 17.5% and Optum up 8%. The company is advancing AI-driven initiatives in claims processing and care coordination. Medicare Advantage membership increased 7.6% year-over-year. Humana maintains a more concentrated focus on government-sponsored plans and value-based care. The article compares their scale, vertical integration and revenue mix to assess which stock offers greater upside potential.

MarketScreener
Feb 13th, 2026
CenterWell acquires Florida's MaxHealth, expanding senior primary care to 82 clinics and 80,000 patients

CenterWell, the healthcare services division of Humana, has completed its acquisition of MaxHealth from Arsenal Capital Partners and the company's founder-shareholders. Financial terms were not disclosed. MaxHealth operates a network of 82 owned and affiliated clinics across West and South Florida, serving over 120,000 patients, including more than 80,000 in value-based care programmes. Founded in 2015, the company employs over 530 staff, including 100-plus primary care providers and 30-plus specialists. The acquisition expands CenterWell Senior Primary Care, the nation's largest senior-focused, value-based primary care provider, into new key Florida markets. MaxHealth was formed through the combination of three physician-founded organisations under Arsenal's ownership. Guggenheim Securities and Morgan Stanley advised MaxHealth, whilst JP Morgan Securities advised Humana and CenterWell.

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