Internal Audit Manager, Operational

Department: General and Administrative

Location: United States - Remote, Toronto, Canada

Employment Type: FullTime

About OpenLoop

OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

About The Role

OpenLoop’s mission is to bring care anywhere by powering tele-health solutions at scale. We are seeking an Internal Audit Manager to help build its newly established audit function. Reporting to the Head of Internal Audit, youll lead risk assessments and business process audits across financial, operational, and compliance areas — partnering with stakeholders to strengthen controls and mitigate risk. This is a greenfield, operationally focused audit role (not SOX or IT audit).

This is an individual contributor role with a path to leadership as the function grows, offering broad exposure, meaningful ownership, and visibility across a fast-growing, multi-state regulated business.

What You’ll Do

• Develop and maintain a risk-based audit plan, conducting periodic risk assessments across business processes, entities, and emerging risk areas to establish audit priorities

• Lead end-to-end audit engagements, from planning through fieldwork, reporting, and issue closure

• Design and execute control testing procedures independently, including walkthroughs, inquiry, inspection, and reperformance

• Prepare and maintain audit documentation including process narratives, flowcharts, risk and control matrices (RCMs), testing workpapers, and audit reports

• Facilitate kickoff, status update, and closing meetings with process owners and senior management

• Identify control deficiencies and communicate findings clearly, with practical and prioritized remediation recommendations

• Support management in designing and implementing controls to address identified gaps and process weaknesses

• Track open audit issues and remediation plans through closure, validating the effectiveness of corrective actions

• Support readiness for regulatory and compliance audits, including HIPAA, data privacy, and applicable state licensing requirements

• Collaborate cross-functionally with Finance, Legal, Compliance, IT, and Operations to support control assessments and process improvements

• ·Contribute to developing and refining IA methodology, workpaper templates, and audit tooling as the function matures

• Monitor the evolving regulatory and risk landscape relevant to telehealth and healthcare services to keep the audit plan current and relevant

Who You Are

• Bachelors degree in Accounting, Finance, or related field and an active Certified Internal Auditor (CIA) designation

• 5+ years of progressive internal audit experience in a fast-paced environment, with a strong focus on operational auditing rather than IT audit or SOX compliance.

• Demonstrated hands-on experience running full-cycle audits in a greenfield environment — risk assessment, control design and testing, workpaper documentation, and report writing — with the ability to execute independently

• Deep understanding of COSO frameworks and internal control principles

• Proven ability to manage multiple concurrent audit engagements, prioritize under competing deadlines, and deliver on time

• Years of experience working directly with process owners at all levels in a fluid environment where formal controls are still being built and refined

• A builder of control awareness across an organization, including educating process owners and non-finance stakeholders across departments on internal audits role and foundational control concepts

• Critical thinker that provides sound and professional judgment, with the ability to distinguish material risks from noise and communicate findings with precision and appropriate tact

• Concise and clear communicator, both written and verbal, with the ability to translate technical control concepts into findings that resonate with non-audit audiences

• Strong proficiency with AI tools and data analytics platforms (e.g., ACL/Galvanize, IDEA, Power BI, or Tableau) for control testing and exception analysis

Preferred

• Experience in digital health, telehealth, or multi-state healthcare services environments, including familiarity with HIPAA, state medical board licensing, clinician credentialing compliance, compounding pharmacies, and revenue cycle management

• Public accounting background (Big 4 or regional firm) with risk advisory/consulting experience

• Prior experience supporting an organization through an M&A integration

• Proficiency with GRC platforms (e.g., AuditBoard, Workiva, or Vanta)

   

Our Benefits

In addition, for salaried positions you would also be eligible for:

• Medical, Dental, and Vision plans

• Flexible Spending/Health Savings Accounts

• Flexible PTO

• 401(k) + Company Match

• Life Insurance, Pet insurance, and more

Our Company

We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Sound like a good fit? We’d love to meet you.