Internal Auditor

Job Summary

• The Internal Auditor is responsible for independently evaluating the adequacy and effectiveness of internal controls and compliance with policies, procedures, and regulations across all departments within Noor Health HMO.
• The role involves carrying out audit assignments that span operational, financial, and administrative areas to ensure transparency, efficiency, and adherence to applicable standards.
• The Internal Auditor provides evidence-based recommendations to improve processes and supports the Head of Internal Audit in promoting accountability and control discipline throughout the organization.

Key Responsibilities
Organization-wide Audit Execution:

• Plan and execute comprehensive audits across all functional areas to assess
  operational effectiveness, policy compliance, and control adequacy.
• Review departmental processes for procedural consistency, accuracy of records,
  service delivery standards, and alignment with organizational goals.
• Audit claims processes to verify the authenticity of claims, compliance with policy terms, proper documentation, and alignment with benefit schedules.
• Conduct post-payment audits of healthcare providers to confirm services rendered, verify capitation and fee-for-service payments, and identify billing anomalies or potential abuse.
• Evaluate the control environment surrounding enrolee management, authorizations, and access to care across the provider network.

Regulatory and Internal Compliance:

• Monitor compliance with NHIA regulations and other statutory requirements relevant to HMO operations.
• Audit NHIA filings, enrolee onboarding processes, premium management, and regulatory correspondences for accuracy and completeness.
• Identify and escalate compliance breaches, recommending corrective measures. Financial and Operational Reviews
• Review financial records, vendor payments, petty cash, payroll, and procurement processes for accuracy, transparency, and compliance with internal procedures.
• Verify documentation supporting financial transactions and ensure proper accounting treatment and approvals are in place.
• Conduct periodic asset and inventory audits to confirm existence, usage, and accountability.

Control Monitoring and Reporting:

• Assess the design and effectiveness of internal controls across all departments and recommend practical improvements.
• Prepare clear, actionable audit reports with documented findings and proposed
  resolutions.
• Follow up on the implementation of agreed audit recommendations and provide
  status updates to the Head of Internal Audit.

Data Protection & Confidentiality:

• Uphold the highest standards of confidentiality in handling company-related
  information, ensuring compliance with data protection laws and internal policies.
• Adhere to the company’s information security guidelines, including proper storage, transmission, and disposal of sensitive materials.
• Promptly report any suspected data breaches or unauthorized access to the
  appropriate company authority.
• Participate in periodic data protection training to stay informed about evolving
  security risks and best practices.

General Assignment:

• Execute any other duties and tasks that may be designated or assigned by the
  Company.
• Participate in the knowledge sharing programme of the department and the
  company.
• To provide support to your manager, Managing Director, and Vice Chairman as may be required towards serving the Board, Management, and staff members.

KPIs and Performance Metrics

• Completion rate of scheduled audit assignments (Target: ≥95% of audit plan).
• Timeliness and quality of audit reports (Target: within 10 working days post-audit).
• Implementation rate of audit recommendations (Target: ≥85%).
• Number of process improvement suggestions adopted.
• Incidence and resolution of audit-flagged issues.

Qualifications
Education:

• Bachelor’s Degree in Accounting, Finance, Economics, or a related discipline. ACA, ACCA, or CIA certification is required.

Experience

• 5–7 years of relevant internal audit experience, with a minimum of 3 years in the Health Maintenance Organization (HMO) or health insurance industry.

Skills and Competencies:

• Strong knowledge of internal audit practices and procedures.
• In-depth understanding of NHIA regulatory requirements and HMO
  operations.
• Excellent documentation, reporting, and analytical skills.
• Strong attention to detail and professional ethics.
• Proficient in the use of Microsoft Office and accounting/audit tools.
• Ability to work independently and deliver within timelines.

Application Closing Date
Not Specified.

Method of Application
Interested and qualified candidates should:
Click here to apply online

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