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Director, Internal Audit and Compliance

Closing date

The Director of Internal Audit and Compliance contributes to the mission of the organization by directing the organization’s compliance and internal audit programs, and ensuring that management, staff, and volunteers are in compliance with the standards, rules, and regulations of relevant regulatory agencies, institutional funders, and all donor agencies while also ensuring adherence to corporate company policies and procedures.

The Director of Compliance and Audit will report to the Chief Financial Officer and to the Board Chair of the Finance and Audit Committee.

Medical Teams International Calling:

Daring to love like Jesus, we boldly break barriers to health and restore wholeness in a hurting world.


Internal Audit:

  • Oversee organization-wide risk assessments to identify significant risks or exposures related to internal controls or compliance with Medical Teams’ policies and procedures, relevant laws and regulations, sponsored contract and regulatory requirements, and accuracy, effectiveness, and efficiency of programmatic, operations, and financial reporting. Provide feedback and recommendations on identified risks and improvement activities where appropriate.
  • Design, direct and ensure completion of global internal audits at Headquarters and Country Offices.
  • Coordinate internal audit review and monitoring activities, including periodic reviews of all departments; develop calendar designing timing of specific office and function review.
  • Design and implement a program for assessing and reporting on internal controls, policies and procedures to ensure management and organizational compliance with all applicable local, state, federal, and host country laws and regulations.
  • Establish risk-based audit workplans to set out the priorities of the internal audit function, consistent with the organization’s objectives.
  • Advise and participate in investigations into fraud and regulatory issues.
  • Oversee forensic investigations and report outcomes to the Executive Committee of the board and to the external audit firm.
  • Identify leading potential areas of vulnerability and risk; assist in developing corrective action plans for resolution of problematic issues; monitor and report on status of addressing potential areas.
  • Assess internal capacity and determine which components of the risk assessment, compliance and internal audit would be better outsourced.
  • Conduct and finalize RFP process to engage, negotiate, and finalize outsourced third-party internal audit service provider.
  • Act as key relationship manager with outsourced IA provider; work with provider to identify outsourced activities; monitor ongoing outsourced activities; integrate outsourced activities into ongoing Internal Audit internal reporting practices.
  • Ensure that internal audit resources are appropriate, sufficient and effectively deployed to achieve the internal audit plan approved by the Board’s Audit and Finance Committee; address gaps if available budget will not sufficiently cover all required internal audit activities.


  • Track global regulatory reporting requirements; provide oversight and advice on regulatory compliance (e.g., FAR, OMB A-122, A-133, FCPA, False Claims Act, Cost Accounting Standards) across all internal departments to ensure regulatory requirements are met.
  • Develop assessment procedures to evaluate compliance with all donor funding regulations and third party guidelines, particularly institutional grant donors.
  • Develop procedures to evaluate Country Office and Headquarter compliance with Headquarter policies and procedures.
  • Evaluate ongoing corporate compliance activities (e.g., regulatory, donor, and organizational); enforce corporate compliance activities, particularly areas of non-compliance.
  • Regularly draft and distribute reports on compliance status updates to the Board, Executive Team, and Senior Leadership Team
  • Establish risk-based compliance workplans to set out the priorities of the compliance function, consistent with the organization’s objectives.
  • Work with Board and Executive Team to identify methods to accelerate addressing non-compliant areas.
  • Institute and maintain an effective compliance communication program for the organization, including promoting (a) use of the Compliance Hotline, (b) heightened awareness of Codes of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.
  • Collaborate with all departments to direct compliance issues to appropriate existing channels for investigation and resolution.
  • Develop, coordinate, and participate in educational and training programs that focus on the elements of the compliance program.

Strategy, Communication & Administration:

  • Maintain current knowledge of laws and regulations, keeping abreast of recent changes
  • Provide the Executive Team and Senior Leadership Team with analysis and recommendations for improvement of internal and external financial and control systems and reports.
  • Ensure the timely completion and reporting to management of internal auditing engagements.
  • Present Risk Assessment Framework (HEAT Map) and annual Audit Plan to the appropriate board committees.
  • Communicate plan of engagements and resource requirements for the internal audit function, including significant interim changes to the audit committee. This communication shall include the impact of resource limitations.
  • Ensure proper reporting of violations or potential violations to the Executive Team and/or Board of Directors as appropriate or required.
  • Develop policies and programs that encourage all staff to report suspected fraud and other improprieties without fear of retaliation.
  • Provide an annual holistic opinion on the effectiveness and adequacy of risk management, control, and governance processes.
  • In collaboration with your department, recommend compliance and internal audit activities into the Medical Teams’ strategic plan and growth strategy.

Additional Responsibilities:

  • Ensure accountability is integrated into country strategies, program design, monitoring and evaluations, recruitment, staff onboarding, trainings and performance management, partnership agreements, and all reporting.
  • Participate in the Policy Committee, regularly reviewing organizational policies and procedures, with recommendations for appropriate revisions and modifications.
  • Ensure the Safeguarding of program participants and employees through promoting an environment of awareness and upholding the code of conduct provisions of Medical Teams Protection from Sexual Exploitation & Abuse, Child & Vulnerable Adult protection, and harassment-free workplace policies.
  • Other duties as assigned by the Board, E-Team, or CFO.



  • BA or BS in Business Administration or related field.
  • Minimum five years of experience in auditing, regulatory compliance, internal control, or fraud prevention.
  • Knowledge of a broad range of applicable federal and state laws and regulations, including EEO, OSHA, OMB
  • Ability to manage a diverse and demanding workload.


  • CPA, CIA or equivalent required.
  • Valid passport



  • Five years of progressively responsible finance, accounting, or compliance work, preferably in the not-for-profit sector.
  • Experience with US Government funding requirements and A-133 audits


  • International humanitarian or development experience


  • Extensive knowledge of generally accepted accounting principles, especially as they pertain to not-for-profit accounting for federal grants and private contributions.
  • Thorough knowledge of audit requirements under OMB A-133 and OMB A-122 cost principles.
  • Commitment to Medical Teams International mission statement.
  • Proficient in Microsoft word processing and spreadsheet software, and module-based financial management software programs. Demonstrated planning and organizational skills.
  • Demonstrated ability to prepare and analyze complex financial reports.
  • Willing and able to travel overseas several times a year for up to three weeks at a time.
  • Ability to handle multiple projects simultaneously; flexible.
  • Ability to operate well in a fast-paced work environment.
  • Ability to work flexible schedule and weekends as needed.
  • Demonstrated ability to communicate effectively orally and in writing.
  • Must have the ability to consistently communicate professionally and effectively with all constituents.
  • Ability to give clear advice, at an operational and strategic level, to senior management, Board level members, and other relevant external parties / organizations e.g. external audit.
  • Moderately skilled with Microsoft Office applications including Word, Outlook email and calendaring, PowerPoint, as well as Internet and Intranet.
  • Moderately skilled with Microsoft GP, Dynamics CRM or similar Enterprise Resource Planning software, and Microsoft Excel.


Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Frequent use of a personal computer, database and digital platforms, and other office productivity machinery, such as a copy machine and computer printer.
  • Frequently uses hands, fingers, and arms to reach, handle, touch or feel equipment, medical instruments, materials, computer.
  • Frequent communication and exchange of information among colleagues and persons of concern which requires the ability to speak, hear, convey and express oneself.
  • Frequent close vision and the ability to adjust focus.
  • Occasionally ascends/descends stairs, steps, or ladder
  • Occasionally move about inside an office to access file cabinets, office machinery, meet with colleagues, etc.
  • The employee must occasionally lift and/or move up to 10 pounds.
  • Seldom to occasionally positions self to stoop, kneel, crouch, or crawl.
  • If in travel status, occasional to frequent traversing over rough or steep terrain in either a motor vehicle or on foot.

Work Environment:

  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The noise level in the work environment is usually moderately quiet.
  • The employee may be required to travel to remote areas of the world where there are potential health hazards and risks, limited hygiene facilities, extreme weather, and very basic living conditions.

How to Apply

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