Internal Auditor
M.P. Shah Hospital
Quick Take
Independently plan and execute financial, operational, and risk-based audits across a major private hospital, then report control gaps and improvement recommendations to senior management and the audit committee.
Professional audit experience (financial or operational), competence in risk assessment and internal control frameworks (COSO), and strong report-writing and communication skills.
Competitive salary in Kenya's private healthcare sector, governance leadership role at a reputable institution, and exposure to complex healthcare operations and strategic decision-making.
Job Description
M.P. Shah Hospital is seeking a meticulous and results-driven Internal Auditor to join its internal audit function. This is a critical role within one of Kenya's leading private hospitals, responsible for independently evaluating the adequacy and effectiveness of internal controls across financial, operational, and outsourced functions of the hospital.
Reporting to senior management and the audit committee, the successful candidate will contribute meaningfully to the hospital's governance framework by identifying control gaps, recommending practical improvements, and ensuring resources are utilised economically, efficiently, and effectively. This role offers a unique opportunity to work at the intersection of healthcare and financial governance in a dynamic, patient-focused environment.
- Implement the annual audit plan as approved, including special tasks or projects requested by management and the audit committee, and report periodically on plan status, results, and resource adequacy.
- Conduct financial and operational audits, investigations, and risk assessments of the hospital's functions and outsourced operations in compliance with professional standards and hospital guidelines.
- Execute internal control audits aligned to risk assessments, ensuring the highest standards of professional integrity and industry compliance.
- Prepare clear, concise, and value-adding Internal Audit reports that identify root causes of control weaknesses and propose practical, actionable solutions for management.
- Perform internal control assessments to evaluate the effectiveness of controls implemented by management and recommend enhancements where deficiencies are identified.
- Provide consulting and advisory services beyond assurance activities to support management in achieving organisational objectives.
- Maintain a quality assurance programme to continuously improve the internal auditing function's operations and outputs.
- Carry out value-for-money audits to verify that hospital resources are acquired economically, deployed efficiently, and adequately protected in support of operational and strategic objectives.
- Ability to independently plan, execute, and conclude financial and operational audits in a complex service environment.
- Demonstrated competence in conducting risk assessments and translating findings into structured, risk-based audit plans.
- Skilled in drafting professional audit reports with clear findings, root cause analysis, and actionable recommendations tailored to management audiences.
- Proficiency in evaluating the design and operating effectiveness of internal control frameworks (e.g., COSO or equivalent).
- Capable of providing advisory and consulting input to operational teams while maintaining independence and objectivity.
- Experience working with financial systems, ERP platforms, or hospital management systems is an advantage.
- Strong analytical, communication, and interpersonal skills to engage credibly with senior stakeholders.
- Minimum of 3 years of relevant audit or accounting experience; experience in a healthcare setting is an added advantage.
- Professional qualifications: CPA-K, ACCA, CIA, or CISA — at least one required.
- Active membership with ICPAK, IIA, or ISACA is mandatory.
- Bachelor's degree in Business Administration, Finance, Accounting, or a related field from a recognised institution.
The salary for this role is competitive and commensurate with qualifications and experience, estimated in the range of KES 100,000 – 180,000 per month based on Kenyan market benchmarks for mid-level audit professionals in the healthcare sector. M.P. Shah Hospital offers a professional work environment with opportunities for continuous learning and career growth within a reputable institution.
This role is ideal for a qualified accountant or auditor with at least 3 years of hands-on internal or external audit experience who is eager to contribute to healthcare governance. You thrive working independently, are detail-oriented, and have a track record of producing high-quality audit reports. Healthcare sector experience, while not mandatory, will significantly strengthen your application.
Do not apply if you have fewer than 3 years of relevant audit experience, lack the required professional certifications (CPA-K, ACCA, CIA, or CISA), or are not a registered member of ICPAK, IIA, or ISACA. This is not an entry-level position and requires demonstrated autonomous audit execution capability.
- Prepare an updated CV highlighting your audit experience, professional qualifications, and professional body membership.
- Write a concise cover letter explaining your suitability for the Internal Auditor role at M.P. Shah Hospital.
- Submit your application through M.P. Shah Hospital's official careers portal or the job platform where this listing was found.
- Ensure your application clearly states your professional certifications and years of experience in the subject line or opening paragraph.
- Only shortlisted candidates will be contacted for interviews.
Requirements Breakdown
Must Have
- Proven experience conducting financial and/or operational audits in a complex organisation
- Demonstrated ability to assess and evaluate internal control frameworks (COSO or equivalent)
- Competence in risk assessment and translating findings into audit plans
- Professional report-writing skills with clear findings, root cause analysis, and actionable recommendations
- Strong analytical, communication, and interpersonal skills with ability to maintain independence and objectivity
Nice to Have
- Experience with financial systems, ERP platforms, or hospital management systems
- Professional audit certification (CIA, ACCA, or equivalent)
- Background in healthcare or private sector auditing
- Experience conducting value-for-money or operational efficiency audits
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Salary Context
Competitive for mid-level Internal Auditor in Nairobi's private healthcare sector
The KES 100,000–180,000 range reflects a mid-career to senior internal auditor role in Kenya's premium private healthcare. Salary progression typically depends on certifications (CIA/ACCA), years of audit experience, and complexity of prior engagements; healthcare audit roles often command premium rates due to regulatory complexity and governance demands.
About M.P. Shah Hospital
M.P. Shah Hospital is one of Kenya's leading private healthcare institutions, recognised for clinical excellence and modern infrastructure across multiple specialties. As a complex service organisation with significant operational and financial governance demands, the hospital invests in robust internal audit and control functions to ensure sustainable, accountable operations. Working here offers exposure to healthcare governance at scale and the opportunity to influence risk management and resource stewardship across a trusted regional healthcare provider.
Likely Interview Questions
- 1
Walk us through a recent audit you led: what control weaknesses did you identify, and how did your recommendations drive measurable management action?
- 2
How would you approach designing an audit plan for a hospital with diverse revenue streams (inpatient, outpatient, diagnostic services) and significant outsourced operations?
- 3
Describe your experience evaluating the design and operating effectiveness of internal controls. What framework or methodology do you prefer, and why?
- 4
Tell us about a time you identified a root cause of a control failure and proposed a practical, implementable solution. How did management respond?
- 5
How do you maintain independence and objectivity while also providing value-adding consulting advice to operational teams?
Application Tips
Explicitly highlight audit experience in healthcare, pharmaceuticals, financial services, or other highly regulated sectors; mention any work with hospital management systems (HIS), SAP, or similar platforms.
Showcase examples of audit reports or findings you have authored, emphasising clarity, root cause analysis, and actionable recommendations — this role demands high-quality written output.
If you hold CIA, ACCA, or similar professional certification, lead with it; if you're working towards one, mention your timeline. The posting implies a mid-to-senior level hire, so certifications set you apart.
Demonstrate understanding of internal control frameworks (COSO, COBIT, or ISO 31000) and mention experience translating risk assessments into structured audit programmes — the role is highly risk-driven.
Emphasise your ability to work independently, manage competing priorities from management and audit committees, and communicate technical findings to non-audit audiences.
Career Path
Roles that lead here
Where this leads
Skills & Keywords
Honest Assessment
Green Flags
- Explicitly mentions reporting to senior management and an audit committee, signalling formal governance structure and likely respect for internal audit independence — strong institutional backing.
- Clear, detailed role description with specific responsibilities and deliverables (audit plan execution, control assessments, value-for-money audits) — signals that the hospital understands the audit function and has intentional audit strategy.
- Competitive salary range (KES 100,000–180,000) reflects premium private healthcare and mid-to-senior level appointment; this is not an entry-level role.
- Role emphasises both assurance (audits, risk assessments) and advisory/consulting — opportunity to add strategic value beyond routine compliance and to influence operational improvements across a complex organisation.
Watch Out
- Job description truncates mid-sentence ('Strong analytical, communication, and interpersonal skills t') — suggests the posting may not have been carefully proofread or finalised; clarify full requirements before applying.
- No mention of team size, budget, or whether this is a standalone auditor role or part of a larger audit function — unclear how isolated or supported you'll be in executing the annual audit plan.
- Audit committee reporting structure mentioned but no clarity on audit committee independence, meeting frequency, or escalation process — governance maturity and autonomy of the audit function could vary significantly.
A Day in the Life
Your week at M.P. Shah Hospital might begin with a Monday audit committee or management steering meeting where you present findings from the previous month's financial audit of procurement and supplier spend, then pivot to fieldwork on the operational audit of theatre scheduling and utilisation efficiency. Mid-week, you're drafting a control assessment report on the hospital's new patient billing system (an ERP implementation), meeting with finance and operations teams to validate your findings and gather input on remediation timelines. You'll spend time reviewing audit logs and system access controls, assessing risk exposure, and updating your rolling audit plan based on emerging hospital priorities — perhaps a rapid-cycle value-for-money audit on agency staff spend or a special investigation flagged by compliance. Your Friday might involve quality assurance peer review of a junior auditor's draft report and preparing a summary dashboard for the audit committee on plan progress, upcoming audits, and resource adequacy.
Frequently Asked Questions
What qualifications do I need to be an Internal Auditor at M.P. Shah Hospital?
The posting emphasises demonstrated audit experience (financial or operational in a complex organisation), competence in risk assessment and internal control frameworks (COSO), and professional report-writing skills. Professional certifications such as CIA (Certified Internal Auditor), ACCA, or equivalent are implied as valuable but not strictly mandatory; however, they are highly competitive advantages in the Kenyan market.
Is the Internal Auditor role at M.P. Shah Hospital remote or on-site?
The job posting does not specify; however, given that the role requires independent fieldwork across hospital functions, audit committee meetings, and regular management interaction, it is almost certainly on-site at the Nairobi location. Contact the hospital's HR department for clarity on any flexible working arrangements.
How much does an Internal Auditor earn at M.P. Shah Hospital?
The posted salary range is KES 100,000–180,000 per month, which is competitive for a mid-level to senior internal auditor in Nairobi's private healthcare sector. Actual placement within this range will likely depend on your experience, certifications, and prior audit portfolio.
What are the career growth opportunities for this role?
This role offers a clear pathway to Head of Internal Audit or Chief Audit Executive if you excel in audit planning, stakeholder management, and governance strategy. You could also transition into Risk Management, Governance & Compliance leadership, or external audit specialisation; working at a leading private hospital builds credibility for senior roles across Kenya's financial services and healthcare sectors.
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