Analyze financial and operational data to verify the accuracy of reported information and the effectiveness of internal controls.
Evaluate compliance with company policies, Medicaid/Medicare regulations, contractual requirements, and applicable laws.
Identify and document any control weaknesses, data discrepancies, or compliance issues, and make recommendations for corrective actions.
Prepare and present comprehensive audit reports summarizing findings and actionable recommendations to management.
Conduct special investigations to detect and prevent fraud, waste, or abuse, and develop strategies to mitigate future risk.
Collaborate with internal teams and leadership to implement process improvements and strengthen control frameworks.
Requirements
Associate degree and 5+ years of experience in auditing, accounting, contracts, or information technology, preferably within healthcare or government programs.
Experience working with business applications, relational databases, and/or information systems for audit and data validation purposes.
Must reside in or be willing to work Eastern Time Zone hours.
Working knowledge of Medicaid/Medicare, healthcare compliance, or managed care programs preferred.
Proficiency in Microsoft Excel and data analysis tools; ability to interpret and validate large datasets.
All candidates must complete a computer-based mathematics evaluation as part of the interview process.
Benefits
Health benefits (medical, dental, and vision) begin on Day 1 of employment.
401(k) with company match and additional benefits become available within the first few months.
Employees can take advantage of the flexible vacation policy after 90 days of employment.
Career growth and advancement opportunities are encouraged and supported.
A company-provided computer is supplied for work use.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.