Internal Provider Auditor

A company is looking for an Internal Provider Auditor. Key Responsibilities Conduct routine monitoring and audits of providers within the internal software Audit monthly rosters and entries by the provider operations department Monitor processes to detect fraud, abuse, or waste that leads to unnecessary costs Required Qualifications Minimum 3 years of experience in the healthcare or managed care industry Advanced proficiency in Microsoft Office products, especially Word, Excel, and Access Thorough understanding of federal, state, and local healthcare compliance requirements Bachelor's degree in healthcare informatics, business administration, or related field, or equivalent experience 1-3 years auditing experience in the healthcare industry is preferred

Mar 28, 2025 - 11:26

A company is looking for an Internal Provider Auditor. Key Responsibilities Conduct routine monitoring and audits of providers within the internal software Audit monthly rosters and entries by the provider operations department Monitor processes to detect fraud, abuse, or waste that leads to unnecessary costs Required Qualifications Minimum 3 years of experience in the healthcare or managed care industry Advanced proficiency in Microsoft Office products, especially Word, Excel, and Access Thorough understanding of federal, state, and local healthcare compliance requirements Bachelor's degree in healthcare informatics, business administration, or related field, or equivalent experience 1-3 years auditing experience in the healthcare industry is preferred