Medicaid Audit Analyst

A company is looking for a Program Integrity Audit Analyst II. Key Responsibilities Conduct performance audits and develop leads to identify fraud, waste, and abuse in Medicaid Managed Care Plans Design and implement audit strategies, documenting findings and recommendations for compliance and process improvement Prepare objective reports and ensure adherence to auditing standards and timelines Required Qualifications, Training, and Education High School Diploma or G.E.D. equivalent; preference for candidates with relevant college or technical degrees Priority consideration for candidates with Certified Fraud Examiner (CFE) certifications Minimum of one year of experience conducting performance or compliance audits, preferably in state Medicaid programs Knowledge of statistics and data analysis techniques preferred Proficiency in Microsoft Word and Excel required

Mar 22, 2025 - 05:15

A company is looking for a Program Integrity Audit Analyst II. Key Responsibilities Conduct performance audits and develop leads to identify fraud, waste, and abuse in Medicaid Managed Care Plans Design and implement audit strategies, documenting findings and recommendations for compliance and process improvement Prepare objective reports and ensure adherence to auditing standards and timelines Required Qualifications, Training, and Education High School Diploma or G.E.D. equivalent; preference for candidates with relevant college or technical degrees Priority consideration for candidates with Certified Fraud Examiner (CFE) certifications Minimum of one year of experience conducting performance or compliance audits, preferably in state Medicaid programs Knowledge of statistics and data analysis techniques preferred Proficiency in Microsoft Word and Excel required