Director of Integrated Care Audits

Job Summary

Providing strategic leadership and operational oversight for regulatory audits and compliance activities, the full-time remote Director of Integrated Care Audits will manage audit readiness, coordinate regulatory responses, and evaluate audit findings to ensure compliance across Integrated Care products.

Key responsibilities:

• Collaborate with enterprise Compliance for audits conducted by regulators of Medicaid and Medicare programs
• Coordinate responses to audit findings and monitor follow-up action plans for timely submission
• Educate Integrated Care management on risk mitigation and compliance with applicable regulations

Required qualifications:

• Bachelor's degree in business or related field required; Master's degree preferred
• Five years of healthcare operations, managed care, or audit management experience required
• Three years of CMS Program Audit experience required
• Three years of previous management experience required, with a preference for audit management within healthcare operations
• Relevant certifications such as CHA, CHPC, CHCA, or CPHQ preferred