Medicaid Fraud Auditor

Job Summary

A company is looking for a Medicaid Fraud Auditor.

Key Responsibilities

• Conduct complex audits and reviews of medical professional service providers for compliance with federal and state program requirements
• Perform data analysis, interpret laws and regulations, and conduct compliance audits of Medicaid case-types
• Organize case files, document audit steps, and present verified issues of concern with supporting data

Required Qualifications

• 4 years' experience with an associate's degree; 2 years' experience with a bachelor's degree; or 6 years' related work experience without a degree
• Degree in finance, accounting, or a health-related field preferred
• Typically, 2+ years of related work experience
• Knowledge of internal audit/investigative policies and Medicare/Medicaid auditing
• US citizenship required