Medical Audit Services Manager

Job Summary

A company is looking for a Manager of Medical Audit Services.

Key Responsibilities

• Lead training sessions and create internal reference documents for medical audit offerings
• Perform and support complex audits of medical plans across various lines of business
• Serve as a subject matter expert in claim payment and compliance, and report audit results to clients

Required Qualifications

• College degree or equivalent experience in medical claims auditing or consulting
• 7+ years of experience in medical claims auditing or consulting
• High level of knowledge in medical claims and health benefit administration
• Strong project management skills and ability to adjust to changing priorities
• Intermediate or expert level experience with Microsoft Suite (Word, Excel, PowerPoint)