Program Integrity Audit Analyst

Job Summary

A company is looking for a Program Integrity Audit Analyst II.

Key Responsibilities:

• Conduct performance audits of Medicaid Managed Care Plans to identify fraud, waste, and abuse
• Design and implement audit strategies and document findings and recommendations for compliance improvement
• Mentor new staff and ensure audit tasks are completed in accordance with established guidelines

Required Qualifications, Training, and Education:

• High School Diploma or G.E.D. equivalent; preference for candidates with relevant college or technical degrees
• Certified Fraud Examiner (CFE) certification is preferred
• Minimum of one year of experience in performance or compliance audits, preferably with Medicaid programs
• Knowledge of statistics and data analysis techniques is preferred
• Proficiency in Microsoft Word and Excel is required