Program Integrity Audit Analyst

Job Summary

A company is looking for a Program Integrity Audit Analyst II to evaluate and develop leads associated with performance audits of Medicaid Managed Care Plans.

Key Responsibilities

• Conduct performance audits in accordance with Government Auditing Standards
• Design and implement audit strategies for provider payment reviews and managed care plan performance audits
• Document findings and recommendations for improved contract compliance and identify improper payments

Required Qualifications

• 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 conducting performance or compliance audits, preferably involving state Medicaid programs
• Proficiency with Microsoft Word and Excel is required
• Knowledge of statistics and data analysis techniques is preferred