Program Integrity Audit Analyst

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 Program Integrity staff and ensure adherence to auditing standards and timelines

Required Qualifications :

High School Diploma or G.E.D. equivalent; preference for candidates with related college or technical degrees

Priority consideration for candidates with Certified Fraud Examiner (CFE) certifications

Minimum of one year of experience in performance or compliance audits, preferably with state Medicaid programs

Proficiency in Microsoft Word and Excel required

Knowledge of statistics and data analysis techniques preferred