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, documenting findings and recommendations for compliance improvements

Mentor new staff and ensure adherence to auditing standards and timelines

Required Qualifications

High School Diploma or G.E.D. equivalent; preference for candidates with relevant 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 in Medicaid programs

Proficiency in Microsoft Word and Excel is required

Knowledge of statistics and data analysis techniques is preferred