Program Integrity Audit Analyst
VirtualVocationsToms River, New Jersey, United Statesjob_description.job_card.30_days_ago
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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
Document findings and recommendations for contract compliance and process improvement
Prepare written reports and ensure adherence to auditing standards and guidelines
Required Qualifications, Training, and Education
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 conducting performance or compliance audits
Knowledge of state Medicaid programs and managed care plan delivery systems
Proficiency in Microsoft Word and Excel required
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Analyst Audit • Toms River, New Jersey, United States
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