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

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