Job Summary
A company is looking for a Program Integrity Auditor I to coordinate and conduct audits for compliance with regulations.
Key Responsibilities
- Coordinate and conduct audits, compliance reviews, and investigations related to fraud, waste, and abuse
- Develop audit methodologies, document findings, and prepare comprehensive reports with recommendations
- Provide technical assistance to Medicaid program administrators and collaborate with external agencies
Required Qualifications
- High school diploma or equivalent
- At least two (2) years of experience in medical claims auditing
- Preferred experience with Medicaid or Medicare provider auditing
- Knowledge of auditing regulations
- Ability to manage multiple priorities and deadlines
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