Program Integrity Audit Analyst

Job Summary

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 improved compliance
• Mentor and train new Program Integrity staff while ensuring adherence to task order policies

Required Qualifications:

• High School Diploma or G.E.D. equivalent, with 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, preferably in state Medicaid programs
• Proficiency in Microsoft Word and Excel is required
• Knowledge of statistics and data analysis techniques preferred