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 and document findings with recommendations for compliance improvements
• Mentor new Program Integrity staff and ensure audit tasks are completed in accordance with guidelines

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 involving state Medicaid programs
• Proficiency in Microsoft Word and Excel is required
• Knowledge of statistics and data analysis techniques is preferred