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Managed Care Audit Manager (Full-time, Remote)

6 hours, 21 minutes ago
United States
Full-time
Senior
Accounting Manager
Operations
Apply Now
IntegrityM

IntegrityM

Integrity Management Services Offers a large variety of data integrity solutions including audits, fraud investigations, medical reviews, and more. Certified #WOSB providing expertise in #analytics, #audits #investigations #compliance #medicalreview #s...

Professional Services
51-250
Founded 2009
View All Jobs 6

Description

  • Lead and manage multiple audit engagements from planning through reporting and follow-up.
  • Develop audit work plans, risk assessments, and testing methodologies.
  • Ensure compliance with federal regulations, program guidance, and Government Auditing Standards (GAGAS).
  • Supervise, mentor, and evaluate audit staff.
  • Review workpapers, findings, and reports for accuracy, quality, and adherence to standards.
  • Communicate audit results and recommendations to senior leadership and external stakeholders.
  • Identify emerging risks and recommend process improvements.
  • Support continuous enhancement of audit methodologies and internal quality controls.

Requirements

  • Minimum of three (3) years of management experience in the auditing field.
  • Demonstrated knowledge of federal healthcare programs, related regulations, manuals, coverage and payment rules, and Government Auditing Standards (GAGAS).
  • Experience auditing managed care or health plan organizations preferred.
  • Bachelor’s degree in accounting or equivalent from an accredited institution required.
  • Master’s degree preferred.
  • Current Certified Public Accountant (CPA) license required.
  • Strong leadership and team management skills.
  • Advanced knowledge of audit principles, risk assessment, and internal controls.
  • Excellent analytical, organizational, and problem-solving abilities.
  • Strong written and verbal communication skills.
  • Ability to manage competing priorities in a deadline-driven environment.

Interested in this position?

Apply directly on the company website

Apply Now

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