Medicaid Audit and Compliance Specialist UPIC SE

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medicaid Audit and Compliance Specialist UPIC SE in the United States.

This role is a detail-oriented audit and compliance position focused on supporting the integrity of Medicaid programs through the detection and prevention of fraud, waste, and abuse. You will be responsible for conducting complex audits across Medicaid Managed Care Plans and healthcare providers, ensuring adherence to federal and state regulations. The position involves a mix of desk-based analysis and on-site audit activities, including medical record reviews, financial data assessments, and provider compliance evaluations. You will leverage data analytics and investigative tools to identify anomalies in billing patterns and potential improper payments. Working independently and collaboratively, you will prepare formal audit reports, document findings, and recommend corrective actions. This is a mission-driven role ideal for professionals who combine analytical rigor with a strong commitment to program integrity and healthcare compliance.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medicaid Audit and Compliance Specialist UPIC SE in the United States.

This role is a detail-oriented audit and compliance position focused on supporting the integrity of Medicaid programs through the detection and prevention of fraud, waste, and abuse. You will be responsible for conducting complex audits across Medicaid Managed Care Plans and healthcare providers, ensuring adherence to federal and state regulations. The position involves a mix of desk-based analysis and on-site audit activities, including medical record reviews, financial data assessments, and provider compliance evaluations. You will leverage data analytics and investigative tools to identify anomalies in billing patterns and potential improper payments. Working independently and collaboratively, you will prepare formal audit reports, document findings, and recommend corrective actions. This is a mission-driven role ideal for professionals who combine analytical rigor with a strong commitment to program integrity and healthcare compliance.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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