Delegate Improvement Auditor – Analyst
Medica
Posted: 10/19/2026
Senior Auditor – Payment Services
U.S. Bank
Posted: 10/19/2026
Coding Denials & Appeals Auditor
TEKsystems
Posted: 10/19/2026
Global Quality Auditor
Sanofi
Posted: 10/17/2026
Operational Auditor
Nestle
Posted: 10/17/2026
Senior Auditor – Audit, Global Servicing
American Express
Posted: 10/16/2026
Attorney Auditor
Sedgwick
Posted: 10/16/2026
Senior IT Auditor
Northwest Bank
Posted: 10/16/2026
Principal Auditor, Audit Practices – Methodology
Capital One
Posted: 10/16/2026
Senior IT Auditor
Unum UK
Posted: 10/16/2026PythonSQL
Professional Coding Auditor, Educator
Trinity Health
Posted: 10/16/2026
Physician Practice E&M Auditor, Educator
Baptist Health
Posted: 10/16/2026
CRB Auditor, Level II
The Greenbrier Companies
Posted: 10/16/2026
IT Staff Auditor
Fiserv
Posted: 10/16/2026CloudCyber Security
Invoice Auditor
Jabil
Posted: 10/15/2026ERPOracle
Auditor, Food Safety, GlobalGAP/PrimusGFS/HGAP
SCS Global Services
Posted: 10/15/2026
Internal Auditor
T-Mobile
Posted: 10/15/2026
Internal Auditor
Hiscox
Posted: 10/15/2026
Senior Internal Auditor
Tokio Marine North America Services
Posted: 10/15/2026Professional Coding Auditor, Educator
Trinity Health
Posted: 10/15/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in performance improvement, regulatory compliance, and data analysis within healthcare settings. Proficient in audit processes, care coordination, and project management to enhance operational efficiency and support informed decision-making.
Highest-signal resume keywords
Performance ImprovementRegulatory ComplianceData AnalysisAudit ExperienceProject Management
About the role
Key responsibilities & impact- Lead complex analytical efforts supporting oversight, performance improvement, and regulatory compliance across delegated entities and internal teams
- Design and maintain performance metrics evaluating delegate outcomes and compliance
- Develop reports and analyses that translate complex data into actionable insights
- Identify trends, risks, and improvement opportunities across delegated programs
- Communicate findings to support informed decision-making
- Complete comprehensive audits based on state and federal regulatory requirements
- Analyze delegate performance against contractual, regulatory, and quality standards
- Partner with internal teams to identify gaps and recommend improvement strategies
- Monitor corrective actions and validate sustained improvement
- Document findings and outcomes for consistent oversight
- Support preparation for DHS and CMS site audits through data validation and reporting
- Gather required documentation from delegates and internal stakeholders
- Respond to audit requests with accurate, timely, and defensible information
- Track audit findings and support resolution and follow-up activities
- Align information across clinical, operational, compliance, and analytics teams
- Ensure data consistency across reports, submissions, and oversight tools
- Address discrepancies through root-cause analysis and coordination
- Provide guidance on metrics interpretation, reporting standards, and analysis methods
- Improve analytical tools, workflows, and oversight processes
- Recommend enhancements to strengthen accuracy, efficiency, and usability
- Share best practices and contribute strategically to delegate improvement initiatives
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree in Nursing, Social Work, Healthcare Administration or related degree and/or equivalent work experience in related field
- 5+ years of work experience beyond degree
- Experience with care coordination, care or case management, and working with government programs strongly preferred
- Audit experience
- Experience and knowledge of Medicaid and SNP products
- Project management or program management experience
- Microsoft Office proficiency, including Word, PowerPoint and Excel
- Primary home address must be within a state where Medica is registered as an employer: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI
- Must be legally authorized to work in the United States at the time of application
- Medica does not offer work visa sponsorship for this role
Benefits
Comp & perks- Competitive medical, dental, and vision coverage
- PTO
- Holidays
- Paid volunteer time off
- 401K contributions
- Caregiver services
- Other total rewards benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data ValidationRoot-Cause AnalysisPerformance Metrics DesignCare CoordinationCase ManagementMedicaid KnowledgeSNP Products KnowledgeAudit TrackingReporting StandardsWorkflow Improvement
Soft Skills
CommunicationCollaborationProblem-SolvingStrategic ThinkingGuidance
Tools & Technologies
Microsoft OfficeExcelWordPowerPoint
Industry Keywords
Healthcare AdministrationGovernment ProgramsDHS AuditsCMS AuditsQuality Standards