Medicaid Auditor/Investigator
Peraton
Posted: 10/19/2026
Senior Internal Auditor
Medallion Bank
Posted: 10/19/2026Cyber Security
Benefit & Performance Auditor
Blue Cross and Blue Shield of Kansas
Posted: 10/19/2026
Senior Auditor, Global Finance Audit
Abbott
Posted: 10/19/2026
Senior Auditor
Regions Bank
Posted: 10/19/2026Senior Auditor, Global Finance Audit
Abbott
Posted: 10/19/2026Medicaid Auditor/Investigator
Peraton
Posted: 10/19/2026
Senior Claims Auditor
Endurance
Posted: 10/19/2026
Senior Auditor – Payment Services
U.S. Bank
Posted: 10/19/2026
Delegate Improvement Auditor – Analyst
Medica
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: 10/16/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting Medicaid compliance audits, analyzing billing patterns, and interpreting regulations. Proficient in data analysis and reporting, with strong organizational skills to manage multiple assignments effectively.
Highest-signal resume keywords
Medicaid Compliance AuditingData AnalysisResearch SkillsMicrosoft ExcelInternal Audit Policies
About the role
Key responsibilities & impact- Conduct audits and reviews of various Medicaid programs for compliance with federal and state Medicaid requirements and to recover over-payments
- Research and interpret laws and regulations, perform data analysis, and draw conclusions
- Conduct compliance audits of varied Medicaid case types, audit claim submissions, and perform ad-hoc focused audits
- Handle multiple assignments concurrently; organize and analyze billing patterns; conduct interviews and obtain statements from beneficiaries/recipients and others
- Identify findings, compliance exceptions, conflicts of interest, and improper payments; make recommendations for improvements
- Organize case files and accurately document all steps taken
- Work independently or as part of a team and provide progress reports and audit-status updates
- Present data-verified concerns, cite regulatory violations, and document schemes or scams defrauding the Government
- Compose correspondence, reports, and referral summary letters
- Deliver timely, complete, and accurate projects
- Participate actively in meetings and attend training
Requirements
What you’ll need- 2 years with BS/BA or 6 years with a high school diploma
- Experience in accounting or a closely related business field, law enforcement, health science, or a related field
- Knowledge of internal audit/investigative policies and operating principles
- Understanding of Medicare/Medicaid or healthcare auditing
- Strong research and analytical skills
- Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel
- Must be a US Citizen
- Candidates must reside within the Northeast Jurisdiction: Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, Pennsylvania, New Jersey, Delaware, Maryland, District of Columbia, or Virginia
Benefits
Comp & perks- Potential eligibility for overtime
- Potential eligibility for shift differential
- Potential eligibility for a discretionary bonus
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicaid RequirementsCompliance AuditsBilling Pattern AnalysisRegulatory InterpretationAudit Claim SubmissionDocumentation SkillsRecommendations for ImprovementsInterviewing SkillsData VerificationReport Composition
Soft Skills
Organizational SkillsTeam CollaborationIndependent WorkCommunication SkillsTime Management
Tools & Technologies
Microsoft Office
Industry Keywords
Healthcare AuditingInternal AuditInvestigative PoliciesCompliance ExceptionsImproper PaymentsNortheast Jurisdiction