Medicaid Auditor – Investigator
Peraton
Posted: 10/20/2026
Senior Accountant, Auditor
FUJIFILM Corporation
Posted: 10/20/2026
Auditor
TEKsystems
Posted: 10/20/2026Auditor
TEKsystems
Posted: 10/20/2026Auditor
TEKsystems
Posted: 10/20/2026
IVR OP Auditor – PB/HB
e4health
Posted: 10/20/2026Lead Facility Outpatient, Profee Internal Coding Auditor
e4health
Posted: 10/20/2026
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: 10/19/2026Medicaid 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: 10/19/2026Coding Denials & Appeals Auditor
TEKsystems
Posted: 10/19/2026
Global Quality Auditor
Sanofi
Posted: 10/17/2026
Operational Auditor
Nestle
Posted: 10/17/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting compliance audits and reviews of Medicaid programs, utilizing strong analytical skills to interpret regulations and identify compliance exceptions. Proficient in organizing case files and documenting audit processes while effectively communicating findings and recommendations.
Highest-signal resume keywords
Medicaid Compliance AuditingData AnalysisResearch SkillsMicrosoft ExcelHealthcare Industry Knowledge
About the role
Key responsibilities & impact- Conduct audits and reviews of various Medicaid programs to ensure compliance with federal and state Medicaid program requirements and recover over-payments for non-compliance
- Research, interpret laws and regulations, perform data analysis, and draw conclusions for projects
- Conduct compliance audits of varied Medicaid case-types, audit claim submissions, and perform ad-hoc focused audits
- Handle several assignments concurrently; organize and analyze billing patterns; conduct interviews and obtain statements from beneficiaries/recipients and others
- Develop an understanding of the function to be audited and use business knowledge, analytical skills, and experience to identify findings and make recommendations for improvements
- Identify compliance exceptions, conflicts of interest, and improper payments
- Organize case files and accurately and thoroughly document all steps taken
- Work independently or as part of a team, providing ongoing progress reports and updates on audit status
- Present issues of concern verified through data, citing regulatory violations and proving schemes or scams to defraud the Government
- Compose correspondence, reports, and referral summary letters
- Work under general supervision as a member of a team delivering high-quality work
- Ensure projects are timely, complete, and accurate
- Actively participate in meetings and attend training to further business acumen
Requirements
What you’ll need- 2 years with BS/BA or 6 years with a HS diploma
- Experience in accounting or closely related business field, law enforcement, health science or 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
- Intermediate financial and business acumen
- Intermediate audit/investigative skills
- Project management skills
- Knowledge of the healthcare industry and medical coding concepts and/or experience analyzing health care claims data is preferred
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance AuditingData AnalysisAudit Investigative SkillsMedical Coding ConceptsProject Management
Soft Skills
Organizational SkillsCommunication SkillsTeam CollaborationAnalytical Thinking
Tools & Technologies
Microsoft Office
Industry Keywords
MedicaidHealthcare AuditingInternal Audit PoliciesBilling PatternsRegulatory Compliance