Supervisor – Audit, Investigation

Qlarant

. Oversee audits/investigations and audit/investigation workload .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $66,285 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in overseeing Medicare and Medicaid fraud, waste, and abuse audits and investigations, with strong capabilities in team supervision, stakeholder communication, and legal proceedings. Proficient in managing audit projects, ensuring quality assurance, and collaborating with regulatory agencies.

Highest-signal resume keywords

Medicare And Medicaid Fraud OversightAudit/Investigation SupervisionStakeholder CommunicationCertified Fraud ExaminerTestifying At Legal Proceedings

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Audit PlanningInvestigation StrategiesQuality Assurance ReviewsCase Tracking SystemsData Coordination

Soft Skills

Team Performance ManagementFeedback DeliveryMotivationEngagement

Certifications & Qualifications

Certified Fraud ExaminerAccredited Healthcare Anti-fraud Investigator Certification

Industry Keywords

FraudWasteAbuseComplianceLaw Enforcement Communication

About the role

Key responsibilities & impact

Oversee audits/investigations and audit/investigation workload
Evaluate potential Medicare and/or Medicaid fraud, waste, and abuse or compliance cases and determine appropriate referrals
Review incoming leads, assign work to auditors/investigators, and supervise provider vetting
Review audit/investigation plans, priorities, files, information requests, reports, and correspondence for quality and appropriateness
Supervise and conduct interviews, onsite audits/investigations, and site verifications as needed
Lead audit/investigation projects, develop strategies, conduct stakeholder meetings, review project actions, and document findings
Coordinate with Data and Medical Review departments
Prepare and present audits/investigations, overpayments, and questions for stakeholder meetings
Document case information and file reviews in case tracking systems
Review findings and approve courses of action, closing summaries, and administrative remedies
Prepare the team’s audits/investigations for Major Case Coordination meetings and perform quality assurance reviews
Communicate with law enforcement and regulatory agencies regarding further investigations, prosecution, or regulatory/administrative remedies
Collect and submit information requested by CMS, law enforcement, and other stakeholders, including FOIA requests
Collaborate with other program integrity contractors
Testify at legal or administrative proceedings as necessary
Manage team performance through feedback and formal performance reviews to support service delivery, engagement, motivation, and development

Requirements

What you’ll need

Minimum Bachelor's Degree required; education can be substituted for experience
5–7 years of experience required; 8–11 years preferred; work experience can be substituted for education
Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator Certification preferred
Ability to oversee Medicare and/or Medicaid fraud, waste, and abuse audits/investigations
Ability to supervise auditors/investigators and review audit/investigation plans, files, findings, and reports
Ability to communicate with law enforcement, regulatory agencies, stakeholders, and contractors
Ability to testify at legal or administrative proceedings as necessary
Successful completion of pre-employment background and drug screens

Benefits

Comp & perks

Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities
Drug-free workplace
Offers contingent upon successful completion of pre-employment background and drug screens