Integrity Management Services, Inc.

An elevated approach to program analysis.

Managed Care Audit Manager

Full TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

Virginia

Posted

9 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglish

Job Description

• Lead and manage multiple audit engagements from planning through reporting and follow-up. • Develop audit work plans, risk assessments, and testing methodologies. • Ensure compliance with applicable federal regulations, program guidance, and Government Auditing Standards (GAGAS). • Supervise, mentor, and evaluate audit staff. • Review workpapers, findings, and reports for accuracy, quality, and adherence to standards. • Communicate audit results and recommendations to senior leadership and external stakeholders. • Identify emerging risks and recommend process improvements. • Support continuous enhancement of audit methodologies and internal quality controls.

Job Requirements

  • Minimum of three (3) years of management experience in the auditing field.
  • Demonstrated knowledge of federal healthcare programs, related regulations, manuals, coverage and payment rules, and Government Auditing Standards (GAGAS).
  • Experience auditing managed care or health plan organizations preferred.
  • Bachelor’s degree in accounting or equivalent from an accredited institution required.
  • Master’s degree preferred.
  • Current Certified Public Accountant (CPA) license required.
  • Strong leadership and team management skills.
  • Advanced knowledge of audit principles, risk assessment, and internal controls.
  • Excellent analytical, organizational, and problem-solving abilities.
  • Strong written and verbal communication skills.
  • Ability to manage competing priorities in a deadline-driven environment.

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