Auditor - Medicaid

Overview

This role supports SafeGuard Services (SGS), performing data analysis, investigation, and medical review to detect, prevent, deter, reduce, and refer for recovery of fraud, waste, and abuse.

The organization is seeking an Auditor to join the SGS team.

Responsibilities

• Apply intermediate subject matter knowledge to solve a variety of common business issues of moderately complex scope.
• Exercise independent judgment within defined practices and procedures; follow established guidelines and interpret policies.
• Audit cost reports and claims submissions, and perform ad-hoc focused audits.
• Identify inherent and residual risks and conduct risk-based audits.
• Learn and understand the function being audited, using business knowledge, analytical skills, and experience to identify findings and improvements.
• Provide ongoing progress reports and updates on audit findings in coordination with team members.
• Participate in projects and audits.
• Provide research and data analysis for moderately complex projects.
• Stay current on new audit developments.

Qualifications

Basic Qualifications

• Minimum of 5 years with a BS/BA, or 9 years of experience with a HS Diploma.
• Typically 2+ years of related experience in finance, accounting, or audit.
• Intermediate knowledge of internal audit policies and operating principles.
• Intermediate understanding of Medicaid or healthcare auditing and their revenue cycles.
• Intermediate risk assessment and scoping skills.
• Strong research and analytical skills.
• Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
• U.S. citizenship required.

Preferred Qualifications

• Degree in finance, accounting, or related field.
• Intermediate financial and business acumen.
• Basic project management skills.

Compensation & Benefits

• Target Salary Range: $66,000 - $106,000.
• Salary is determined by factors including scope and responsibilities, experience, education, knowledge, skills, competencies, geographic location, and business and contract considerations.
• Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

Location

• Telework available from Florida.