Long-Term Care Auditor I - Remote

Overview

This entry-level Long-Term Care Auditor I position focuses on identifying and recovering Medicaid improper payments made to long-term care healthcare providers. The role supports the accuracy and integrity of Medicaid payments by conducting audits, analyzing financial data, and collaborating with providers throughout the review process.

Responsibilities

• Interpret and apply federal and state Medicaid regulations, statutes, and policies related to long-term care.
• Analyze provider records across multiple accounting software systems to identify discrepancies.
• Identify improper payments, including those due to inaccurate payments, collections issues, and coordination of benefits.
• Serve as the primary liaison for assigned long-term care providers, ensuring clear and consistent communication.
• Manage a caseload of 30+ audits in various stages of completion.
• Prepare and deliver provider reports and maintain ongoing communication throughout the audit process.
• Provide regular status updates and reports to management.

Requirements

• Bachelor’s degree required, or Associate’s degree with five (5) years of related experience.
• Strong analytical and problem-solving skills.
• Ability to work independently, manage competing deadlines, and handle multiple initiatives simultaneously.
• Excellent organizational and time management skills to meet or exceed revenue and audit targets.
• Exceptional written and verbal communication skills, with the ability to build strong relationships with internal teams and long-term care providers.
• Flexibility to adapt to shifting priorities and follow direction as needed.

Work Arrangement

• Fully remote / work from home.
• Must reside in Eastern or Central Time Zone locations.
• Video cameras must be used during all interviews and during the initial week of orientation.
• Reliable broadband internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended).

Compensation & Benefits

• Salary range: $45,000.00 - $55,000.00 per year, with base pay varying by geographic region, internal equity, job-related knowledge, skills, and experience.
• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) plan with company match available within the first few months.
• Flexible vacation policy available after 90 days of employment (exceptions require manager approval before start date).
• Career growth and advancement opportunities supported.
• Company-provided computer supplied for work use.

Additional Information

Applications are accepted on an ongoing basis for this position. All salaried, full-time candidates are eligible for the flexible vacation policy, 401(k) employer match, comprehensive health benefits, and educational assistance. Leadership and technical development programs are available to support skill and career development.

Location

Remote position requiring residence in Eastern or Central Time Zones.