IntegrityMHiring

Medicaid Auditor

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 8 days ago
In one line

Audit role checking Medicaid managed care plans and providers for fraud, waste and abuse, mostly desk reviews with some onsite visits; remote, full-time.

About the role

Small, flexible firm doing program integrity work for government and commercial clients. Audits can be programmatic or financial, and findings go to leadership, agencies and providers.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
GAGAS, Data mining, Trend analysis, Billing, Coding
Posted
21 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Follow audit plans and methods set by contract requirements
  • Check financial documents like provider cost reports and calculate figures
  • Use data mining and trend analysis to spot odd billing and payment patterns
  • Write factual reports and present findings to leadership and agencies

What they look for

  • Can read and apply laws, regulations and policies to each audit type
  • Know Generally Accepted Government Auditing Standards (GAGAS)
  • Handle case development records and keep updates timely in the case tools
  • Communicate with federal and state agencies and providers about findings

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Questions about this job

Is this a remote job, and where can I work from?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: can read and apply laws, regulations and policies to each audit type; know Generally Accepted Government Auditing Standards (GAGAS); handle case development records and keep updates timely in the case tools. Skills it names include GAGAS, Data mining, Trend analysis, Billing.

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