... * Assist in the development and implementation of standard operating procedures (SOPs) and training documentation. * Support audit readiness and documentation for internal and external quality ...
... * Assist in the development and implementation of standard operating procedures (SOPs) and training documentation. * Support audit readiness and documentation for internal and external quality ...
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
IT Audit & Risk Analyst
$35 - $43/hr
... vendor assessments, and audit readiness. This role blends IT auditing, process management ... Assist with walkthroughs, planning, control design, and ERM activities Conduct vendor risk and ...
IT Audit & Risk Analyst
$35 - $43/hr
... vendor assessments, and audit readiness. This role blends IT auditing, process management ... Assist with walkthroughs, planning, control design, and ERM activities Conduct vendor risk and ...
Sr. Audit Accountant
Fairfax, VA · On-site
$75K - $95K/yr
Lead /assist in root cause analysis of audit findings; develop, track, and implement Corrective ... Experience supporting financial statement audits, audit readiness, or remediation of NFRs.
Sr. Audit Accountant
Fairfax, VA · On-site
$75K - $95K/yr
Lead /assist in root cause analysis of audit findings; develop, track, and implement Corrective ... Experience supporting financial statement audits, audit readiness, or remediation of NFRs.
Senior Audit Accountant
$86K - $109K/yr
... • Assist with validating trial balances across multiple entities • Contribute to both audit readiness and quarter-end close activities • Support consolidation efforts across several ...
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Senior Audit Accountant
$86K - $109K/yr
... • Assist with validating trial balances across multiple entities • Contribute to both audit readiness and quarter-end close activities • Support consolidation efforts across several ...
Financial / Budget Analyst (DoD RMIC & Audit Support)(5669) with Security Clearance
Aberdeen, MD · Hybrid
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
Financial / Budget Analyst (DoD RMIC & Audit Support)(5669) with Security Clearance
Aberdeen, MD · Hybrid
Support budget formulation, execution, and financial analysis activities * Assist in development and execution of Risk Management Internal Control (RMIC) programs * Support audit readiness efforts ...
Audit/Advisory Specialist
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
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Audit/Advisory Specialist
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
The position strengthens audit readiness, reduces financial risk, and supports revenue cycle ... Translate audit findings into actionable feedback * Assist in development of education materials
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The position strengthens audit readiness, reduces financial risk, and supports revenue cycle ... Translate audit findings into actionable feedback * Assist in development of education materials
Audit/Advisory Specialist
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
Audit/Advisory Specialist
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
The Assistant Controller or Controller will have meaningful ownership over financial reporting, accounting operations, internal controls, cash forecasting, budgeting, audit readiness, business ...
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The Assistant Controller or Controller will have meaningful ownership over financial reporting, accounting operations, internal controls, cash forecasting, budgeting, audit readiness, business ...
The Assistant Controller or Controller will have meaningful ownership over financial reporting, accounting operations, internal controls, cash forecasting, budgeting, audit readiness, business ...
The Assistant Controller or Controller will have meaningful ownership over financial reporting, accounting operations, internal controls, cash forecasting, budgeting, audit readiness, business ...
Senior Associate - Audit Support Analyst
Washington, DC · Hybrid
$60K - $80K/yr
Monitor corrective action milestones and assist with status reporting and updates for management ... Basic understanding of federal financial management, internal controls, audit readiness, or ...
Senior Associate - Audit Support Analyst
Washington, DC · Hybrid
$60K - $80K/yr
Monitor corrective action milestones and assist with status reporting and updates for management ... Basic understanding of federal financial management, internal controls, audit readiness, or ...
... * Assist with SOX compliance activities as needed. * Drive proactive compliance initiatives to reduce risk and improve audit readiness. * Support the transition from manual processes to more ...
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... * Assist with SOX compliance activities as needed. * Drive proactive compliance initiatives to reduce risk and improve audit readiness. * Support the transition from manual processes to more ...
... * Assist with SOX compliance activities as needed. * Drive proactive compliance initiatives to reduce risk and improve audit readiness. * Support the transition from manual processes to more ...
Quick apply
... * Assist with SOX compliance activities as needed. * Drive proactive compliance initiatives to reduce risk and improve audit readiness. * Support the transition from manual processes to more ...
Document Control & Audit Specialist
Plano, TX · On-site
$18 - $25/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
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Document Control & Audit Specialist
Plano, TX · On-site
$18 - $25/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
Document Control & Audit Specialist
$18 - $25/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
Document Control & Audit Specialist
$18 - $25/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
Audit/Advisory Specialist with Security Clearance
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
Audit/Advisory Specialist with Security Clearance
Washington, DC · On-site +1
$190K - $210K/yr
... assist our Department of Defense (War) client elevate audit readiness and improve financial processes. Responsibilities include, but are not limited to : * Reviewing working papers, financial ...
Document Control & Audit Specialist
Plano, TX · On-site
$22/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
Document Control & Audit Specialist
Plano, TX · On-site
$22/hr
The Document Control & Audit Assistant is responsible for maintaining accurate, controlled, and ... This role ensures documentation integrity, supports audit readiness, conducts internal audits ...
Sales Admin Assistant
$17.75 - $23/hr
Overview The Administrative Assistant for the Horsepower Business Unit provides comprehensive ... customer engagement, and audit readiness. Responsibilities Contracts, Rate Adjustments ...
Sales Admin Assistant
$17.75 - $23/hr
Overview The Administrative Assistant for the Horsepower Business Unit provides comprehensive ... customer engagement, and audit readiness. Responsibilities Contracts, Rate Adjustments ...
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Full-time
Posted 27 days ago
Job description
Manager, Post-Pay Audit
Job Summary:
We are seeking a detail-oriented and driven Post-Pay Audit Manager to lead a team of auditors performing retrospective audits across commercial and government payers. Reporting directly to the Director of Post-Pay Audit, this role is responsible for daily operations management, performance oversight, and quality assurance across onshore and offshore teams, including staff based in the Philippines.
The ideal candidate has experience in medical claims auditing, strong leadership capabilities, and a solid understanding of Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in maximizing revenue recovery while ensuring compliance and process excellence.
Key Responsibilities:
- Supervise daily audit operations across onshore and offshore teams, ensuring accuracy, productivity, and timely completion of audit deliverables.
- Provide hands-on leadership, training, and mentorship to audit staff, fostering a high-performance and quality-focused team culture.
- Monitor performance metrics, individual KPIs, and quality assurance results to drive continuous improvement.
- Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers, ensuring adherence to payer policies and audit guidelines.
- Collaborate with the Director of Post-Pay Audit on staffing, planning, and workflow optimization across multiple time zones.
- Conduct regular audit reviews, spot checks, and root cause analysis to ensure compliance and identify patterns of underpayment or denial.
- Escalate complex audit findings or payer discrepancies to senior leadership as needed.
- Assist in the development and implementation of standard operating procedures (SOPs) and training documentation.
- Support audit readiness and documentation for internal and external quality audits.
- Foster strong communication between onshore and offshore teams to ensure alignment on goals and expectations.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Health Information Management, Business, or related field required.
- Minimum of 5 years of experience in medical auditing, revenue cycle management, or claims recovery.
- At least 2 years in a supervisory or team lead role, preferably with remote or offshore team management experience.
- Solid knowledge of government audit programs (RAC, MAC, Medicaid Integrity, UPIC) and commercial payer policies.
- Proficiency in healthcare billing, medical coding (ICD-10, CPT, HCPCS), and EOB analysis.
- Strong analytical, organizational, and decision-making skills.
- Experience using audit/recovery software platforms and workflow tools.
- Professional certification preferred (e.g., CPMA, CPC, RHIA, CHC).
- Ability to work cross-functionally in a dynamic, deadline-driven environment.
About Health Business Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Cooper City, FL, US
Year founded
2002