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Fraud Audit Jobs (NOW HIRING)

Gianteagle

Experience Required: 1-3 years in fraud analysis, investigations, asset protection, internal audit, risk management, or related analytical roles. * Education Desired: Bachelor's Degree in Accounting ...

Giant Eagle

Fraud Analyst,

Cranberry, PA · On-site

Experience Required: 1-3 years in fraud analysis, investigations, asset protection, internal audit, risk management, or related analytical roles. * Education Desired: Bachelor's Degree in Accounting ...

SpaceXAI

Fraud Analyst

New York, NY

$100K - $135K/yr

Support internal and external audits, regulatory exams, and independent reviews of the BSA/AML program. * Provide guidance and training to front-line staff on fraud and AML red flags as needed. BASIC ...

SpaceXAI

Fraud Analyst

New York, NY

$100K - $135K/yr

Support internal and external audits, regulatory exams, and independent reviews of the BSA/AML program. * Provide guidance and training to front-line staff on fraud and AML red flags as needed. BASIC ...

SpaceXAI

Fraud Analyst

Palo Alto, CA

$100K - $135K/yr

Support internal and external audits, regulatory exams, and independent reviews of the BSA/AML program. * Provide guidance and training to front-line staff on fraud and AML red flags as needed. BASIC ...

New

SpaceXAI

Fraud Analyst

New York, NY · On-site

$100K - $135K/yr

Support internal and external audits, regulatory exams, and independent reviews of the BSA/AML program. * Provide guidance and training to front-line staff on fraud and AML red flags as needed. BASIC ...

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$120.2K

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How much do fraud audit jobs pay per year?

As of Aug 11, 2026, the average yearly pay for fraud audit in the United States is $120,236.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $136,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a fraud auditor, and why are they important?

To thrive as a Fraud Auditor, you need a solid background in accounting, auditing, and fraud detection, often supported by a degree in finance or accounting and certifications like CFE (Certified Fraud Examiner). Familiarity with forensic accounting software, data analytics tools, and ERP systems is typically required. Strong analytical thinking, attention to detail, and effective communication skills set top performers apart in this field. These competencies help ensure accurate detection of fraudulent activities, safeguard organizational assets, and maintain regulatory compliance.

What is a fraud auditor?

A Fraud Auditor is a professional responsible for detecting, investigating, and preventing fraudulent activities within an organization. They examine financial records, business operations, and internal controls to identify any signs of fraud or misconduct. Fraud Auditors also recommend ways to minimize risk and improve processes to safeguard company assets. Their work is crucial in maintaining financial integrity and ensuring compliance with laws and regulations.

What is the difference between Fraud Audit vs Forensic Accountant?

AspectFraud AuditForensic Accountant
CredentialsCPA, CIA, or fraud-related certificationsCPA, CFE, or forensic accounting certifications
Work EnvironmentAuditing firms, corporate compliance teamsLegal settings, courts, investigative agencies
Industry UsageFinancial institutions, corporations, audit firmsLegal cases, litigation support, fraud investigations

Both Fraud Auditors and Forensic Accountants analyze financial data related to fraud. Fraud Auditors primarily focus on detecting and preventing fraud through audits, while Forensic Accountants investigate and gather evidence for legal proceedings. The roles often overlap but differ in scope and application, with Fraud Auditors emphasizing compliance and internal controls, and Forensic Accountants specializing in legal investigations.

What are some common challenges faced by professionals working in fraud audit roles?

Fraud auditors often encounter challenges such as staying current with evolving fraud tactics, managing large volumes of financial data, and maintaining objectivity under pressure from stakeholders. They also need to balance thorough investigations with tight deadlines and ensure compliance with legal and regulatory standards. Effective collaboration with other departments, such as compliance, legal, and IT, is essential to identify risks and implement preventive measures.
More about Fraud Audit jobs
What cities are hiring for Fraud Audit jobs? Cities with the most Fraud Audit job openings:
What states have the most Fraud Audit jobs? States with the most job openings for Fraud Audit jobs include:
What job categories do people searching Fraud Audit jobs look for? The top searched job categories for Fraud Audit jobs are:
Fraud Audit jobs near you
Infographic showing various Fraud Audit job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 90% Full Time, 5% Part Time, 1% Temporary, and 3% Contract. Highlights an 86% Physical, 6% Hybrid, and 8% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

Fraud Audit & Investigations Analyst

Public Partnerships LLC

Remote

Full-time

Posted 5 days ago

Public Partnerships LLC rating

6.3

Company rating: 6.3 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

99th of 239 rated social care providers

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and "self" direct their own long-term home care. Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.
Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com).
Job Summary
The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste, and abuse (FWA) investigations and serves as the team's lead for quality control and regulatory deliverable readiness. This role investigates suspected FWA, audits and quality-checks case files and referral packages for completeness and regulatory sufficiency and owns the preparation and packaging of materials in response to Requests for Information (RFIs) from regulators, health plans, and law enforcement. With a broad view of the Medicaid ecosystem, spanning LHCSA/provider agency operations, MCO/health plan processes, and regulator expectations, this person ensures investigations and audit deliverables meet the standards of OMIG, MFCUs, health plan partners, and other oversight bodies.
Key Responsibilities
Investigations
  • Conduct and/or support investigations into suspected fraud, waste, abuse, neglect, and exploitation referred from analytics, hotline reports, or health plan/regulator referrals
  • Interview witnesses, gather and preserve evidence, and document findings in accordance with investigative standards and chain-of-custody practices
  • Assess provider, consumer, and caregiver conduct against program requirements, including CDPAP-specific issues such as attestations, relationship restrictions, and EVV compliance
  • Partner with the analytics function to validate and further develop data-driven leads into case-ready findings
  • Prepare case summaries, findings, and referral recommendations for the Senior Director and, as applicable, external agencies

Audit & Quality Control
  • Perform quality control review of case files, referrals, and investigative documentation for completeness, accuracy, and regulatory sufficiency
  • Audit adherence to internal investigative protocols, SOPs, and documentation standards
  • Analyze documentation and operational processes to assess compliance with established requirements, identify potential risks, and propose solutions for process improvements.
  • Identify and remediate documentation gaps prior to internal sign-off or external submission
  • Support internal audit-readiness reviews of the Program Integrity function

RFI & Regulatory Deliverable Management
  • Serve as the lead for compiling, organizing, and quality-checking response packages for Requests for Information from MFCUs, OMIG, health plans, and other regulators or auditors
  • Ensure RFI responses are complete, accurate, well-organized, and appropriately documented; track deliverables and timelines to support timely submission and resolution.
  • Coordinate cross-functionally (Legal, Compliance, Risk & Assurance, Operations) to gather required documentation and data
  • Maintain a tracking log of all open and closed RFIs, including status, owners, and deadlines
  • Support preparation for external audits and assessment requests in partnership with the Risk and Assurance team

Stakeholder & Ecosystem Partnership
  • Serve as a subject matter expert with working knowledge of LHCSA agency operations, MCO/health plan compliance and SIU functions, and state regulator expectations
  • Partner with MCO/health plan SIU and compliance counterparts on shared investigations and referral processes
  • Support the Senior Director in maintaining relationships with regulators, MFCUs, and law enforcement partners
  • Provide the frontline and health plan perspective when designing or refining investigative and audit processes

Required Skills:
  • Demonstrated experience investigating and/or auditing fraud, waste, and abuse in a Medicaid or healthcare setting
  • Familiarity with LHCSA agency operations, MCO/health plan compliance or SIU functions, and state or federal regulator expectations; experience across more than one of these perspectives is a strong plus
  • Working knowledge of Medicaid program requirements, including consumer-directed care programs (e.g., CDPAP)
  • Excellent organizational and documentation skills; comfortable assembling audit-ready, regulator-facing materials
  • Ability to manage multiple investigations, audits, and RFIs simultaneously under deadline pressure
  • Strong written communication skills; able to produce clear, defensible, and professional case and audit documentation
  • Sound judgment and discretion when handling sensitive or confidential information
  • Comfortable partnering across compliance, legal, operations, and external stakeholders

Qualifications:
Education:
Bachelor's degree preferred; substantial professional experience may be considered in lieu of a formal degree.
Experience:
  • 5-7 years of combined experience across LHCSA, MCO/health plan, and/or state regulatory Medicaid roles
  • Prior experience in fraud investigations, program integrity, or compliance auditing required
  • Experience preparing or responding to regulatory RFIs, audits, or CAP documentation preferred
  • Experience with consumer-directed care programs (e.g., CDPAP) strongly preferred

Certification: CFE, AHFI, or CCEP preferred.
Working Conditions:
Remote work with occasional business travel
Supervisory Responsibility (If applicable):
N/A
Compensation Range: $77,5000 - $99,000 / annually
This role is eligible for a base salary within the posted range. Actual compensation will be determined based on a variety of factors, including skills, experience, and geographic location. Compensation may vary for positions based in high cost-of-labor markets
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified
PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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About Public Partnerships

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Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and "self" direct their own long-term home care. Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Boston, MA, US

Year founded

1999

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