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Manager Recovery Audit Contractor Jobs (NOW HIRING)

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$41 - $49.50/hr

Assists the Recovery Audit Contractor (RAC) in completion of necessary audits. * Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD). * Provides new admissions with ...

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$41 - $49.50/hr

Assists the Recovery Audit Contractor (RAC) in completion of necessary audits. * Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD). * Provides new admissions with ...

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$52.62 - $72.18/hr

Assists the Recovery Audit Contractor (RAC) in completion of necessary audits. * Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD). * Provides new admissions with ...

Performant

HCS Customer Service Specialist II (SCA)

$19/hr

Notify management of: * all escalated displeasure with the audit program * legal action ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...

PNP Recovery

Recovery Monitor

Xenia, OH · On-site

$16 - $20/hr

... or Contractor Rate: $16 - $20 We are seeking a diligent and detail-oriented Recovery Monitor to join our team. The Recovery Monitor will be responsible for overseeing and managing the recovery ...

PNP Recovery

Recovery Monitor

Xenia, OH · On-site

... or Contractor Rate: $16 - $20 We are seeking a diligent and detail-oriented Recovery Monitor to join our team. The Recovery Monitor will be responsible for overseeing and managing the recovery ...

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How much do manager recovery audit contractor jobs pay per year?

As of Aug 11, 2026, the average yearly pay for manager recovery audit contractor 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.
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Manager Recovery Audit Contractor jobs near you

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 29 days ago

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

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