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Medicaid Audit information

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$61K

$120.2K

$157.5K

How much do medicaid audit jobs pay per year?

As of Aug 7, 2026, the average yearly pay for medicaid 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 typical daily responsibilities of a Medicaid Audit professional?

As a Medicaid Audit professional, your day-to-day responsibilities often include reviewing medical claims for accuracy and compliance, analyzing billing and reimbursement records, and conducting interviews or gathering documentation from healthcare providers. You may work both independently and as part of a team, preparing audit reports and discussing findings with colleagues or management. Regular communication with providers to clarify information or resolve discrepancies is a key aspect of the role. Additionally, you'll stay current on changing Medicaid regulations to ensure all audits are up-to-date and compliant.

What are the key skills and qualifications needed to thrive in the Medicaid Audit position, and why are they important?

To excel in Medicaid Audit, candidates should have a strong understanding of Medicaid regulations, healthcare billing, data analysis, and compliance, often supported by a degree in healthcare administration, accounting, or a related field. Familiarity with audit management software, claims databases, and certifications such as Certified Internal Auditor (CIA) or Certified Professional Medical Auditor (CPMA) is valuable. Attention to detail, problem-solving ability, and effective communication are essential soft skills in this role. These competencies help ensure regulatory compliance, identify discrepancies, and facilitate collaboration with healthcare providers and internal teams.

What is a Medicaid Audit?

A Medicaid Audit job involves reviewing healthcare providers' claims and documentation to ensure compliance with Medicaid regulations. Auditors verify that services billed were medically necessary, properly documented, and in line with state and federal guidelines. They may work for government agencies, managed care organizations, or private auditing firms. The role helps prevent fraud, waste, and abuse while ensuring proper use of Medicaid funds. Strong analytical skills, attention to detail, and knowledge of healthcare policies are essential for this position.

More about Medicaid Audit jobs
What cities are hiring for Medicaid Audit jobs? Cities with the most Medicaid Audit job openings:
What are the most commonly searched types of Medicaid Audit jobs? The most popular types of Medicaid Audit jobs are:
What states have the most Medicaid Audit jobs? States with the most job openings for Medicaid Audit jobs include:
What job categories do people searching Medicaid Audit jobs look for? The top searched job categories for Medicaid Audit jobs are:
Medicaid Audit jobs near you
Infographic showing various Medicaid Audit job openings in the United States as of August 2026, with employment types broken down into 76% Full Time, 12% Part Time, and 12% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $120,236 per year, or $57.8 per hour.

Application Architect_ Menands, NY, 12204

campus4tech

Menands, NY • On-site

Contractor

Re-posted 27 days ago

Job description

Job Title: Application Architect
Location Menands, NY, 12204 Onsite locals only or within a 30 mile radius
Duration : 2 years Contract Position
Visa: Candidate must be eligible to work on W2 or C2C
Requirements
  • 84 Months Experience in developing and designing system architecture, system/business analysis with gathering
  • business, functional and system requirements, system design, test plans and execution for Medicaid
  • Audits/Investigation case management systems.
  • 84 Months Experience with managing the development and implementation of Medicaid Audits/ Investigations
  • case management systems, in a Microsoft. Net/Java platform and/or MS SQL/Oracle back end environments
  • 84 Months Experience implementing, managing and troubleshooting electronic documents solutions, third party
  • APIs interfaces and OCR engines, and Xerox Docushare as the enterprise electronic document content repository.
  • 84 Months Experience developing and designing system architecture, managing and su pporting Medicaid audit
  • work papers documentation systems, involving case replication, sampling, reporting, recipient claims, findings,
  • utilizing Microsoft .Net/C# technology.
  • 84 months Experience developing and designing systems using Oracle and SQL Ser ver Databases. This includes
  • creating tables, views, ER Diagrams, Stored Procedures, packages, constraints, joins, Indexes, Triggers, Cursors,
  • User Defined Functions, implementing, optimizing, analyzing, and modifying existing SQL for both Oracle and
  • Micro soft SQL Server.
  • 84 months Experience in analysis and design including developing ERDs, DFDs, Transitions diagrams, use cases,
  • architectural diagrams, etc., encompassing both high and low level design.
  • 60 Months Experience overseeing the design of appl ications which utilize ComponentOne, Aspose, and
  • Mathematica software.
  • Education/Certification: Master's degree or higher.

Responsibilities
  • Meet with Business Owners to determine business requirements.
  • Conduct technical design meetings
  • Document requirements and solutions
  • Write technical specifications
  • Manage individual projects using SDLC methodologies
  • Meet with Business Owners to determine business requirements.
  • Design and create data models, logical and physical databases and a ll related objects
  • Coordinate and conduct Unit, System and Stress testing
  • Develop solutions to integrate existing and new systems
  • Perform conversion of legacy systems and data into OMIG's FACTS platform
  • Perform enhancements and optimize FACTS modul es and backend databases
  • Designing the architectural enhancements for the impacted applications
  • Designing user friendly interfaces using complex data structures and complex form layouts.

Apply