Honolulu, HI · Hybrid
$102K - $134K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
Honolulu, HI · Hybrid
$102K - $134K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
Springfield, IL · On-site
$80K - $110K/yr
The Medicaid Fraud Supervisor will conduct analysis, audits, and examinations of alleged Medicaid provider fraud, including the development of audit and investigation objectives. They will oversee ...
Springfield, IL · On-site
$80K - $110K/yr
The Medicaid Fraud Supervisor will conduct analysis, audits, and examinations of alleged Medicaid provider fraud, including the development of audit and investigation objectives. They will oversee ...
Honolulu, HI · Hybrid
$102K - $134K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
Honolulu, HI · Hybrid
$102K - $134K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
Springfield, IL · On-site
$80K - $110K/yr
The Medicaid Fraud Supervisor will conduct analysis, audits, and examinations of alleged Medicaid provider fraud, including the development of audit and investigation objectives. They will oversee ...
Springfield, IL · On-site
$80K - $110K/yr
The Medicaid Fraud Supervisor will conduct analysis, audits, and examinations of alleged Medicaid provider fraud, including the development of audit and investigation objectives. They will oversee ...
Tallahassee, FL · Hybrid
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Tallahassee, FL · Hybrid
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Tallahassee, FL · Hybrid
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Tallahassee, FL · Hybrid
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Complete Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid ...
Complete Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities and related desk review and audit activity (including wage index reviews or other Medicare/Medicaid ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
$120K - $140K/yr
This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and ...
$120K - $140K/yr
This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and ...
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
$120K - $140K/yr
This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and ...
$120K - $140K/yr
This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and ...
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH surveys. This includes analyzing financial information; performing reimbursement calculations ...
... audit readiness. • Understanding of claims, recipient/eligibility, and provider/enrollment data processes. • Advanced SQL proficiency with over 5 years of experience analyzing large Medicaid data ...
... audit readiness. • Understanding of claims, recipient/eligibility, and provider/enrollment data processes. • Advanced SQL proficiency with over 5 years of experience analyzing large Medicaid data ...
South Bend, IN · On-site
$250K - $350K/yr
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a Medicare or Medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
South Bend, IN · On-site
$250K - $350K/yr
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a Medicare or Medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
Work with our Audit team to ensure standard of care and billing criteria are being performed to standards that would meet a medicare or medicaid audit. * SNF duties: admin duties for SNF (signing MD ...
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
... audit, accounting, data management and consulting services to government-sponsored health care ... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ...
Lead all external audits, including Medicaid, Medicare, and commercial payors * Serve as the primary point of contact for commercial and payor audits * Oversee audit responses, rebuttals, corrective ...
Lead all external audits, including Medicaid, Medicare, and commercial payors * Serve as the primary point of contact for commercial and payor audits * Oversee audit responses, rebuttals, corrective ...
Kapolei, HI · On-site
$85 - $100/hr
You will perform claims audits, document findings, and conduct forensic reviews and investigations investigative activities related to Medicaid medical, dental, behavioral health, pharmacy claims, as ...
Kapolei, HI · On-site
$85 - $100/hr
You will perform claims audits, document findings, and conduct forensic reviews and investigations investigative activities related to Medicaid medical, dental, behavioral health, pharmacy claims, as ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
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.
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.
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.
Cities with the most Medicaid Audit job openings:
The most popular types of Medicaid Audit jobs are:
States with the most job openings for Medicaid Audit jobs include:
The top searched job categories for Medicaid Audit jobs are:
$102K - $134K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 24 days ago
8.1
Based on 58 frontline employees who took The Breakroom Quiz
12th of 23 rated bookkeepers and accountants
#LI-MM3 #LI-Hybrid
Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide.
At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.
What We Offer:
We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.
Minimum Qualifications
Essential Functions and Primary Duties
Preferred Qualifications
Sourced by ZipRecruiter
With over 100 offices and nearly 6,000 associates in major metropolitan areas and suburban cities throughout the U.S. CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level.
Business management consulting
5,001 - 10,000 Employees
Cleveland, OH, US
1987
