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Remote Medicaid Audit Jobs in Reston, VA (NOW HIRING)

Vivo HealthStaff

340B - Lawyer/Paralegal

Washington, DC · Remote

$80K - $107K/yr

... with Medicaid drug rebate programs and other pharmaceutical pricing regulations. - Prior experience supporting 340B program audits or dispute resolution processes. Why Join Us? - Fully remote ...

Maximus

Quality Trainer - Help Desk

VA · On-site +1

... Medicaid Services (CMS). Through these partnerships, Maximus delivers compliant, mission-driven ... This position is fully remote. Employment is contingent upon successful completion of a CMS client ...

All JobsMedicaid Audit JobsRemote Medicaid Audit JobsRemote Medicaid Audit Jobs in Reston, VA

Remote Medicaid Audit information

See Reston, VA salary details

$31.7K

$75.6K

$122.2K

How much do remote medicaid audit jobs pay per year?

As of Aug 29, 2026, the average yearly pay for remote medicaid audit in Reston, VA is $75,565.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,900.00 and $102,500.00 per year, depending on experience, location, and employer.

What is a remote Medicaid audit?

A Remote Medicaid Audit is a review process conducted by auditors who evaluate Medicaid claims and documentation without being physically present at the healthcare facility. These audits are performed virtually, using electronic records and digital communication tools to ensure that providers comply with Medicaid regulations and identify any improper payments or billing errors. Remote audits help maintain program integrity and are often more efficient, reducing the need for on-site visits while still ensuring accuracy and compliance.

What skills and qualifications are needed to thrive as a remote Medicaid auditor?

To thrive as a Remote Medicaid Auditor, you need a strong background in accounting, healthcare compliance, and Medicaid regulations, often supported by a degree in accounting or healthcare administration. Familiarity with audit software, electronic health records (EHRs), and data analysis tools is typically required, as well as relevant certifications like Certified Internal Auditor (CIA) or Certified Medical Auditor (CMA). Detail orientation, strong analytical thinking, and effective written communication are crucial soft skills for reviewing complex records and reporting findings remotely. These skills ensure accurate, compliant audits that help prevent fraud, reduce errors, and maintain the integrity of Medicaid programs.

What are common challenges faced by professionals in a remote Medicaid audit role, and how can they be addressed?

One of the main challenges in a Remote Medicaid Audit position is maintaining effective communication and collaboration with healthcare providers and internal audit teams when working off-site. Additionally, auditors must stay updated on frequently changing Medicaid regulations across different states. To address these challenges, it's important to leverage secure digital tools for document sharing, schedule regular virtual meetings, and participate in ongoing training to stay compliant with current guidelines. Effective time management and attention to detail are also critical for meeting deadlines and ensuring accurate audit results.

What is the difference between Remote Medicaid Audit vs Remote Medicaid Claims Reviewer?

AspectRemote Medicaid AuditRemote Medicaid Claims Reviewer
CertificationsCPA, CPA, or auditing credentials often preferredMedical billing or coding certifications (e.g., CPC, CCS)
Work EnvironmentAudit firms, healthcare agencies, government officesHealthcare providers, insurance companies, government agencies
Job FocusReviewing financial records, compliance, and audit reportsReviewing claims for accuracy, coding, and eligibility
Common Search IntentAuditing Medicaid programs, compliance, financial reviewClaims processing, billing accuracy, reimbursement issues

Remote Medicaid Audit professionals focus on financial and compliance audits of Medicaid programs, requiring auditing credentials. In contrast, Remote Medicaid Claims Reviewers concentrate on verifying claims for accuracy and proper coding, often with medical billing certifications. Both roles are essential in the Medicaid industry but differ in their primary responsibilities and work environments.

What are popular job titles related to Remote Medicaid Audit jobs in Reston, VA?

For Remote Medicaid Audit jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Remote Medicaid Audit jobs in Reston, VA look for?

The top searched job categories for Remote Medicaid Audit jobs in Reston, VA are:

What cities near Reston, VA are hiring for Remote Medicaid Audit jobs?

Cities near Reston, VA with the most Remote Medicaid Audit job openings:

Remote Medicaid Audit jobs near you
Infographic showing various Remote Medicaid Audit job openings in Reston, VA as of August 2026, with employment types broken down into 1% Internship, 90% Full Time, 6% Part Time, and 3% Contract. Highlights an 86% Physical, 6% Hybrid, and 8% Remote job distribution, with an average salary of $75,565 per year, or $36.3 per hour.

340B - Lawyer/Paralegal

Washington, DC • Remote

Vivo HealthStaff
Health Care and Social Assistance • 11 - 50 employees
Learn more about Vivo HealthStaffexternal

$80K - $107K/yr

Contractor

Re-posted 21 days ago

Job description

Contract Attorney or Paralegal - 340B Program (Remote)
Remote (Any State License Accepted)
Employment Type: Contract (Set your own hours for a project)

About the Role:
We are seeking a highly skilled and detail-oriented Contract Attorney or Paralegal with expertise in the 340B Drug Pricing Program to join our team on a remote, contract basis. This role will provide critical legal and regulatory support to ensure compliance with 340B program requirements, assist with audits, and help navigate complex legal issues related to pharmaceutical pricing and healthcare regulations. The ideal candidate will have a strong background in healthcare law, contract review, and regulatory compliance, with specific experience in the 340B program.

Key Responsibilities:
- Provide legal analysis and guidance on 340B program compliance, including eligibility, contract pharmacy arrangements, and regulatory changes.
- Review, draft, and negotiate contracts related to the 340B program, including agreements with covered entities, contract pharmacies, and third-party administrators.
- Assist with internal and external audits, including preparing documentation, responding to inquiries, and ensuring compliance with 340B program requirements.
- Monitor and interpret federal and state regulations, guidance, and policies related to the 340B program and healthcare compliance.
- Collaborate with internal stakeholders, including legal, compliance, and pharmacy operations teams, to address legal and regulatory risks.
- Conduct legal research and prepare memoranda on issues related to the 340B program, healthcare law, and pharmaceutical pricing.
- Support dispute resolution efforts, including responding to HRSA (Health Resources and Services Administration) inquiries or allegations of non-compliance.
- Stay up-to-date on industry trends, litigation, and enforcement actions related to the 340B program.

Qualifications:
- For Attorneys: Juris Doctor (JD) degree from an accredited law school and active bar membership in good standing in any U.S. state.
- For Paralegals: Paralegal certification or equivalent experience, with a strong background in healthcare law or regulatory compliance.
- Minimum of 3-5 years of experience working with the 340B Drug Pricing Program, healthcare compliance, or pharmaceutical law.
- In-depth knowledge of 340B program regulations, HRSA guidelines, and related federal and state laws.
- Experience drafting, reviewing, and negotiating contracts, particularly in the healthcare or pharmaceutical industries.
- Strong analytical skills with the ability to interpret complex regulations and provide actionable recommendations.
- Excellent written and verbal communication skills, with the ability to communicate legal concepts to non-legal stakeholders.
- Self-motivated and able to work independently in a remote environment.
- Proficiency with Microsoft Office Suite and legal research tools (e.g., Westlaw, LexisNexis).

Preferred Qualifications:
- Experience working with covered entities (e.g., hospitals, clinics, federally qualified health centers) or contract pharmacies.
- Familiarity with Medicaid drug rebate programs and other pharmaceutical pricing regulations.
- Prior experience supporting 340B program audits or dispute resolution processes.

Why Join Us?
- Fully remote position with flexible hours.
- Opportunity to work on impactful projects within the healthcare and pharmaceutical industries.
- Collaborative and supportive team environment.

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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

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