Talent.com
Program Integrity Audit Analyst

Program Integrity Audit Analyst

VirtualVocationsSpringfield, Missouri, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Program Integrity Audit Analyst II.

Key Responsibilities

Conduct performance audits of Medicaid Managed Care Plans to identify fraud, waste, and abuse

Document findings and recommendations for contract compliance and process improvement

Prepare written reports and ensure adherence to auditing standards and guidelines

Required Qualifications, Training, and Education

High School Diploma or G.E.D. equivalent; preference for candidates with relevant college or technical degrees

Priority consideration for candidates with Certified Fraud Examiner (CFE) certifications

Minimum of one year of experience conducting performance or compliance audits

Knowledge of state Medicaid programs and managed care plan delivery systems

Proficiency in Microsoft Word and Excel required

Create a job alert for this search

Analyst Audit • Springfield, Missouri, United States

Related jobs
  • Promoted
Data Analyst II, P&C Operations

Data Analyst II, P&C Operations

Argonaut Management Services, IncSpringfield, MO, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
Audit Manager

Audit Manager

GpacSpringfield, Missouri, United States
Full-time
Quick Apply
An established local CPA firm in the area is looking to add an Audit Manager to their growing team.This stable and growing firm offers clients valuable knowledge and expertise i...Show moreLast updated: 9 days ago
  • Promoted
Actuary

Actuary

TradeJobsWorkforce65622 Buffalo, MO, US
Full-time
Actuary Job Duties : Interprets financial information to determine forecasts and ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Senior Consultant Business Analyst

Senior Consultant Business Analyst

VirtualVocationsSpringfield, Missouri, United States
Full-time
A company is looking for a Senior Consultant / Business Analyst to join a consulting team focused on data management and governance solutions. Key Responsibilities : Engage across end-to-end projec...Show moreLast updated: 2 hours ago
  • Promoted
Compliance Audit Coordinator

Compliance Audit Coordinator

BrightlitalentSpringfield, MO, US
Full-time
Join our dedicated team as a Compliance Audit Coordinator, where you will play a vital role in ensuring the integrity of our healthcare services. You will have the opportunity to make a significant ...Show moreLast updated: 30+ days ago
  • Promoted
Analyst - Earn Up to $37 / hr

Analyst - Earn Up to $37 / hr

TradeJobsWorkforce65622 Buffalo, MO, US
Full-time
ESSENTIAL JOB FUNCTIONS Analyzes global markets for IT Services, servers, storage, backup, IT security, productivity software, remote monitoring services, hyperconvergence and IoT.Studies SMB and m...Show moreLast updated: 30+ days ago
  • Promoted
Remote Senior Financial Analyst - AI Trainer

Remote Senior Financial Analyst - AI Trainer

Data AnnotationSpringfield, Missouri
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show moreLast updated: 30+ days ago
  • Promoted
Remote Financial Analyst - AI Trainer

Remote Financial Analyst - AI Trainer

Data AnnotationSpringfield, Missouri
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show moreLast updated: 30+ days ago
  • Promoted
Loan Operations Compliance Specialist I

Loan Operations Compliance Specialist I

Great Southern BankSpringfield, MO, United States
Full-time
Come be a part of something greater! Great Southern Bank is committed to fostering an environment where everyone can contribute and succeed at every level. By embracing diversity, we celebrate and v...Show moreLast updated: 30+ days ago
  • Promoted
Requirements Analyst

Requirements Analyst

VirtualVocationsSpringfield, Missouri, United States
Full-time
A company is looking for a Requirements Analyst to join their team.Key Responsibilities Facilitate requirements development sessions to gather and document business and product requirements Inte...Show moreLast updated: 30+ days ago
  • Promoted
Medicaid Enrollment Specialist

Medicaid Enrollment Specialist

VirtualVocationsSpringfield, Missouri, United States
Full-time
A company is looking for a Medicaid Enrollment Specialist.Key Responsibilities Serve as the primary subject matter expert for Medicaid enrollment, revalidations, and contract maintenance Prepare...Show moreLast updated: 24 days ago
Quality Auditor - Food

Quality Auditor - Food

SQA ServicesVerona, Missouri, United States, 65769
Full-time
For nearly 30 years, SQA Services has been a leading provider of managed supplier quality services, offering audits, assessments, remote surveillance, corrective actions, remediation, inspections, ...Show moreLast updated: 8 days ago
  • Promoted
Actuarial Analyst I

Actuarial Analyst I

Argonaut Management Services, IncSpringfield, MO, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
  • Promoted
Assistant Actuary II

Assistant Actuary II

Argonaut Management Services, IncSpringfield, MO, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
  • Promoted
Compliance Support Specialist

Compliance Support Specialist

BrightlitalentSpringfield, MO, US
Full-time
Join our dedicated Compliance and Integrity team as a Compliance Support Specialist, where you will play a vital role in ensuring the effective implementation and coordination of compliance program...Show moreLast updated: 22 days ago
  • Promoted
  • New!
Healthcare Compliance Auditor

Healthcare Compliance Auditor

VirtualVocationsSpringfield, Missouri, United States
Full-time
A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.Key Responsibilities Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors ...Show moreLast updated: 4 hours ago
Program Director

Program Director

Isabel's HouseSpringfield, MO, USA
Full-time
Quick Apply
The Program Director is a professional staff member of Isabel's House that oversees and coordinates all aspects of the crisis nursery - meeting the needs of the children (ages 0-12 years old) by pr...Show moreLast updated: 2 days ago
  • Promoted
Remote Commercial Banking Analyst - AI Trainer

Remote Commercial Banking Analyst - AI Trainer

Data AnnotationSpringfield, Missouri
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show moreLast updated: 30+ days ago
  • Promoted
Actuarial Analyst III

Actuarial Analyst III

Argonaut Management Services, IncSpringfield, MO, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
  • Promoted
BCBA Board Certified Behavioral Analyst - Hybrid

BCBA Board Certified Behavioral Analyst - Hybrid

BrightSpring Health ServicesSpringfield, MO, United States
Full-time
BCBA Board Certified Behavioral Analyst - Hybrid.SpringHealth Behavioral Health and Integrated Care.SpringHealth Behavioral Health and Integrated Care. Clinical Supervisor - Provide direct oversight...Show moreLast updated: 30+ days ago