Medicaid Fraud Auditor

This position requires conducting high level complex audits and reviews of medical professional service providers to ensure compliance with federal and state program requirements. Responsibilities include interpreting laws and regulations, performing data analysis, and drawing conclusions for projects. The role involves compliance audits of varied Medicaid case-types, auditing claim submissions, and performing ad-hoc focused audits. You will handle multiple assignments concurrently, organize and analyze billing patterns, and conduct interviews to identify compliance exceptions and improper payments.