Integrity Management Services - IntegrityM

Integrity Management Services, Inc. is dedicated to supporting program integrity efforts for federal and state government programs, specializing in services suc

Managed Care Audit Manager

IT SupportIT SupportFull Time Remote Senior Company Site

Location

Virginia

Posted

23 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

• Lead and manage multiple audit engagements from planning through reporting and follow-up. • Develop audit work plans, risk assessments, and testing methodologies. • Ensure compliance with applicable federal regulations, program guidance, and Government Auditing Standards (GAGAS). • Supervise, mentor, and evaluate audit staff. • Review workpapers, findings, and reports for accuracy, quality, and adherence to standards. • Communicate audit results and recommendations to senior leadership and external stakeholders. • Identify emerging risks and recommend process improvements. • Support continuous enhancement of audit methodologies and internal quality controls.

Job Requirements

Minimum of three (3) years of management experience in the auditing field.
Demonstrated knowledge of federal healthcare programs, related regulations, manuals, coverage and payment rules, and Government Auditing Standards (GAGAS).
Experience auditing managed care or health plan organizations preferred.
Bachelor’s degree in accounting or equivalent from an accredited institution required.
Master’s degree preferred.
Current Certified Public Accountant (CPA) license required.
Strong leadership and team management skills.
Advanced knowledge of audit principles, risk assessment, and internal controls.
Excellent analytical, organizational, and problem-solving abilities.
Strong written and verbal communication skills.
Ability to manage competing priorities in a deadline-driven environment.