This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Audit & Data Reconciliation Specialist is a detail-oriented and analytical professional responsible for accurate data review and reconciliation. This role involves reviewing rosters, eligibility reports, and supporting documentation to identify discrepancies, ensure data integrity, and maintain compliance standards. This is a hands-on operational auditing role focused on accuracy, documentation, and process validation that requires strong analytical ability, technical proficiency, and attention to detail.

• Review and reconcile Medicaid rosters, eligibility reports, and related documentation to ensure accuracy and completeness (30%)
• Compare large data sets across multiple systems to identify discrepancies, missing information, or inconsistencies (25%)
• Clearly document findings, flag issues, and provide detailed summaries for resolution and compliance tracking (15%)
• Work across multiple platforms and databases to extract, validate, and verify data integrity (10%)
• Ensure documentation and processes align with Medicaid guidelines and internal compliance standards (10%)
• Assist with preparing reports, summaries, and audit trackers to support leadership review and program oversight (10%)

Qualifications

• 2–4 years of experience in auditing, reconciliation, billing, payroll, compliance, or a related analytical role
• Strong numerical and analytical skills with high attention to detail
• Advanced proficiency in Microsoft Excel (pivot tables, formulas, data comparison functions such as VLOOKUP/XLOOKUP, conditional formatting)
• Comfortable reviewing and analyzing large data sets across multiple systems
• Ability to identify inconsistencies and clearly document findings
• Strong written communication skills for reporting discrepancies and summaries
• Ability to manage repetitive, detail-heavy tasks with accuracy and consistency

Requirements

• Healthcare or insurance experience is a plus but not required
• Experience in data validation, operational audits, or compliance-focused roles
• Familiarity with case management systems or eligibility platforms

Work Conditions / Physical Demands / Travel Requirements

• This position operates in a fully remote environment and requires a quiet, professional workspace
• Reliable high-speed internet connection
• Extended periods of computer use and data review
• Strict adherence to confidentiality and data protection standards
• Travel is not required

Important Notes

• This is a hands-on operational auditing role focused on data accuracy and reconciliation
• The role requires strong focus, consistency, and the ability to detect subtle discrepancies
• Responsibilities may evolve based on business needs or regulatory changes
• Professionalism, confidentiality, and accuracy are critical to success in this role