Senior Medicaid Financial Auditor

Responsibilities

• Lead and conduct complex financial audits related to Medicaid and CHIP, ensuring compliance with state and federal requirements.
• Evaluate financial management practices, internal controls, and payment integrity across Medicaid programs.
• Analyze large-scale financial datasets to identify trends, risks, improper payments, and opportunities for improved financial performance.
• Prepare detailed audit reports including findings, recommendations, and corrective action guidance.
• Collaborate with cross-functional teams, program integrity groups, and state/federal stakeholders to support strategic financial oversight initiatives.
• Support proactive, high‑quality financial management activities aligned with CMS oversight priorities, similar to responsibilities defined under Medicaid Financial Oversight Analysis efforts.
• Ensure audit activities are aligned with best practices in federal program stewardship and financial integrity.

Requirements

• Bachelors Degree
• Active Certified Public Accountant (CPA) credential
• At least 10 years experience conducting and leading financial audits, ideally within Medicaid or CHIP programs
• Strong knowledge of healthcare finance, government reimbursement models, and Medicaid managed care or fee‑for‑service structures.
• Demonstrated ability to analyze complex financial systems, assess compliance, and identify improper payments or process vulnerabilities.
• Exceptional communication skills—able to synthesize technical audit findings into actionable, executive‑level reporting.