Hiring Auditor - Medicaid Fraud Control in Berwyn IL

Full Time 1 month ago
Employment Information

Job Overview: Join a dynamic team in Berwyn, Illinois as an Auditor III - IV within the Medicaid Fraud Control Unit. Contribute to the detection and prevention of fraud, waste, and abuse in healthcare programs.

Job Details: The Auditor III - IV position involves conducting detailed audits, investigations, and analysis of Medicaid claims and provider billing practices to ensure compliance with regulations.

Responsibilities:

  • Perform audits on Medicaid claims and provider billing records.
  • Analyze data to identify irregularities and potential fraud indicators.
  • Prepare reports documenting findings and recommendations for further action.
  • Collaborate with law enforcement agencies and legal teams on fraud cases.
  • Participate in training sessions and stay up-to-date on fraud detection techniques.

Requirements:

  • Bachelor's degree in Accounting, Finance, or related field.
  • 2+ years of experience in auditing or investigative work.
  • Knowledge of Medicaid regulations and healthcare billing practices.
  • Strong analytical skills and attention to detail.

Benefits:

  • Competitive salary and benefits package.
  • Opportunity for professional growth and career advancement.
  • Work in a collaborative and supportive team environment.

Other Details: This role requires occasional travel within Berwyn, Illinois for on-site audits and investigations. The Auditor III - IV position offers a unique opportunity to make a difference in healthcare program integrity.

We invite motivated individuals with a passion for combating fraud to apply and become part of our dedicated team in Berwyn, Illinois. Make a meaningful impact on healthcare integrity and contribute to protecting public funds. Join us in our mission to ensure compliance and accountability in Medicaid programs.