Integrity Management Services, Inc.

Senior Auditor (Full-time, Remote)

Integrity Management Services, Inc.  •  Alexandria, VA (Remote)  •  13 days ago
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Job Description

Employment Type: Full-Time

Place of Performance: Remote

Clearance/Suitability: Must be eligible to obtain and maintain Federal access credentials and required background investigation, as applicable.

We are seeking an experienced Senior Auditor to support a federal healthcare operations and compliance program. The Senior Auditor will perform complex audit and compliance review activities, conduct detailed case analysis, evaluate operational and financial documentation, and support development of audit findings and recommendations.

This position supports healthcare operational oversight, compliance validation, payment review activities, and audit documentation efforts within a fast-paced federal healthcare environment. The ideal candidate will possess strong analytical skills, healthcare audit or compliance experience, and the ability to evaluate complex operational and financial information while supporting high-quality deliverables and reporting activities.

Key Responsibilities

  • Perform complex audit and compliance review activities in accordance with program requirements and established methodologies
  • Conduct detailed case analysis, evidence review, operational assessments, and compliance testing activities
  • Review financial, operational, and supporting documentation to assess compliance with applicable requirements and standards
  • Develop and maintain audit workpapers, supporting documentation, and audit records
  • Support development of audit findings, recommendations, corrective action assessments, and reporting materials
  • Evaluate operational processes, payment activities, and compliance documentation for accuracy and completeness
  • Collaborate with program leadership, compliance staff, analysts, and operational teams to support successful audit execution
  • Participate in quality review and continuous improvement activities
  • Support preparation of reports, summaries, briefings, and operational deliverables
  • Assist with issue identification, trend analysis, and operational risk assessments
  • Ensure timely completion of assigned tasks and deliverables while maintaining quality and compliance standards

About the Opportunity

This position supports a high-visibility federal healthcare operations and compliance program focused on audit execution, operational oversight, compliance review, reporting, and program integrity activities.

Requirements

Required Qualifications

  • Bachelor’s degree in accounting, finance, healthcare administration, business administration, or related field
  • Minimum of seven (7) years of healthcare audit, compliance, payment integrity, financial review, operational oversight, or related experience
  • Experience conducting audits, compliance reviews, operational assessments, or financial analysis activities
  • Experience reviewing complex documentation, operational records, or financial information
  • Strong analytical, organizational, and problem-solving skills
  • Strong written and verbal communication skills
  • Ability to work independently and collaboratively within multidisciplinary teams

Preferred Qualifications

  • CPA, CFE, CIA, RHIA, or equivalent certification preferred
  • Experience supporting federal healthcare programs, healthcare operations, or compliance initiatives
  • Experience supporting audit readiness, payment integrity, or healthcare operational oversight activities
  • Familiarity with healthcare reimbursement, operational compliance, or regulatory review processes
  • Experience supporting data analysis, reporting, or operational assessments
  • Experience working within fast-paced operational environments

Preferred Skills

  • Audit execution and compliance review
  • Analytical review and documentation
  • Financial and operational assessment
  • Risk identification and issue analysis
  • Audit documentation and reporting
  • Healthcare operational knowledge
  • Process evaluation and validation
  • Collaboration and stakeholder communication

Work Environment

This position may support a hybrid or remote work environment based on client and contract requirements. Periodic travel may be required.

Integrity Management Services, Inc.

About Integrity Management Services, Inc.

Our goal is to empower clients to deliver on their missions, enhance program/payment integrity initiatives, and elevate best practices utilizing decades of experience in healthcare fraud, waste, and abuse (FWA). At Integrity Management Services, Inc. (IntegrityM), we strive to safeguard the integrity of healthcare systems while prioritizing the protection of our clients and beneficiaries.

IntegrityM, an award-winning Certified Women-Owned Small Business, specializes in optimizing payment and program integrity for both Federal and nonfederal programs. Our healthcare expertise spans across various domains, including Medicare (Part A, B, C, and D), Medicaid, Managed Care, and the Marketplace. With over 20 years of experience, our team excels in consistently identifying and mitigating numerous cases of Medicare and Medicaid improper payments, program vulnerabilities, and potential FWA. Our solutions include statistical and data analysis, coding and medical reviews, fraud investigations, audits, compliance reviews, grants management, training and education, and technology solutions.

For nearly two decades, IntegrityM has been a leader in program/payment integrity services, FWA prevention and detection, and compliance services. We serve a broad range of clients, including government agencies, health plans, and other healthcare providers. Our team of investigators, auditors, medical review nurses and coders, statisticians, data analysts, and Medicare and Medicaid subject matter experts converge expertise and experience providing exceptional customized solutions. We take pride in our in-depth knowledge and application of healthcare regulations, identification of the latest fraud schemes, and analysis of large datasets, combined with agility and adaptability, allowing us to rapidly meet our clients’ program needs.

Industry
Consulting & Advisory
Company Size
51-200 employees
Headquarters
Alexandria, VA
Year Founded
2009
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