Long-Term Care Compliance Auditor

Job not on LinkedIn

October 17

🦌 Connecticut – Remote

Although this job is listed in Connecticut, this company may be open to hiring remote in other states.

💵 $35k - $50k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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Gainwell Technologies

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Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

📋 Description

• Analyze financial and operational data to verify the accuracy of reported information and the effectiveness of internal controls. • Evaluate compliance with company policies, Medicaid/Medicare regulations, contractual requirements, and applicable laws. • Identify and document any control weaknesses, data discrepancies, or compliance issues, and make recommendations for corrective actions. • Prepare and present comprehensive audit reports summarizing findings and actionable recommendations to management. • Conduct special investigations to detect and prevent fraud, waste, or abuse, and develop strategies to mitigate future risk. • Collaborate with internal teams and leadership to implement process improvements and strengthen control frameworks.

🎯 Requirements

• Associate degree and 5+ years of experience in auditing, accounting, contracts, or information technology, preferably within healthcare or government programs. • Experience working with business applications, relational databases, and/or information systems for audit and data validation purposes. • Must reside in or be willing to work Eastern Time Zone hours. • Working knowledge of Medicaid/Medicare, healthcare compliance, or managed care programs preferred. • Proficiency in Microsoft Excel and data analysis tools; ability to interpret and validate large datasets. • All candidates must complete a computer-based mathematics evaluation as part of the interview process.

🏖️ Benefits

• Health benefits (medical, dental, and vision) begin on Day 1 of employment. • 401(k) with company match and additional benefits become available within the first few months. • Employees can take advantage of the flexible vacation policy after 90 days of employment. • Career growth and advancement opportunities are encouraged and supported. • A company-provided computer is supplied for work use.