External Audit Manager

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FreedomCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare • Healthcare Insurance • Social Impact

FreedomCare is a rapidly growing in-home care provider in the United States, driven by Medicaid funding. The company offers a unique home care service that allows patients to choose their caregivers, who can be a family member or friend, and ensures that caregivers are paid promptly after their shifts through a handy app. Operating across multiple states including New York, Nevada, Missouri, Pennsylvania, and others, FreedomCare focuses on providing trusted care in the comfort of the patient's home, improving satisfaction and reducing hospital visits. Their program stands out for its high customer satisfaction and number of positive reviews, reflecting the impact and effectiveness of their services in enhancing the well-being of both caregivers and patients.

📋 Description

• Serve as the primary point of contact and internal coordinator for external audits, surveys, regulatory reviews, payer audits, and oversight inquiries • Coordinate audit timelines, logistics, document requests, evidence collection, stakeholder follow-up, and submission readiness • Lead or support responses to federal, state, Medicaid, CMS, OIG, accrediting body, MCO, and payer audits • Review audit findings, identify risk areas, and prepare responses to Statements of Deficiency, requests for information, and related audit correspondence • Develop, implement, and monitor corrective action plans addressing root cause, ownership, timelines, evidence, and remediation • Track CAP completion, validate effectiveness, and escalate overdue or high-risk remediation items • Conduct root cause analyses and identify trends, repeat issues, or control gaps requiring process improvement • Maintain the audit repository, evidence files, response trackers, CAP logs, and supporting documentation • Partner with Operations, Clinical, HR, Legal, Finance, IT, and Compliance stakeholders • Present audit status, findings, trends, risks, and remediation progress to Compliance leadership and business leaders

🎯 Requirements

• Bachelor’s degree in healthcare administration, business administration, public health, legal studies, compliance, or a related field required • Eight or more years of experience in healthcare compliance, regulatory affairs, auditing, quality assurance, Medicaid, managed care, or home health/home care operations required • Experience managing external audits, survey responses, Medicaid/CMS or state agency reviews, SOD responses, CAP development, and corrective action tracking strongly preferred • CHC, CHPC, CCEP, or similar compliance certification preferred • Strong working knowledge of Medicaid-funded home care regulations, healthcare compliance requirements, audit methodology, survey processes, and documentation standards • Ability to assess risk, investigate issues, identify root cause, and recommend practical corrective actions • Strong document control, project management, and organizational skills • Ability to manage multiple audits, deadlines, stakeholders, and evidence requests simultaneously • Excellent written and verbal communication skills • Strong analytical skills, including interpreting data, identifying trends, monitoring remediation progress, and presenting status updates • Sound judgment, discretion, and attention to detail with confidential and regulatory documentation • Comfortable working in a fast-paced, remote environment with shifting priorities • Ability to sit for extended periods and perform office-related tasks • Ability to lift, push, pull, and carry up to 25 pounds • Ability to bend, twist, stoop, kneel, and reach • Ability to travel up to 25% as needed

🏖️ Benefits

• Competitive compensation • Medical benefits • Retirement plans • Wellness programs • Fun company events • Ongoing learning opportunities to grow your career • Inclusive environment • Equal Opportunity Employer