What are the responsibilities and job description for the Managed Care Audit Manager (Full-time, Remote) position at Integrity Management Services, Inc.?
About Us
Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!
www.integritym.com
Position Summary
IntegrityM is seeking an experienced Audit Manager to lead and oversee complex healthcare program audits in support of federal oversight initiatives. This full-time leadership role is responsible for managing audit engagements, supervising professional staff, ensuring compliance with government auditing standards, and delivering high-quality audit reports to support program integrity objectives.
The ideal candidate brings strong experience in healthcare auditing, deep knowledge of federal health program requirements, and demonstrated success managing audit teams in a regulated environment.
Key Responsibilities
• Lead and manage multiple audit engagements from planning through reporting and follow-up.
• Develop audit work plans, risk assessments, and testing methodologies.
• Ensure compliance with applicable federal regulations, program guidance, and Government Auditing Standards (GAGAS).
• Supervise, mentor, and evaluate audit staff.
• Review workpapers, findings, and reports for accuracy, quality, and adherence to standards.
• Communicate audit results and recommendations to senior leadership and external stakeholders.
• Identify emerging risks and recommend process improvements.
• Support continuous enhancement of audit methodologies and internal quality controls.
Work Experience
- Minimum of three (3) years of management experience in the auditing field.
- Demonstrated knowledge of federal healthcare programs, related regulations, manuals, coverage and payment rules, and Government Auditing Standards (GAGAS).
- Experience auditing managed care or health plan organizations preferred.
Education and Credentials
- Bachelor’s degree in accounting or equivalent from an accredited institution required.
Master’s degree preferred. - Current Certified Public Accountant (CPA) license required.
Core Competencies
- Strong leadership and team management skills.
- Advanced knowledge of audit principles, risk assessment, and internal controls.
Excellent analytical, organizational, and problem-solving abilities. - Strong written and verbal communication skills.
Ability to manage competing priorities in a deadline-driven environment.