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Added 1 min ago
KC
Assistant Youth Program Facilitator
Keystone Community Services
St Paul, MN
- $18 USD / hour
Reporting Relationship: Community Kids Program Manager or Teen Tutor Program Coordinator
Added 1 min ago
HG
Store Shift Supervisor
Horizon Goodwill
Berkeley Springs, WV
- $13 USD / hour
Sell merchandise and provide customer service as well as resolve customer complaints through HGI policy implementation.
Added 1 min ago
T
Project Manager/Owner Rep
TEKsystems
Tulare, CA
- $72 to $81 USD / hour
We are seeking a Project Manager/Owner's Representative - Food & Beverage to join our team in Tulare, CA.
Added 1 min ago
SO
ADMINISTRATIVE SPECIALIST III
State of Maryland
MD
- $52,354 to $82,572 USD / year
planning and implementation of revised practices
Added 1 min ago
TD
Manager, Delivery
TELUS Digital
Columbus, OH · Boston, MA · Charlottesville, VA · Durham, NC
- $100,000 to $160,000 USD / year
As a Manager, Delivery, you'll be a key member of our leadership Tri-Force, working closely with Engineering Managers and Product Leads. Your primary responsibility will be leading…
Added 1 min ago
S
Operational Excellence Manager
Saint-Gobain
WILMINGTON, CA
- $92,000 to $142,000 USD / year
The Operational Excellence Manager delivers measurable operational improvements by leading loss identification and eradication initiatives, coaching pillar leaders, and ensuring sustainable…
Added 2 mins ago
Senior IAM RBAC & ABAC Manager
Remote, United States
Otis is seeking a highly experienced Sr. IAM RBAC & ABAC Manager to join our global Identity and Access Management (IAM) organization and lead the design, implementation, and governance of…
Added 2 mins ago
Student Support Specialist
Los Rios Community College District
Folsom, CA
: Under the direction of the assigned supervisor/manager, coordinate student success and support related programs, components and activities; assist in the planning, implementation and…
Added 2 mins ago
Manager, Rehabilitation Services, Outpatient Pediatrics
Kaiser Permanente
Roseville, CA
…documentation requirements; leading and guiding the development and implementation of rehabilitation services clinical initiatives and training and education programs; and leading…
Added 2 mins ago
S
Maintenance Manager
Saint-Gobain
FREMONT, CA
- $102,000 to $158,000 USD / year
The Maintenance Manager provides leadership and strategic direction for all plant maintenance, reliability, and engineering activities to ensure safe, efficient, and cost-effective…
Added 2 mins ago
S
EHS Manager
Saint-Gobain
FREMONT, CA
- $92,000 to $142,000 USD / year
The EHS Manager is responsible for managing and leading the complete Environmental, Health, and Safety (EHS) programs for the Fremont, California facility. This role ensures compliance with…
Added 2 mins ago
Global Supply Manager, Memory
Google
Mountain View, CA
As a Global Supply Chain and Sourcing Manager for Devices and Services, you will be the primary contact for internal teams and external partners/suppliers for sourcing and procurement for…
Added 2 mins ago
Program Manager III, Network Planning, Cloud Infrastructure
Google
Sunnyvale, CA
Share Program Manager III, Network Planning, Cloud Infrastructure
Added 2 mins ago
Program Manager III, Logistics Planning and Order Management, Cloud Logistics
Google
Sunnyvale, CA
As a Program Manager, you will lead the conceptualization, design, and implementation of end-to-end business processes and enterprise system solutions across advanced supply chain planning…
Added 2 mins ago
Lead Product Owner - Edge
Lumen
Sacramento, CA
Partner with architects and engineering leaders to validate solution options technical feasibility dependencies and implementation tradeoffs
Added 2 mins ago
O
Consulting Project Manager
Oracle
Sacramento, CA
- $74,100 to $148,300 USD / year
As a Project Manager in the Consulting organization, you will coordinate clients, Oracle teams, and third-party vendors to deliver integrated software solutions. You will build practical…
Added 3 mins ago
Manager, Digital Design
Cedars-Sinai
Los Angeles, CA
The Manager, Digital Design is responsible for ideation and implementation of design with regard to digital strategy and execution in order to drive growth, expansion, and innovation of…
Added 3 mins ago
Technical Account Manager II, Google Cloud Consulting
Google
Los Angeles, CA
Share Technical Account Manager II, Google Cloud Consulting
Added 3 mins ago
Technical Account Manager, Google Cloud Consulting
Google
Sunnyvale, CA · Los Angeles, CA
Share Technical Account Manager, Google Cloud Consulting
Added 3 mins ago
SC
Coordinator of DOWEA-World Language
Stafford County Public Schools
Stafford, VA
- $62,423 to $101,247 USD / year
The Coordinator/Project Director of the Department of War World Language Grant will support the full implementation of distance learning for World Languages throughout Stafford County…
Added 3 mins ago
Sr. Relationship Manager
National Life Insurance Company
Addison, TX · Montpelier, VT
The Sr. Relationship Manager owns the onboarding, operational relationship, and business readiness for assigned Distribution partners, ensuring NLG delivers a coordinated, effective…
Added 4 mins ago
WN
Shift Supervisor - 000MU - Tue-Fri. 3PM-11PM, Sat 8AM-4PM
WellLife Network
Jamaica, NY
- $20.15 USD / hour
Participates in the interdisciplinary team process, which includes: evaluation, program planning, implementation and monitoring consumers cases, and maintaining contact with family members.
Added 4 mins ago
Sr Business Integration Analyst EDI
Connection
Merrimack, NH
Working under minimal supervision of IT Manager or Director, referring only exceptional problems and issues for management review or approval, the Sr Business Integration Analyst manages…
Added 5 mins ago
Zone Lead - PT
At Home
Cypress, TX
The Zone Lead (ZL) reports to the Assistant Store Manager and supports merchandising in designated zones and maintains an active selling culture by ensuring that all visual aspects are set…
Added 5 mins ago
Construction Project Manager - Design-Build (Minneapolis, MN)
Burns & McDonnell
Minneapolis/St Paul, MN
The Construction Project Manager leads the successful delivery of complex design-build, projects from preconstruction through commissioning, turnover, and warranty. This role is responsible…

Jobgether

Audit Manager

Remote, United States

$100,000 to $110,000 USD / year

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Job details

Pay: $100,000 to $110,000 USD / year
Posting language: English
Posted: Nov 2, 2026

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Audit Manager based in the United States.

This leadership opportunity is designed for an experienced Registered Nurse with a strong background in utilization review, clinical investigations, and healthcare auditing. You will oversee a Quality Assurance Nurse Investigations Unit, guiding complex investigations into potential healthcare fraud, program mismanagement, and regulatory non-compliance. Working closely with executive leadership and cross-functional stakeholders, you will help ensure investigative findings are accurate, well-documented, and defensible. The role combines advanced clinical judgment, data analysis, operational oversight, and team development. You will also contribute to strategic initiatives, process improvements, and decisions that support the integrity and accountability of public healthcare programs. This is a remote-eligible position requiring candidates to reside in Arizona.

Accountabilities

As Audit Manager, you will provide strategic and operational leadership for the nurse investigations function, ensuring high-quality clinical reviews, consistent investigative standards, and effective team performance. Your responsibilities will include:

• Lead, direct, and oversee the Quality Assurance Nurse Investigations Unit, including recruitment, staff development, supervision, and performance management.

• Ensure unit operations comply with established Office of Inspector General standards, policies, procedures, and strategic objectives.

• Apply advanced clinical expertise to guide complex medical investigations, ensuring accuracy, quality, and regulatory compliance.

• Serve as a key liaison with the Inspector General, Deputy Assistant Directors, Deputy Inspectors General, and other internal stakeholders on strategic initiatives and special projects.

• Coordinate responses to external audits, reviews, and formal inquiries, ensuring that information is accurate and delivered on time.

• Contribute to the development and implementation of strategic plans, annual goals, and operational objectives.

• Interpret and apply complex clinical, financial, and operational regulations, as well as applicable federal and Arizona laws, to support investigative decisions.

• Review and approve investigation reports, case closures, and clinical assessments, ensuring that evidence is complete, consistent, and sufficient to support conclusions.

• Conduct complex clinical, financial, and data analysis, documenting findings to support defensible investigative outcomes and regulatory accountability.

• Negotiate and finalize determinations involving overpayments, civil monetary penalties, settlements, and forfeitures, obtaining the necessary approvals.

• Participate in administrative appeals and Informal Settlement Conferences, representing investigative interests.

• Conduct investigative interviews and provide expert, factual, or summary testimony in legal and administrative proceedings when required.

• Mentor and train staff, promote a high-performing team culture, and support organizational modernization and continuous improvement initiatives.

• Align team activities with the organization's strategic plan, mission, and Agency Management System.

• Coordinate internal and external relationships and support operational activities, including site visits when necessary.

Requirements

The successful candidate will combine professional nursing expertise with investigative, analytical, and management capabilities. The position requires:

• An active Registered Nurse (RN) license, or higher, issued by the Arizona State Board of Nursing, in accordance with applicable state and federal requirements.

• An Arizona driver's license.

• Strong knowledge of clinical record reviews, healthcare data analysis, medical necessity, and standards-of-care evaluation.

• Understanding of investigative techniques, interviewing, evidence assessment, audit processes, and defensible case development.

• Knowledge of Medicaid and Medicare regulations, including Title 19, AHCCCS rules, and provider and member eligibility requirements.

• Familiarity with applicable federal and Arizona laws, including Arizona Revised Statutes Titles 13 and 36, as well as administrative law and healthcare regulations.

• Knowledge of public assistance program eligibility, including SSI, SSD, TANF, Long-Term Care, and SOBRA.

• Understanding of financial and accounting principles relevant to audits and fraud detection.

• Experience with data analysis, spreadsheet development, system data extraction, reporting, and Microsoft Excel.

• Strong leadership, supervision, staff development, and performance management skills.

• Excellent investigative documentation, report-writing, communication, and collaboration abilities.

• Ability to interpret complex information, exercise sound judgment under pressure, manage competing priorities, and present findings effectively in formal settings.

• Familiarity with process improvement methodologies, including LEAN, performance metrics, and organizational management systems.

• Ability to build cohesive teams, establish clear expectations, and foster a culture of integrity, accountability, and continuous improvement.

Preferred qualifications:

• Five or more years of experience in a hospital setting.

• At least three years of investigative or audit experience.

• Knowledge of Utilization Review and Case Management.

• Previous experience as a team lead or supervisor.

Additional employment conditions:

• Candidates must reside within the state of Arizona.

• Successful completion of a fingerprint background check, prior employment verification, and reference checks is required.

• Newly hired employees must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

• Travel may be required for state business. Employees who drive for work must complete any required driver training and meet applicable licensing requirements.

• Employment is contingent upon successful completion of pre-employment requirements and the ability to reasonably accommodate any restrictions.

Benefits

• Annual salary: $100,000–$110,000.

• Remote work options, with full-time or part-time remote schedules subject to management approval and operational needs.

• 10 paid holidays per year.

• Paid vacation, starting at 13 days annually.

• Paid sick leave, starting at 12 days annually.

• Up to 12 weeks of paid parental leave for eligible employees following the birth or placement of a child through adoption or foster care.

• Additional leave options for bereavement, civic duties, and military service.

• Comprehensive and affordable insurance coverage, including medical, dental, life, and disability insurance.

• Participation in the Arizona State Retirement System, providing a defined-benefit lifetime pension.

• Required participation in the applicable retirement and long-term disability programs.

• Optional deferred compensation program with tax-deferred retirement investments through payroll deductions.

• Eligibility for the Public Service Loan Forgiveness Program, subject to program requirements.

• Rideshare and public transportation subsidies.

• Learning, training, and career development opportunities.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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More about this job

Skills

RN
Quality assurance
Regulatory compliance
Leadership
Performance management
Strategic planning
Data analysis
Process improvement
Fraud detection
Reporting
Microsoft Excel
Documentation
Report writing
Communication skills
Collaboration
Case management

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