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Added 15 mins ago
TC
LIFEGUARD (PART-TIME) - Resource Connection
Tarrant County
Fort Worth, TX
- $16.75 USD / hour
- Part-time
…service to make for a well-rounded aquatic staff member. The Part-Time Aquatic Center Lifeguard can expect a work week of 16 to 28…
Added 17 mins ago
Psychiatric Provider Aide
Sea Mar Community Health Center
United States
…instructions and to perform other duties as assigned by his/her…
Added 23 mins ago
Outpatient Registered Nurse - RN
Fresenius Medical Care
Bozeman, MT
· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
Added 38 mins ago
Retail Call Center Associate
Green Bay Packers, Inc. and its subsidiaries
Green Bay, WI
Responsible for processing gift notes, scanning pick sheets, fulfilment of gift cards and other duties as assigned.
Added 38 mins ago
Retail Call Center Associate
Green Bay Packers, Inc. and its subsidiaries
Green Bay, WI
Responsible for processing gift notes, scanning pick sheets, fulfilment of gift cards and other duties as assigned.
Added 49 mins ago
Outpatient Access Representative
University of Rochester
Rochester, NY
…EMR, including messaging in In Basket and referral work queue processing, which is part of the patient legal medical record, therefore, ensures accurate and concise information is…
Added 55 mins ago
CO
Utilities Service Agent II
City of Hamilton, Ohio
Hamilton, OH
- $24.92 to $28.93 USD / hour
…the collection of payments, answering citizen inquiries and processing, reviewing, and maintaining customer and financial accounts and records. The work is performed under the direction and…
Added 59 mins ago
CM
Supervisor, Appeals
Centene Management Company LLC
Remote, United States
- $63,600 to $114,600 USD / year
…401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be…
Added 2 hours ago
Seasonal Restaurant Supervisor - Walnut Room, State Street
Macy's
Chicago, IL
Full-time colleagues are typically scheduled to work 30 or more hours per week, while part-time colleagues are typically scheduled 12-24 hours per week. All schedules contain weekend shifts…
Added 3 hours ago
J
Audit Manager
Jobgether
Remote, United States
- $100,000 to $110,000 USD / year
Coordinate responses to external audits, reviews, and formal inquiries, ensuring that information is accurate and delivered on time.
Added 3 hours ago
Manager Fiscal Services Actuals & Audits
Oakland County
Waterford, MI
When you join our team, you become part of a mission-driven workforce guided by integrity, innovation, and a passion for public service. We offer competitive pay, comprehensive benefits,…
Added 4 hours ago
BS
Accounting Technician - Student Payroll & Travel Clerk
Bemidji State University
United States
- $23.31 to $32.94 USD / hour
Auditing and processing business expenses for BSU and NTC to ensure compliance with travel policies and procedures, as defined within multiple bargaining agreements and the State of…
Added 4 hours ago
HP
Music Teacher - Middle School
Howell Public Schools
Howell, MI
- $51,500 to $104,030 USD / year
Added 4 hours ago
CO
Clerical Assistant 3 - State Correctional Institution (SCI) Laurel Highlands
Commonwealth of Pennsylvania
Somerset, PA
- $41,506 to $61,927 USD / year
Issue Resolution: Communicate with staff to resolve payroll discrepancies, and coordinate with the Time Advisor and supervisor when further review is needed
Added 4 hours ago
Mechanical Technician
Pilbara Minerals
Marble Bar, WA
Positioned to be a major force for change, this is a great time to join us as we play a critical role in addressing the global energy crisis. If you want to be part of an organisation that…
Added 4 hours ago
Rad Tech PRN
Northeast Georgia Medical Center, Inc.
Winder, GA
Under the direction of a Radiologist and Supervisor, performs radiographic procedures at a technical level not requiring constant supervision of technical detail. Performs a variety of…
Added 5 hours ago
Sr. Site Specialist
ThermoFisher Scientific
Cambridge, MA
As part of the Thermo Fisher Scientific team, you’ll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life every…
Added 6 hours ago
SUPERVISORY QUALITY ASSURANCE SPECIALIST T32
Air National Guard Units
Phoenix, AZ
…SUPERVISORY QUALITY ASSURANCE SPECIALIST T32, PDD1819000 and is part of the AZ 161st Air Refueling Wing, National Guard. Responsibilities This position is located at the 161ST ARW in…
Added 6 hours ago
Assistant Manager I
Dollar Tree Stores INC
Saginaw, TX
…description for this position, and which may be amended from time to time at our discretion. Incumbents will follow any other instructions and perform any other related duties as may be…
Added 6 hours ago
Assistant Manager I
Dollar Tree Stores INC
Hillsboro, TX
…description for this position, and which may be amended from time to time at our discretion. Incumbents will follow any other instructions and perform any other related duties as may be…
Added 6 hours ago
Assistant Manager I
Dollar Tree Stores INC
Mundelein, IL
…description for this position, and which may be amended from time to time at our discretion. Incumbents will follow any other instructions and perform any other related duties as may be…
Added 7 hours ago
Child Protection Specialist (Region 1 - Eastern)
State of Montana
Miles City, MT
…during evenings, weekends, or holidays. Please note that as part of your job responsibilities, you will be assigned a rotating on-call schedule. Why Join DPHHS Our mission at DPHHS is…
Added 7 hours ago
Child Protection Specialist (Region 4 - Southwest)
State of Montana
Butte, MT
…during evenings, weekends, or holidays. Please note that as part of your job responsibilities, you will be assigned a rotating on-call schedule. Why Join DPHHS Our mission at DPHHS is…
Added 7 hours ago
Child Protection Specialist (Region 2 - North Central)
State of Montana
Great Falls, MT
…during evenings, weekends, or holidays. Please note that as part of your job responsibilities, you will be assigned a rotating on-call schedule. Why Join DPHHS Our mission at DPHHS is…
Added 7 hours ago
Child Protection Specialist (Region 6 - Northwestern)
State of Montana
Kalispell, MT
…during evenings, weekends, or holidays. Please note that as part of your job responsibilities, you will be assigned a rotating on-call schedule. Why Join DPHHS Our mission at DPHHS is…

Jobgether

Audit Manager

Remote, United States

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

Apply About employer

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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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