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Added 22 mins ago
Behavioral Safety Manager
Jobgether
Remote, United States
The Behavioral Safety Manager will lead the planning and execution framework that supports the safe, reliable, and scalable deployment of autonomous vehicle technologies. This role sits at…
Added 28 mins ago
AU
Security Officer Flex Armed Assignment
Allied Universal
Elba, AL
- $22.29 USD / hour
…schedule will vary week to week, based on a combination of manager-assigned shifts and those you pick up through our Earn More, Claim-A-Shift self-scheduling program. Shifts, days,…
Added 54 mins ago
HC
Health Case Manager #1615 - CHANT - Health & Social Services Division
Hamilton County
Chattanooga, TN
- $43,157 to $53,946 USD / year
Assists as a CHANT Health Case Manager working with the Nurse Specialist staff to submit client billing/invoices to the State Department of Health CHANT/ Children & Youth with Special…
Added 1 hour ago
Psychiatric Provider Aide
Sea Mar Community Health Center
United States
…clients. The Psychiatric Provider Aide provides screenings and case management in coordination with other teams or parties involved in treatment. They will participate actively as a team…
Added 1 hour ago
Integration Specialist (BA)
Sea Mar Community Health Center
United States
Provides six core services in accordance with Health Home program requirements: health promotion, support to patient/family, care coordination, comprehensive transitional care, referral to…
Added 1 hour ago
Integration Specialist (BA)
Sea Mar Community Health Center
United States
Provides six core services in accordance with Health Home program requirements: health promotion, support to patient/family, care coordination, comprehensive transitional care, referral to…
Added 2 hours ago
SMA Family Access Manager - Central Texas
Biogen
Dallas, TX · San Antonio, TX · Fort Worth, TX · Austin, TX
…Biogen team members involved in the process. The Family Access Manager (FAM) is responsible for engaging cross functional stakeholders on the next steps to support appropriate patients…
Added 4 hours ago
J
Audit Manager
Jobgether
Remote, United States
- $100,000 to $110,000 USD / year
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.
Added 4 hours ago
CC
Case Manager (Service Coordinator)
Chesterfield County
Chesterfield County, VA
- $62,154 to $83,906 USD / year
…and adults in Chesterfield County. The Service Coordination program is currently seeking a Service Coordinator who has a passion for working with children and adults with intellectual and…
Added 5 hours ago
HH
RN Hospice Full-time
Holisticare Hospice
Toms River, NJ
- $94,000 to $99,000 USD / year
- Full-time
Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)!
Added 6 hours ago
Case Manager - Blended
Community Services Group, Inc.
Lancaster, PA
As a Case Manager, you will provide casework services to assist individuals and their families in achieving their optimum level of functioning. Case Managers exercise clinical/casework…
Added 6 hours ago
SENIOR CHILD PROTECTIVE INVESTIGATOR - 60075018
State of Florida
FT LAUDERDALE, FL
Provide recommendations for development of case plan to Case Manager.
Added 6 hours ago
Hospice Aide
Professional Home Hospice of Muskogee, Inc.
Tulsa, OK · Pryor, OK
Monitor patient condition and promptly report changes, concerns, or safety issues to the RN Case Manager, physician, and care team.
Added 6 hours ago
Regional CAP RN / FT / Wake-Johnston-Cumberland-Harnett Counties
RHA Health Services, LLC
Raleigh, NC
The CAP Nurse Manager works collaboratively with the CAP Social Worker, families, healthcare providers, and service providers ensuring the health, safety, and well-being of program…
Added 6 hours ago
AU
Security Officer Armed Flex Patrol Driver
Allied Universal
Fairbanks, AK
- $21.88 USD / hour
…schedule will vary week to week, based on a combination of manager-assigned shifts and those you pick up through our Earn More, Claim-A-Shift self-scheduling program. Shifts, days,…
Added 8 hours ago
D
Case Manager Supervisor
Dungarvin
Mendota Heights, MN
- $60,200 to $61,855.5 USD / year
The case manager supervisor position is designed to fulfill all job duties associated with the case manager job description, monitors and evaluates the case management program, coordinates…
Added 9 hours ago
VO
Peer Support Specialist
Volunteers of America Colorado
Denver, CO
- $22 to $23 USD / hour
Coordinates with case manager and program staff to foster positive outcomes in housing and behavioral health. Peer Support Specialists are expected to collaborate with case managers and…
Added 9 hours ago
File Clerk
Veterans Affairs, Veterans Health Administration
Chillicothe, OH
Added 9 hours ago
Registered Nurse-Collaborative Care Case Manager
Veterans Affairs, Veterans Health Administration
Cleveland, OH
Added 10 hours ago
Senior Social Worker
Veterans Affairs, Veterans Health Administration
Cumberland, MD
Added 10 hours ago
Senior Social Worker
Veterans Affairs, Veterans Health Administration
Cumberland, MD
Added 10 hours ago
Education Technician
Veterans Affairs, Veterans Health Administration
Baltimore, MD
Added 10 hours ago
Emergency Management Specialist - Assistant
Veterans Affairs, Veterans Health Administration
Baltimore, MD
Added 10 hours ago
Records and Information Management Specialist
Indian Health Service
Rockville, MD
…C.F.R. 37.5 (2021). Responsibilities Maintains a continuing program of records management for ESS in accordance with overall federal records legislation and records requirements, including…
Added 11 hours ago
Quality Management Consultant
Veterans Affairs, Veterans Health Administration
New Orleans, LA

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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