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Added 10 mins ago
CO
Workers' Compensation Claim Analyst (Analyst I - CPPW)
City of Portland
Portland, OR
- $40.97 to $58.47 USD / hour
Work Location: Hybrid. This position reports to [address]. Remote work must be performed within Oregon or Washington. For more information, click here.
Added 17 mins ago
CM
Project Manager V
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
…time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience,…
Added 17 mins ago
CM
Project Manager IV
Centene Management Company LLC
Remote, United States
- $87,700 to $157,800 USD / year
…time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience,…
Added 17 mins ago
CM
Behavioral Health Care Manager, Child or Adolescent, LTSS
Centene Management Company LLC
United States
- $27.02 to $48.55 USD / hour
Direct experience as a Field-based Case Manager or Social Worker is strongly preferred
Added 17 mins ago
CM
Youth Care Manager - Behavioral Health
Centene Management Company LLC
United States
- $27.02 to $48.55 USD / hour
Direct experience as a Field-based Case Manager or Social Worker is strongly preferred
Added 17 mins ago
CM
Care Coordinator II
Centene Management Company LLC
United States
- $17.84 to $28.02 USD / hour
…time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience,…
Added 17 mins ago
CM
Care Coordinator II, STAR Kids
Centene Management Company LLC
Remote, United States
- $17.84 to $28.02 USD / hour
…time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience,…
Added 43 mins ago
Coordinator for Academic Programs
Harvard University
Cambridge, MA
The Fellowship Program annually supports the work of 50 leading artists and scholars. Academic Ventures fosters collaborative research projects and sponsors lectures and conferences that…
Added 43 mins ago
Financial Associate
Harvard University
Cambridge, MA
…Harvard University. It is the home of Harvard’s undergraduate program (Harvard College, founded in 1636) as well as all of Harvard’s Ph.D. programs (the Harvard Kenneth C. Griffin Graduate…
Added 50 mins ago
J
Manager, Paid Media and Acquisition
Jobgether
Remote, United States
- $90,000 to $102,000 USD / year
…all applications and next steps. Our partner is looking for a Manager, Paid Media and Acquisition based in the United…
Added 50 mins ago
Actuarial Consultant - P&C Property Risk and Actuarial
Nationwide Life and Annuity Insurance Co
IA · AZ · OH
This role does not qualify for employer sponsored work authorization. Nationwide does not participate in the STEM OPT extension program.
Added 58 mins ago
Account Manager / Specialty Account Manager - IgG4 (Rare Disease) - Wilmington, DE
Amgen
Wilmington, DE
Account Manager/Specialty Account Manager, IgG4-RD
Added 1 hour ago
Project Manager
Jobgether
Remote, United States
The Project Manager will coordinate the day-to-day delivery of software projects, ensuring teams remain aligned and work progresses smoothly from initial planning through release and…
Added 1 hour ago
CO
Systems Analyst I/II
City of Escondido
Escondido, CA
- $44.03 to $66.76 USD / hour
…level are not expected to function with the same amount of program knowledge or skill level as positions allocated to the Systems Analyst II level and exercise less independent discretion…
Added 1 hour ago
CO
Business Analyst I/II
City of Escondido
Escondido, CA
- $37.04 to $60.48 USD / hour
…level are not expected to function with the same amount of program knowledge or skill level as positions allocated to the Business Analyst II level and exercise less independent discretion…
Added 2 hours ago
College Intern - Distribution Scheduling
SRP
Mesa, AZ
Participate in mentorship, networking, training, and professional development opportunities through SRP's Early Talent Program.
Added 2 hours ago
J
Audit Manager
Jobgether
Remote, United States
- $100,000 to $110,000 USD / year
…guiding complex investigations into potential healthcare fraud, program mismanagement, and regulatory non-compliance. Working closely with executive leadership and cross-functional…
Added 2 hours ago
A
Program Lead II
AbbVie
North Chicago, IL
- $160,500 to $305,000 USD / year
The Clinical Operations Program Director is responsible to connect science and operations to bring clinical studies to life through the execution of one or more clinical research programs…
Added 3 hours ago
J
Sr. Program Manager - Core Team Leader
Jobgether
Remote, United States
- $199,681 to $221,675 USD / year
…applications and next steps. Our partner is looking for a Sr. Program Manager - Core Team Leader based in the United…
Added 3 hours ago
J
Project Controls Manager (Wind Renewables Construction)
Jobgether
Remote, United States
- $120,000 to $160,000 USD / year
The Project Controls Manager will oversee and strengthen project controls practices across multiple large-scale renewable energy construction projects. This role combines strategic…
Added 3 hours ago
Affiliate & Partnerships Manager
Jobgether
Remote, United States
…steps. Our partner is looking for an Affiliate & Partnerships Manager based in the United…
Added 3 hours ago
PG
Regional Sales Manager
Potter Global Technologies
Roanoke, VA
- $90,000 to $200,000 USD / year
Join Us as a Regional Sales Manager - Texas at Potter Global Technologies
Added 4 hours ago
GI
Help Desk Technician III
GD Information Technology, Inc.
United States
- $23.3 to $29.9 USD / hour
Ensure Equipment Custodian Officer (ECO) or Unit Software License Manager (USLM) approves all hardware and software prior to use.
Added 4 hours ago
Engagement Manager
Cprime
Remote, United States
The Engagement Manager is the primary delivery leader and day-to-day client counterpart for assigned engagements. This role combines hands-on program and project management with client…
Added 4 hours ago
Strategic Marketing Manager - Endosafe (REMOTE)
Charles River
Remote, United States
The Strategic Marketing Manager supports marketing across the Microbial Solutions portfolio, with a dedicated focus on the Endosafe® endotoxin testing business. This role bridges strategic…

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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