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Added 2 mins ago
Customer Representative, Sales MAH
Merck
Montgomery, AL
…structure, business model, key influencers (Owner/Practice Manager/Key Tech/Associate Vet/Front office staff), customer needs and identifies business…
Added 2 mins ago
Technical Program - Software Delivery - 6 Month Contract
SitusAMC
Montgomery, AL
Partner with business and technology leadership to create and implement processes for managing and tracking software development teams.
Added 4 mins ago
CA
Supervisory CBP Officer (Chief of Staff)
Customs and Border Protection
Washington, DC
- $173,968 to $197,200 USD / year
Added 4 mins ago
Partner Recruiting & Integration Senior Manager - Talent Intelligence & Analytics
Latham & Watkins LLP
New York, NY
The Partner Recruiting Senior Manager – Talent Identification is a key member of Latham’s Partner Recruiting & Integration team. This role will lead proactive lateral partner and counsel…
Added 14 mins ago
Personal Banker Associate II- Greenfield- 10 Mile
Fifth Third Bank, N.A.
Birmingham, MI
…Banker II role is a sales position with a primary focus on sales development and relationship building through the promotion of deposits, loans, fee-based services and the retention of…
Added 14 mins ago
Personal Banker Associate 2 - South Haven
Fifth Third Bank, N.A.
South Haven, MI
…Banker II role is a sales position with a primary focus on sales development and relationship building through the promotion of deposits, loans, fee-based services and the retention of…
Added 14 mins ago
Personal Banker Associate II- Maple- Telegraph
Fifth Third Bank, N.A.
Bloomfield Hills, MI
…Banker II role is a sales position with a primary focus on sales development and relationship building through the promotion of deposits, loans, fee-based services and the retention of…
Added 15 mins ago
Global Engagement Programs and Initiatives Manager
University of Michigan
Ann Arbor, MI
…co-managing international agreements, organizing professional development opportunities, and providing ongoing functional administration for enterprise systems related to education abroad…
Added 15 mins ago
Technical Program - Software Delivery - 6 Month Contract
SitusAMC
Lansing, MI
Partner with business and technology leadership to create and implement processes for managing and tracking software development teams.
Added 15 mins ago
Customer Representative, Sales MAH
Merck
Detroit, MI · Lansing, MI · Warren, MI · Ann Arbor, MI
…structure, business model, key influencers (Owner/Practice Manager/Key Tech/Associate Vet/Front office staff), customer needs and identifies business…
Added 16 mins ago
Manager, Care Management Transition of Care Team - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
Denver Health and Hospital Authority
Denver, CO
The Care Management Transition of Care Team Manager is a pivotal leadership role within the Denver Health Medical Plan driving excellence in the seamless transition of members from acute…
Added 19 mins ago
J
Staff Product Manager, Longitudinal Patient Record
Jobgether
Remote, United States
- $188,500 to $245,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Staff Product Manager, Longitudinal Patient Record based in…
Added 36 mins ago
Automation, Robotics, and Control Deputy Group Leader (R&D Manager 3)
Los Alamos National Laboratory
Los Alamos, NM
The Automation, Robotics, and Control (E-3) Group seeks a Deputy Group Leader (DGL) to partner with the Group Leader in overseeing the group's technical, business, and operational…
Added 37 mins ago
CA
CBP Officer (Border Security)
Customs and Border Protection
Washington, DC
- $125,158 to $162,708 USD / year
Planning, directing, coordinating, assigning, and organizing the work of CBP Officers and professional, technical, and administrative staff
Added 40 mins ago
LV
Corporate Security Service Manager
Las Vegas Valley Water District
United States
- $159,734 USD / year
Plans, organizes, controls, integrates and evaluates the work of security supervisors and staff; with supervisors, develops, implements and monitors work plans to achieve goals and…
Added 44 mins ago
VH
Supervisory Social Worker
Veterans Health Administration
Gainesville, FL
- $118,021 to $153,429 USD / year
…Supervisory Social Worker, you will guide dedicated Social Work staff across Home Based Primary Care, Medical Foster Home, and Veteran Directed Care programs. You'll lead program growth,…
Added 47 mins ago
VH
Social Worker
Veterans Health Administration
Gainesville, FL
- $85,466 to $111,112 USD / year
Establish and maintain effective working relationships with clients, staff, and representatives of local community agencies.
Added 52 mins ago
J
Sr. Manager, Affiliates
Jobgether
Remote, United States
- $120,000 to $140,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr. Manager, Affiliates based in the United States.
Added 52 mins ago
Senior Manager, Platform Continuity
Jobgether
Remote, United States
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Senior Manager, Platform Continuity based in the United…
Added 58 mins ago
VH
Social Worker
Veterans Health Administration
Dublin, GA
- $83,890 to $109,063 USD / year
…services and interventions; provide caregiver, Veteran and staff education on caregiver issues; engage in community outreach and resource development; continuous quality-improvement…
Added 1 hour ago
VH
Registered Nurse - Nursing Officer of the Day
Veterans Health Administration
Fort Harrison, MT
- $82,571 to $147,191 USD / year
Collaborate with staff as a team member to incorporate professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities.
Added 1 hour ago
JN
Director of Development
Justice North
Duluth, MN
- $120,000 to $145,000 USD / year
Reporting to a Co-Executive Director, the Director will supervise the Data and Compliance Manager and Fundraising and Communications Lead. The position will collaborate closely with…
Added 1 hour ago
VH
Senior Social Worker (Hospice and Palliative Care)
Veterans Health Administration
Augusta, ME
- $93,797 to $121,939 USD / year
…practice skills and judgment, is able to be a resource to clinical staff throughout the organization, and is able to provide training and education to Fellows and other trainees on variety…
Added 1 hour ago
VH
Senior Social Worker (Hospice and Palliative Care)
Veterans Health Administration
Augusta, ME
- $93,797 to $121,939 USD / year
…practice skills and judgment, is able to be a resource to clinical staff throughout the organization, and is able to provide training and education to Fellows and other trainees on variety…
Added 1 hour ago
Sr. Manager Employment/ Staffing
Advanced Micro Devices, Inc
Austin, TX
AMD is seeking a Talent Acquisition Senior Manager to lead recruiting teams supporting multiple business units and/or regions. You will set the talent acquisition strategy for your…

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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