GENERAL SUMMARY OF POSITION:
UMMS is expanding its Medicaid Provider Audit services and is recruiting Audit Managers to lead teams performing audit related activities. Under the general direction of the Director of Provider Compliance or Director of Recovery Audit Contractor (RAC) Services, the Audit Manager(s) is responsible for managing the audit unit’s day to day activities regarding the identification of provider Fraud, Waste and Abuse (FWA) within the Medicaid program. The incumbent will oversee Program Auditors to ensure that policies and procedures are followed and external client expectations are met or exceeded within budget parameters. This position supports the Director(s) in their leadership of the functional area of business including hiring, training and the development of staff, and is responsible for the efficient and timely completion of all audit activities. The individual will provide daily supervision to staff, provide oversight of audit activities including algorithms, and desk and field reviews and ensure that the work product is accurate. In addition, the Audit Manager will be responsible for the development of audit tools based on regulations and the scope of specific audits.