Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicaid Auditor

MMC Group LP

Job Description

Job Description

The MAG Auditor audits financial and statistical cost reporting data to accurately determine provider's reimbursement rates for processing of Medicaid claims

Process Description:
The MAG Auditor audits financial and statistical cost reporting data to accurately determine providers reimbursement rates for processing of Medicaid claims. The MAG Auditor prepares and signs off on tentative and final cost settlements. Performs onsite field audits of children's hospitals. Uses knowledge of compliance rules and regulations to propose adjustments to providers financial data or recommend changes to their policies and procedures.

must have skills :
Business degree
Intermediate Microsoft Skills
Time management skills
Problem solving skills
Team oriented

Would be nice to have skills:
Accounting Degree, Auditing experience, Advanced Microsoft Excel Skills, Excellent leadership, communication written & oral and interpersonal skills

Roles and responsibilities:
Prepares tentative and final cost settlements to accurately determine providers reimbursement rates for processing Medicaid claims for hospitals, Rural Health Clinics, and Federally Qualified Health Centers. Audits financial and statistical data to verify and monitor accuracy with government procedures. Uses knowledge of compliance rules and regulations to propose adjustments to providers financial data or recommend changes to their policies and procedures. Performs onsite audits requires travel. Performs reconciliation for FQHC quarterly wrap payments. Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job.

MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r\n\r\n We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r\n\r\n MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r\n\r\n We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at \r\n\r\n Benefits with MMC Group\r\n MMC offers health insurance plans for our active candidates on assignment, including:\r\n\r\nMedical, dental, and vision coverage\r\nLife and disability insurance\r\nAdditional voluntary benefits\r\n\r\n\r\n Join MMC and enjoy the support of a team that values your well-being, both on and off the job.\r\n\r\n MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.\r\n\r\n Get started on your career journey today! Apply to become a part of the MMC Team!\r\n\r\n We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Vacancy posted 12 days ago
Similar jobs that could be interesting for youBased on the Medicaid Auditor in Austin, TX vacancy
  •  ...Job Title - IT Auditor 2 Location - Austin, TX 78701, May require travel to other locations in TX.. The working position is Hybrid - On Site Duration: 5 months Description: Review vendor contracts, SLAs, and other IT and cybersecurity contractual requirements... 
    Suggested
    Contract work

    HonorVet Technologies

    Austin, TX
    3 days ago
  •  ...Senior Business Analyst (Medicaid Claims Processing) Location: Austin, TX (Hybrid) Duration: 6+ Months Key Responsibilities: Understands business objectives and problems, identifies alternative solutions, performs studies and cost/benefit analysis of alternatives... 
    Suggested
    Contract work
    Local area
    Immediate start

    Crescens

    Austin, TX
    11 hours ago
  • $5,098.66 - $8,304.83 per month

     ...performing highly-complex (senior-level) financial examinations of Medicaid and non-Medicaid cost reports. The examinations are conducted...  ...this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk... 
    Suggested
    Full time
    Temporary work
    Part time
    Remote work
    Shift work
    Day shift

    Texas Health and Human Services Commission

    Austin, TX
    2 days ago
  •  ...Role: Medicaid Business Analyst Location: Austin, TX (Hybrid) Duration: 12+ Month The Department of Information Resources (DIR) requires the services of 1 Business Analyst 3 , hereafter referred to as Worker, who meets the general qualification of... 
    Suggested

    Damco Solutions

    Austin, TX
    3 days ago
  •  ...Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise. Experience with Medicaid management information systems and processes. Preferred: 4 years of: ~ Knowledge of Texas Medicaid programs and PASRR.... 
    Suggested
    Work at office

    3B Staffing LLC

    Austin, TX
    2 days ago
  •  ...orchestration; familiarity with Azure-hosted cloud solutions preferred Experience and knowledge of client's processes as well as Texas Medicaid and CHIP systems Experience updating portfolio project management tools and management of state level major information... 

    3B Staffing LLC

    Austin, TX
    2 days ago
  • $5,606.2 per month

     ...FLSA: Exempt General Description GENERAL DESCRIPTION: Performs highly complex (senior-level) auditing work. Field auditor position with duties to include conducting audits, complaint investigations, inspections, education initiatives, and marketing... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours

    Texas Health and Human Services Commission

    Austin, TX
    3 days ago
  •  ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex... 
    Full time
    Work experience placement
    Interim role
    Work at office
    Local area
    Flexible hours

    Contact Government Services LLC

    Austin, TX
    2 days ago
  •  ...PUCT, Internal Auditor (Internal Auditor V) Organization: PUBLIC UTILITY COMMISSION OF TEXAS Primary Location: Texas-Austin Work Locations: Public Utility Commission of Texas 1701 N Congress Ave Austin 78701 Job: Business and Financial Operations Employee... 
    Full time
    Work at office
    Remote work
    Monday to Friday
    2 days per week
    1 day per week

    CAPPS, Inc.

    Austin, TX
    22 hours ago
  •  ...Implements annual audit plans, including coordinating audit work to ensure timely completion of audits. • Serves as liaison to external auditors, organizations, and law enforcement agencies; and coordinates management responses for internal/external audits. • Assures the... 
    Full time
    Part time
    Work at office
    Local area

    The Texas Comptroller of Public Accounts (CPA)

    Austin, TX
    4 days ago
  • $7,015.17 per month

     ...Internal Auditor V - Advanced Senior Internal Auditor Organization: Texas Juvenile Justice Department Primary Location: Texas-Austin Work Locations: Austin Central Office George H.W. Bush Building, Suite 13.14 1801 N. Congress Ave. Austin 78701 Job: Business... 
    Full time
    Part time
    For contractors
    Work at office

    CAPPS, Inc.

    Austin, TX
    2 days ago
  •  ...Senior Internal Auditor The ERS mission is simply stated: ERS offers competitive benefits to enhance the lives of its members. The Internal Audit team focuses on assurance, alignment and insight to serve our members. Seeking a Senior Internal Auditor to join the... 
    For contractors
    Work experience placement
    Work at office

    GovernmentJobs.com

    Austin, TX
    1 day ago
  • $20 per hour

     ...Inventory Auditor - Contract-to-Hire Location: Austin, TX (Ideal home base: Austin, TX 78744 within 30-mile radius) Pay: $20.00/hour (Overtime Eligible After 40 Hours) Schedule: Monday-Friday Travel & Start Time Expectations: You must be comfortable... 
    Hourly pay
    Permanent employment
    Contract work
    Work from home
    Monday to Friday

    ParkerBeth

    Austin, TX
    5 days ago
  • $37.44k

     ...Job Posting Title: Campus Facilities Auditor ---- Hiring Department: Facilities Services ---- Position Open To: All Applicants ---- Weekly Scheduled Hours: 40 ---- FLSA Status: To Be Determined at Offer ---- Earliest Start Date: Ongoing... 
    For contractors
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    The University of Texas at Austin

    Austin, TX
    4 days ago
  • $24 - $27 per hour

     ...Position Summary The Compliance Auditor ensures the organization adheres to external laws, industry regulations, and internal policies. This role focuses on identifying compliance risks, conducting internal audits, and evaluating the effectiveness of internal... 
    Full time
    Temporary work
    Local area
    Relocation
    Monday to Friday

    DaBella

    Austin, TX
    1 day ago
  • $84k - $115.5k

     ...guidelines and policies. Interpersonal Skills ~ Explains difficult or sensitive information; works to build consensus. Internal Auditor focused on support for: Customer Audits. Business Unit Audits. ISO 9001:2015 Lead Auditor Certification mandatory. IATF... 
    Full time
    Relocation

    Applied Materials

    Austin, TX
    2 days ago
  • $112.73k - $139.26k

     ...IT)/integrated audits, Control Self-Assessments (CSAs), consultations and special projects under the broad direction of the General Auditor. Ensures that auditing standards are followed and that working papers are documented accurately to support conclusions. Drafts... 
    Work at office
    Local area
    Remote work
    Flexible hours

    Texas Mutual

    Austin, TX
    4 days ago
  • $64k - $101.65k

     ...sponsorship of an employment Visa at this time. GENERAL DESCRIPTION: The successful applicant will perform auditing work for the State Auditor's Office, the independent auditing organization of Texas state government. Senior Auditors perform risk assessments, develop audit... 
    Work at office
    Remote work
    Work visa

    State Auditor's Office

    Austin, TX
    12 days ago
  • $70k - $80k

     ...Title: PNC Intake Auditor & Sign-Up Coordinator Location: Austin Salary: $70,000 - $80,000 Austin, TX • Full-Time • On-Site Top Texas personal injury law firm seeks a highly organized, assertive, and mobile non-lawyer operations professional to serve as the... 
    Full time
    Work at office
    Immediate start
    Night shift
    Weekend work
    Day shift
    Afternoon shift

    Thomas J Henry Law, PLLC

    Sunset Valley, TX
    2 days ago
  • $7,015.16 per month

     ...audits and audit finding corrective action plans with impacts to the Office of Information Technology. The Manager communicates with auditors (internal and external) to facilitate management responses addressing audit findings, concerns or observations, provide status... 
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Shift work
    Day shift

    Texas Health and Human Services Commission

    Austin, TX
    1 day ago
  • $71k - $145.22k

     ...or take over sponsorship of an employment Visa at this time. General Description: The Audit Project Manager within the State Auditor's Office is responsible for overseeing and managing complex audit projects that evaluate the financial performance, compliance and... 
    Hourly pay
    Work at office
    Remote work
    Work visa

    State Auditor's Office

    Austin, TX
    12 days ago
  •  ...Job Description Job Description Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations... 
    Full time
    Flexible hours

    Contact Government Services, LLC

    Austin, TX
    25 days ago
  •  ...Teller Auditor IBC Bank successes are the result of an aggressive and innovative attitude. The Bank's "We Do More" philosophy reflects its dedication to the growth and success of its employees, customers and communities. IBC bank hires talented, creative and dedicated... 
    Full time
    Work at office
    Immediate start
    Flexible hours

    IBC Bank

    Austin, TX
    2 days ago
  • $68.8k - $94k

     ...desk lines. Trains others on the function of analyzing claims. Leadership & Oversight Understand Federal, State, and local Medicaid policies as they pertain to our Education clients and our systems for processing and submitting claims Seek continuous... 
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Austin, TX
    1 day ago
  •  ...to this job application. Click on the occupational category for the position. Additional MOS can be found at the State Auditor's Office, Military Crosswalk Guide. The Texas Veterans Commission provides helpful employment information. Go to: or... 
    Work at office
    Remote work
    Flexible hours

    The Texas Comptroller of Public Accounts (CPA)

    Austin, TX
    3 days ago
  • $27.65 - $43.55 per hour

     ...proficiency in the areas of Risk Adjustment Coding for highly regulated government insurance programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA). This analyst will audit approved clinical documentation post-visit to ensure accurate coding... 
    Hourly pay
    Work at office

    Intermountain Health

    Austin, TX
    4 days ago
  • QA Analyst Remote Job Duties: Partner with the product and engineering team to understand project objectives, gather requirements, troubleshoot issues, and implement scalable test solutions. Design, implement, and execute manual test cases and using a variety of testing...
    Remote work

    TradeJobsWorkforce

    Austin, TX
    1 day ago
  • Job Title: MAG Audit Analyst Location: Austin, TX The MAG Auditor audits financial and statistical cost reporting data to accurately determine provider's reimbursement rates for processing of Medicaid claims The MAG Auditor audits financial and statistical cost... 

    Artech

    Austin, TX
    2 days ago
  • $92k - $102k

    About Us ETS is a global education and talent solutions organization enabling lifelong learners worldwide to be future-ready. For more than 75 years, we've advanced the science of measurement to build benchmarks for fair and valid skill assessment across cultures and...
    Remote work
    Worldwide
    Flexible hours

    Educational Testing Service

    Austin, TX
    2 days ago
  •  ..., and configuration analysis ~ Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA) ~ Experience configuring and testing benefits during new implementations and annual renewal cycles ~ Ability to design... 
    Contract work
    Remote work
    Flexible hours

    3B Staffing LLC

    Austin, TX
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicaid Auditor. Be the first to apply!