Audit Manager (Fully Remote)

State of Arizona; United States; Remote; USD 100,000 - 110,000; Full time

Benefits offered by this job

Comprehensive insurance

Retirement

Paid leave

Parental leave

Job summary

State of Arizona seeks a seasoned Quality Assurance Nurse Investigator to lead the QA Nurses Investigations Unit, overseeing investigations and guiding complex healthcare fraud reviews. The role requires strong leadership and expertise in clinical reviews, data analysis, and Medicaid/Medicare rules.

Remote work options are available, with comprehensive insurance, retirement, paid leave and parental leave. Ideal candidates will bring RN licensure from Arizona and a track record in healthcare

Qualifications

• Active RN license from Arizona.
• Experience with clinical reviews, data analysis, and Medicaid/Medicare rules.
• Leadership and healthcare auditing experience.

Responsibilities

• Lead the QA Nurse Investigations Unit.
• Guide complex healthcare fraud investigations.
• Oversee investigations and ensure regulatory compliance.

Skills

Leadership

Data analysis

Healthcare auditing

Job description

• You will lead the Quality Assurance Nurse Investigations Unit.
• You will guide complex healthcare fraud investigations.

Requirements:

• Active RN license from Arizona.
• Knowledge of clinical reviews, data analysis, and Medicaid/Medicare rules.
• Leadership and healthcare auditing experience.
• Salary $100,000-$110,000 with remote work.
• Comprehensive insurance, retirement, paid leave, and parental leave.

State of Arizona

Our partner is a state agency that safeguards public healthcare programs by conducting clinical investigations, audits, and regulatory oversight. The organization cultivates a culture of integrity, accountability, and continuous improvement, offering a supportive team environment and comprehensive public-sector benefits.