Director of Medicaid Audit Programs

Health Services Advisory Group; United States; Remote; USD 133,000 - 160,000; Full time

Benefits offered by this job

Competitive salary

3 weeks PTO

13 paid holidays

Medical / Dental / Vision

Tuition reimbursement

401(k)

Employee stock ownership plan

Job summary

Health Services Advisory Group in the United States seeks an executive to lead Medicaid Services audit projects, including PMV and HEDIS activities, ensuring high-quality, timely deliverables.

You will oversee budgets, staffing, and client communications while mentoring audit teams and coordinating with state Medicaid agencies. A bachelor’s degree plus NCQA CHCA or HEDIS proficiency is required, with extensive healthcare experience.

Qualifications

• Requires a bachelor's degree, NCQA CHCA certification or HEDIS proficiency, and 15+ years of healthcare experience.
• Strong leadership and client-facing capabilities in Medicaid audits.
• Experience managing budgets, staffing, and project deliverables.
• Ability to mentor staff and collaborate with state Medicaid agencies.

Responsibilities

• Provide leadership and operational oversight for HSAG's Medicaid Services audit projects.
• Lead multiple audit teams and mentor staff.
• Monitor financial performance and manage risk.
• Support RFP responses and training programs for audit staff.

Skills

Leadership

Operational oversight

Healthcare audit

Project management

Budget management

Staff mentoring

RFP responses

Training program development

Education

Bachelor's degree

NCQA CHCA certification or HEDIS proficiency

Job description

Health Services Advisory Group in the United States seeks an executive to lead Medicaid Services audit projects, including PMV and HEDIS activities, ensuring high-quality, timely deliverables.

You will oversee budgets, staffing, and client communications while mentoring audit teams and coordinating with state Medicaid agencies. A bachelor’s degree plus NCQA CHCA or HEDIS proficiency is required, with extensive healthcare experience.