Senior UM Audit & Compliance Strategist

Integra Partners; Troy (MI); Hybrid; USD 81,000 - 99,000; Full time

Benefits offered by this job

Bonus program

401(k) match

Life insurance

Disability coverage

Medical benefits

PTO

Parental leave

Holidays

Wellness programs

Career development

Job summary

Integra Partners in Michigan seeks a Senior Utilization Management Audit & Compliance Analyst to serve as the subject matter expert for external audits, regulatory inquiries and UM oversight. You will review audit requests, analyze UM data in Essette, and prepare evidence-based responses for health plans, clients, regulators, and other stakeholders.

The role requires extensive UM experience across Medicare, Medicaid, Commercial and Dual Eligible populations, strong regulatory knowledge, and

Qualifications

• Bachelor’s degree in healthcare administration preferred.
• 5–10 years in healthcare operations, UM or audit support.
• Excellent written and verbal communication with attention to detail.

Responsibilities

• Serve as primary lead for external audits and oversight reviews.
• Review audit findings, inquiries, and data validation requests.
• Investigate to validate findings and determine root causes.
• Draft professional written responses to audit findings.
• Develop corrective action plans and supporting documentation.

Skills

Utilization Management

Advanced Excel

Regulatory knowledge

Data analysis

Communication

Education

Bachelor’s degree in healthcare administration

Tools

Essette system

Job description

Integra Partners in Michigan seeks a Senior Utilization Management Audit & Compliance Analyst to serve as the subject matter expert for external audits, regulatory inquiries and UM oversight. You will review audit requests, analyze UM data in Essette, and prepare evidence-based responses for health plans, clients, regulators, and other stakeholders.

The role requires extensive UM experience across Medicare, Medicaid, Commercial and Dual Eligible populations, strong regulatory knowledge, and