Internal Auditor

• Conduct scheduled and random audits of Service Facilitator documentation.
• Review client records for accuracy completeness timeliness and regulatory compliance.
• Verify documentation supports billed services.
• Monitor compliance with Medicaid Waiver requirements DMAS regulations company policies and internal procedures.
• Identify trends that may create financial operational or regulatory risk.
• Ensure corrective actions are implemented and effective.

• Evaluate internal departments for adherence to established processes and controls.
• Identify process breakdowns and recommend improvements.
• Assess consistency and efficiency across divisions.

• Identify operational compliance financial and reputational risks.
• Conduct investigations related to compliance concerns documentation irregularities policy violations and operational inconsistencies.
• Gather objective evidence while maintaining strict confidentiality.
• Escalate significant concerns to leadership as appropriate.

• Prepare detailed audit reports outlining findings root causes risk levels recommendations and corrective actions.
• Maintain audit records and supporting documentation.
• Analyze audit trends and quality metrics.
• Develop recurring compliance reports and dashboards.
• Monitor organizational compliance indicators and emerging risks.

• Support departments in understanding compliance expectations.
• Assist with corrective action planning and follow-up.
• Recommend policy and procedure enhancements.
• Promote a culture of quality accountability and continuous improvement.

• Bachelors degree in Business Administration Healthcare Administration Accounting Compliance or a related field preferred.
• Minimum of 2 years of experience in auditing compliance quality assurance healthcare administration or a related field.
• Strong understanding of Medicaid regulations.
• Excellent analytical investigative and critical thinking skills.
• Exceptional attention to detail and organizational abilities.
• Strong written and verbal communication skills.
• Ability to manage confidential information with professionalism and discretion.
• Proficiency with Microsoft Office Suite Google Workspace and Zoom.
• Ability to quickly learn company systems and software.

• Experience auditing healthcare records.
• Experience with Virginia Medicaid Waiver Services.
• Knowledge of DMAS regulations.
• Experience with quality improvement methodologies.
• Professional certification such as CIA CPCO or similar credentials.

• Complete audits accurately and on schedule.
• Proactively identify compliance concerns before external audits occur.
• Reduce repeat audit findings through effective corrective action follow-up.
• Deliver timely objective and actionable audit reports.
• Strengthen organizational compliance and operational efficiency.
• Build positive working relationships while maintaining auditor independence.

• Complete 100% of assigned audits by established deadlines.
• Maintain an audit accuracy rate of 99% or greater.
• Complete an average of 7 audits per day.
• Monitor high-risk compliance indicators and report concerns promptly.
• Support organizational readiness for DMAS MCO and regulatory audits.
• Produce timely compliance reports dashboards and risk assessments.
• Maintain 100% confidentiality and adherence to professional auditing standards.

• Paid Training (we set you up for success!)
• Paid Holidays
  • Memorial Day
  • Juneteenth
  • Independence Day
  • Labor Day
  • Columbus Day
  • Veterans Day
  • Thanksgiving
  • Day after Thanksgiving
  • Winter Break: December 24th through January 1st
  • 1 Floater Holiday: 8 hours to be used on any day of your choice
• Medical Dental & Vision Insurance
• Disability Life and AD&Dcompany paid!
• 401K with Employer Match
• EAP & Telemedicine Access
• Flexible Spending Accounts & Dependent Care Options
• Supplemental Insurance (Accident Cancer Critical Care & more)
• Annual Tech
• Cell Phone Reimbursement
• Fun Employee Perks (discounts on car rentals Verizon AAA oil changes & more!)

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 sexual orientation pregnancy childbirth or other related conditions (including lactation) age (over 40) marital status disability or gender identity.