Note: The job is a remote job and is open to candidates in USA. The ACI Group, Inc. is seeking a highly skilled Medicaid Financial Auditor to support financial oversight, integrity, and accountability initiatives across Medicaid and CHIP programs. The ideal candidate will be responsible for leading financial audits, evaluating financial management practices, and collaborating with stakeholders to ensure proper use of Medicaid funding.
Responsibilities
- Lead and conduct complex financial audits related to Medicaid and CHIP, ensuring compliance with state and federal requirements
- Evaluate financial management practices, internal controls, and payment integrity across Medicaid programs
- Analyze large-scale financial datasets to identify trends, risks, improper payments, and opportunities for improved financial performance
- Prepare detailed audit reports including findings, recommendations, and corrective action guidance
- Collaborate with cross-functional teams, program integrity groups, and state/federal stakeholders to support strategic financial oversight initiatives
- Support proactive, high‑quality financial management activities aligned with CMS oversight priorities, similar to responsibilities defined under Medicaid Financial Oversight Analysis efforts
- Ensure audit activities are aligned with best practices in federal program stewardship and financial integrity
Skills
- Bachelors Degree
- Active Certified Public Accountant (CPA) credential
- At least 10 years experience conducting and leading financial audits, ideally within Medicaid or CHIP programs
- Strong knowledge of healthcare finance, government reimbursement models, and Medicaid managed care or fee‑for‑service structures
- Demonstrated ability to analyze complex financial systems, assess compliance, and identify improper payments or process vulnerabilities
- Exceptional communication skills—able to synthesize technical audit findings into actionable, executive‑level reporting
- Experience supporting CMS program integrity, financial oversight, or OIG/GAO-style audits
- Familiarity with Medicaid UPL, DSH payments, and MACFIN or similar CMS data sources as referenced in internal planning discussions
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