Finance Process & Operations Processor

Medicaid Auditor / MAG Auditor

Location: Remote, candidates must reside within 60 miles of Austin
Employment Type: Contract
Work Authorization: Open to candidates with no visa restrictions
Travel: Required for onsite provider audits

About the Role

We are seeking a detail-oriented and analytical Medicaid Auditor / MAG Auditor to support financial and statistical cost reporting audits tied to Medicaid reimbursement programs. This role is responsible for auditing provider cost reports, validating financial data accuracy, and preparing reimbursement settlements for healthcare providers including hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).

The ideal candidate will have strong analytical capabilities, excellent organizational skills, and experience working with financial data, compliance standards, and reimbursement methodologies in a healthcare or government-related environment.

Key Responsibilities

• Prepare tentative and final cost settlements to determine accurate Medicaid reimbursement rates
• Audit financial and statistical provider reporting data for accuracy and compliance
• Review hospitals, Rural Health Clinics, and Federally Qualified Health Centers reimbursement submissions
• Analyze provider financial documentation and identify discrepancies or reporting issues
• Recommend adjustments to provider financial data based on compliance regulations and audit findings
• Evaluate provider policies and procedures and recommend corrective actions when needed
• Conduct onsite field audits at children's hospitals and other healthcare facilities
• Perform reconciliation activities related to FQHC quarterly wrap payments
• Maintain accurate audit documentation, reporting, and supporting records
• Collaborate with internal teams and external providers to resolve audit findings and reimbursement issues
• Ensure adherence to Medicaid guidelines, government regulations, and audit standards

Required Qualifications

• Bachelor's degree in Business, Finance, Accounting, Healthcare Administration, or related field
• Strong Microsoft Office skills, including Excel and data management functions
• Excellent time management and organizational skills
• Strong analytical and problem-solving abilities
• Team-oriented mindset with the ability to work independently in a remote environment
• Strong attention to detail and accuracy

Preferred Qualifications

• Degree in Accounting or Finance
• Previous auditing or healthcare reimbursement experience
• Advanced Microsoft Excel skills including formulas, pivot tables, and data analysis
• Experience with Medicaid cost reporting or government healthcare programs
• Strong written and verbal communication skills
• Leadership and interpersonal skills

Additional Information

• Candidates must be local to the Austin, Texas area within 60 miles
• Remote position with required travel for onsite audits
• Healthcare finance, compliance, reimbursement, or provider audit experience is highly preferred

Healthcare Auditor, Medicaid Auditor, Cost Report Auditor, Financial Auditor, Healthcare Compliance Auditor, Reimbursement Analyst, Government Auditor, Provider Reimbursement Specialist, FQHC Auditor, RHC Auditor, Medicaid Cost Settlement Analyst

Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
 
 We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
 
 MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
 
 We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com 
 
 Benefits with MMC Group
 MMC offers health insurance plans for our active candidates on assignment, including:

• Medical, dental, and vision coverage
• Life and disability insurance
• Additional voluntary benefits

  Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
 
 MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
 
 Get started on your career journey today! Apply to become a part of the MMC Team!
 
 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 or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.