Audit & Investigations Operations Manager

Are you a driven problem solver looking to help our clients tackle some of the most pressing challenges within Government and Public Services (GPS)? Join Deloitte's Program Integrity practice to help government agencies protect taxpayer money. To address the threats that perpetuate fraud, waste, and abuse, our clients look to our team to provide the guidance and solutions required to help them stay ahead of emerging issues and protect the integrity of their programs. If you are looking for a rapidly growing, collaborative environment with opportunities to make an impact and grow, our Program Integrity team would be a great fit for you!
Work you'll do
This role will be responsible for managing the day-to-day Audit & Investigations of Fee-for-Service and Managed Care Oversight audits. The manager will support the client with its collaboration with Centers for Medicare and Medicaid Services (CMS) Program Integrity Contractor's audits & Investigations efforts. This role is responsible for coordinating and making appropriate referrals to managed care entities, the Medicaid Fraud & Control Unit and other local, federal, state entities for further action.
The team
Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
We bring a rigorous approach to help government agencies effectively detect, prevent, and respond to issues related to fraud, waste, and abuse. Our team helps tackle these threats by bringing cutting edge analytics and AI experience with innovative mindsets. Our Program Integrity team focuses on thought diversity and collaborative problem solving to help clients address these challenges holistically, with a common goal to protect the integrity of their programs.
Qualifications
Required:

• 5+ years of experience as an Audits & Investigations Manager in government healthcare5+ years of experience in medical coding and/or prior experience leading or performing financial fraud, waste, and abuse investigations
• 1+ years of experience using Microsoft office suite
• Experience with Medicaid/Medicare fraud, waste, & abuse
• 3+ years of consulting experience for Medicaid/Medicare projects/programs
• Ability to work in office 2-3 days a week or as needed by client
• Associates Degree required
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Must be able to obtain and maintain the required clearance for this role
Must be willing to travel up to 20%

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