Lead Auditor

State of Utah • Salt Lake City, UT

11d • Hybrid

About The Position

We are looking for a seasoned auditor ready to act as a subject-matter expert in a lead role where you’ll set office audit standards, tackle complex Medicaid performance reviews, and guide peers through high-impact risk evaluations. Drive real program improvement, lead performance reviews and audits, lead strategic compliance reviews, and enjoy autonomous, high-visibility work that truly makes a difference!

Requirements

• Ability to review Medicaid policies and procedures and be able to apply them to specific situations
• Ability to review audit standards and create office policies and procedures that align with these standards
• Ability to create an audit plan, conduct required audit steps, and create a written report recommending necessary changes
• Ability to recognize and apply elements of an audit finding (Criteria, condition, cause, effect, and recommendation)
• Ability to identify risks within programs and propose audit activities that would further explore those risks prioritizing work high impact risks.
• Ability to follow office standards for documenting audit findings and reporting on them.

Nice To Haves

• Ability to use data analysis software to generate background information for audits and to select appropriate samples for additional review
• Familiarity with capitation process and experiencing reviewing actuarial analysis

Responsibilities

• Provides guidance, training, and subject-matter expertise to other auditors in the office.
• Helps establish office audit standards.
• Planning and conducting complex compliance and performance audits.
• Recommending improvements in the Medicaid program.
• Evaluating follow-up actions.
• Train new staff on office audit standards and processes.
• The role requires minimal supervision in carrying out these duties.
• The role does not directly supervise other staff.
• The role requires occasional travel to Medicaid provider locations for onsite visits.

Benefits

• Job Stability: Enjoy the security and reliability of employment within a well-established organization.
• Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
• Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
• Supportive Work Environment: Be part of a team that values cooperation, strong work ethics, and mutual support.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed