Finance Process & Operations Processor
About The Position
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.
Requirements
- 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
- Candidates must reside within 60 miles of Austin
- Candidates must be local to the Austin, Texas area within 60 miles
Nice To Haves
- 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
- Healthcare finance, compliance, reimbursement, or provider audit experience is highly preferred
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
Benefits
- Medical, dental, and vision coverage
- Life and disability insurance
- Additional voluntary benefits
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What This Job Offers
Career Level
Mid Level
