Program Integrity Fraud Audit & Investigations Analyst

The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste, and abuse investigations while serving as the team lead for quality control and regulatory deliverable readiness. This role involves auditing case files, preparing responses to regulatory requests, and ensuring compliance with Medicaid program requirements and oversight body standards. The position requires collaborating with analytics, legal, and external stakeholders to support investigations and maintain audit readiness.