North Carolina Audit Consultant

Key responsibilities: Compute erroneous Medicaid payment amounts based on county eligibility errors Examine county eligibility error findings to identify and calculate overpayment amounts Review claims payment data in NCTracks to verify service codes and beneficiary eligibility history

Required qualifications: Master's degree in a relevant discipline and two years of related experience, or a Bachelor's degree and four years of related experience Experience navigating and analyzing NCFAST system decisions with at least three years of documented use Proven success in reviewing and interpreting Medicaid eligibility audit findings Established experience analyzing Medicaid claims and eligibility discrepancies Effective communication skills with internal and external stakeholders for audit coordination