Tada, Andhra Pradesh, India · Remote Solely
Summary The Internal Audit Professional will be responsible for executing risk-based audits of business processes, operational activities, and key controls across the organization. This individual will assess the design …
Skills: Internal Audit, Risk Assessment, Internal Controls, Governance Frameworks, Operational Audits
Perry County, Ohio, United States · Remote OK
$65k–$92k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Prior Authorization Adjudication, Medical Necessity Review, DME Coding, DME Pricing, Medicaid Program Knowledge
Perry County, Ohio, United States · Remote OK
$91k–$130k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Software Testing, Test Management, Immunization Information Systems, HL7 Messaging Standards, Agile Methodology
Muskingum County, Ohio, United States · Remote Solely
$31k–$44k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Provider Enrollment, Customer Service, Credentialing, Healthcare Administration, Case Processing
Perry County, Ohio, United States · Remote Solely
$150k–$215k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: AI Security Strategy, AI Governance, Risk Management, Threat Modeling, Adversarial ML
Nashville, Tennessee, United States · On-site
$35k–$50k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Provider Enrollment, Call Center Operations, Data Entry, Professional Phone Etiquette, Documentation Analysis
Muskingum County, Ohio, United States · Remote OK
$60k–$80k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: C, Oracle, SQL, Unix, Linux
Perry County, Ohio, United States · Remote OK
$47k–$67k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Application Design, Software Development, Technical Architecture, Web Service Development, Data Analysis
Perry County, Ohio, United States · On-site
$76k–$108k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Customer Support Operations, Prior Authorization, Team Management, KPI Management, Regulatory Compliance
Muskingum County, Ohio, United States · Hybrid
$35k–$39k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Customer Service, Claims Analysis, HIPAA Compliance, Technical Troubleshooting, Multitasking
Perry County, Ohio, United States · Remote Solely
$60k–$80k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Html, Javascript, Css, Classic Asp, Sql
Muskingum County, Ohio, United States · Remote Solely
$95k–$136k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Application Architecture, Drug Rebate Solutions, SQL Server, Oracle, Azure DevOps
Perry County, Ohio, United States · Remote OK
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Quality Assurance, Omni-channel Interaction Evaluation, Compliance Monitoring, Data-driven Insights, Calibration Facilitation
Anchorage, Alaska, United States · On-site
$38k–$54k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Communication Skills, Microsoft Office, Organizational Skills, Analytical Skills, Problem-solving Skills
Roseville, California, United States · On-site
$33k–$47k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Data entry, Microsoft Word, Microsoft Excel, Microsoft Outlook, Document scanning
Perry County, Ohio, United States · Remote OK
$129k–$185k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Employment Law Counseling, Employment Litigation, Legal Analysis, Legal Research, Risk Assessment
Perry County, Ohio, United States · Remote OK
$75k–$95k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: C, Unix, Linux, Oracle, SQL
Muskingum County, Ohio, United States · Remote OK
$48k–$69k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Customer Service, Leadership, Personnel Management, Analytical Problem Solving, Communication
Perry County, Ohio, United States · Remote Solely
$59k–$84k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Quality Assurance, Healthcare Operations, Medicaid, Medicare, Root Cause Analysis
Perry County, Ohio, United States · Remote Solely
$38k–$55k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Prior Authorization Processing, Drug-Drug Interaction Screening, Clinical Accuracy, Medication Profile Review, PBM Operations
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Execute risk-based audits of business processes and operational activities to evaluate control effectiveness and governance. Develop practical recommendations to mitigate risks and monitor the implementation of corrective actions.
Requires a Bachelor's degree in Accounting, Finance, or Business with over 5 years of experience in audit or risk advisory. Professional certification such as CPA, CA, or CIA is required.
The Internal Audit Professional will be responsible for executing risk-based audits of business processes, operational activities, and key controls across the organization. This individual will assess the design and effectiveness of controls within critical business processes, identify areas of risk, and evaluate opportunities to enhance operational efficiency and governance.
This role is strictly involved in business analysis, requirements documentation, and healthcare reference data support activities and does not involve direct access to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential client data. The work is limited to analysis of healthcare claims, reference code sets, and system configurations using governed datasets and does not include handling or processing of sensitive health or personal information.
In this role, the Internal Audit Professional will conduct process walkthroughs, document process narratives and detailed testing procedures to gain an understanding of business operations and evaluate the effectiveness of risk management practices. The individual will analyze business processes and relevant data to identify control weaknesses, process inefficiencies, and emerging risks, and will develop practical recommendations to strengthen the overall control environment.
The Internal Audit Senior Professional will prepare clear, concise, and well-supported audit documentation, reports, and presentations that effectively communicate audit observations, risk implications, and recommendations to management. The role requires building strong relationships with process owners to facilitate constructive discussions around risk mitigation, process improvement, and control enhancements.
Additionally, this position will monitor and validate the implementation of corrective actions resulting from audit findings and will support enterprise risk assessments, annual audit planning activities, and other strategic initiatives as needed.
Preferred Skills:
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
