Internal Auditor
Location
Quality Assurance
Type
Full Time
Department: Quality Assurance & Compliance
Reports To: Director of Compliance
Location: Remote with occasional travel as needed
Employment Type: Full-Time
- Conduct scheduled and random audits of Service Facilitator documentation.
- Review client records for accuracy, completeness, timeliness, and regulatory compliance.
- Verify documentation supports billed services.
- Monitor compliance with Medicaid Waiver requirements, DMAS regulations, company policies, and internal procedures.
- Identify trends that may create financial, operational, or regulatory risk.
- Ensure corrective actions are implemented and effective.
- Evaluate internal departments for adherence to established processes and controls.
- Identify process breakdowns and recommend improvements.
- Assess consistency and efficiency across divisions.
- Identify operational, compliance, financial, and reputational risks.
- Conduct investigations related to compliance concerns, documentation irregularities, policy violations, and operational inconsistencies.
- Gather objective evidence while maintaining strict confidentiality.
- Escalate significant concerns to leadership as appropriate.
- Prepare detailed audit reports outlining findings, root causes, risk levels, recommendations, and corrective actions.
- Maintain audit records and supporting documentation.
- Analyze audit trends and quality metrics.
- Develop recurring compliance reports and dashboards.
- Monitor organizational compliance indicators and emerging risks.
- Support departments in understanding compliance expectations.
- Assist with corrective action planning and follow-up.
- Recommend policy and procedure enhancements.
- Promote a culture of quality, accountability, and continuous improvement.
- Bachelor's degree in Business Administration, Healthcare Administration, Accounting, Compliance, or a related field preferred.
- Minimum of 2 years of experience in auditing, compliance, quality assurance, healthcare administration, or a related field.
- Strong understanding of Medicaid regulations.
- Excellent analytical, investigative, and critical thinking skills.
- Exceptional attention to detail and organizational abilities.
- Strong written and verbal communication skills.
- Ability to manage confidential information with professionalism and discretion.
- Proficiency with Microsoft Office Suite, Google Workspace, and Zoom.
- Ability to quickly learn company systems and software.
- Experience auditing healthcare records.
- Experience with Virginia Medicaid Waiver Services.
- Knowledge of DMAS regulations.
- Experience with quality improvement methodologies.
- Professional certification such as CIA, CPCO, or similar credentials.
- Complete audits accurately and on schedule.
- Proactively identify compliance concerns before external audits occur.
- Reduce repeat audit findings through effective corrective action follow-up.
- Deliver timely, objective, and actionable audit reports.
- Strengthen organizational compliance and operational efficiency.
- Build positive working relationships while maintaining auditor independence.
- Complete 100% of assigned audits by established deadlines.
- Maintain an audit accuracy rate of 99% or greater.
- Complete an average of 7 audits per day.
- Monitor high-risk compliance indicators and report concerns promptly.
- Support organizational readiness for DMAS, MCO, and regulatory audits.
- Produce timely compliance reports, dashboards, and risk assessments.
- Maintain 100% confidentiality and adherence to professional auditing standards.
- Paid Training (we set you up for success!)
- Paid Holidays
- Memorial Day
- Juneteenth
- Independence Day
- Labor Day
- Columbus Day
- Veteran's Day
- Thanksgiving
- Day after Thanksgiving
- Winter Break: December 24th through January 1st
- 1 Floater Holiday: 8 hours to be used on any day of your choice
- Medical, Dental & Vision Insurance
- Disability, Life, and AD&D—company paid!
- 401K with Employer Match 💰
- EAP & Telemedicine Access
- Flexible Spending Accounts & Dependent Care Options
- Supplemental Insurance (Accident, Cancer, Critical Care & more)
- Annual Tech 💻
- Cell Phone Reimbursement
- Fun Employee Perks (discounts on car rentals, Verizon, AAA, oil changes & more!)
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status sexual orientation, pregnancy, childbirth or other related conditions (including lactation), age (over 40), marital status, disability or gender identity.
Moms In Motion
Our Mission
Moms in Motion (Moms) is a Service Facilitation provider for Medicaid CD-PAS (CCC Plus, CL & FIS Waivers, EPSDT program) enrollees. Our mission is to enhance the outcome for all of our clients and their families, by using person-centered practices while providing superior service, sharing resources, continually expanding our knowledge, and networking. We achieve this through leveraging our passion, talent, and experience to lead others to the answers, help, and hope for which they are looking. Our primary areas of growth will be advocating in the school systems for our younger clients, assisting young adults with transitioning to independence, and helping our aging clients to be cared for by the people who love them.
Our Vision
To provide superior Person Centered Service Facilitation for Medicaid CD-PAS and FIS Waiver enrollees throughout the state of Virginia. Learning from a multitude of resources including our clients and sharing what we learn with others.
Moms In Motion’s Culture Points, ACES
A = Advocacy – Empowerment and education bringing people together for positive change.
C = Compassion – Effective and caring partnership with you on your journey through our unique perspective.
E = Excellence – Excellence in everything we do.
S = Service – Through Advocacy, Compassion, and Excellence, we provide superior person-centered service.
Company Website: www.momsinmotion.net
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