Top 155 Audit manager Jobs in Madison, Nj

Claims Manager, Audit & Complaints
MetroPlusHealth —New York, NY
- $100,000 - $120,000 a year
- Hybrid work
- 5 years
- Research
- Master's degree
Quick Apply
Audit Manager - Transaction Monitoring
Robert Half —New York, NY
- $70 - $85 an hour
- Temporary
- 5 years
- Office
- US work authorization
- Disability insurance
- Dental insurance
Quick Apply
4d
Quality Audit Manager - Rail and Transit
Parsons —Newark, NJ
- $125,100 - $225,200 a year
- Engineering
- Mentoring
- Senior level
- Wellness program
- Paid holidays
4d
Audit Manager
Current —Somerset, NJ
- $100,000 - $140,000 a year
- Full-time
- Hybrid work
- Management
- CPA
- 3 years
- Disability insurance
- Health insurance
Audit Manager, Contract Assurance Reviews
Sanofi —Morristown, NJ
- $105,000.00 - $151,666.66 a year
- Contract
- English
- Office
- 3 years
- Health insurance
- Parental leave
Senior Manager, Internal Audit
Barnes & Noble, Inc. —New York, NY
- $145,000 - $165,000 a year
- Full-time
- CPA
- Office
- Finance
- Paid parental leave
- Paid holidays
Audit & Assurance Manager - Public Accounting
Magone & Company, P.C. —Parsippany-Troy Hills, NJ
- $120,000 - $140,000 a year
- Full-time
- Hybrid work
- Management
- CPA
- 5 years
- Paid holidays
- Health insurance
Quick Apply
4d
Audit Senior Manager – Financial Services (Hybrid) - NPA #ESF3154
ExpertHiring —New York, NY
- $160,000 - $220,000 a year
- Full-time
- CPA
- Finance
- 8 years
- Health insurance
- Dental insurance
Quick Apply
4d
Financial Operations Audit Manager
Brown & Brown —Roseland, NJ
- $100,000 - $110,000 a year
- Full-time
- Management
- Mid-level
- Analysis skills
- Employee stock purchase plan
- Paid holidays
Claims Manager, Audit & Complaints
MetroPlus Health Plan —New York, NY
- $100,000 - $120,000 a year
- Full-time
- Hybrid work
- 5 years
- Research
- Office
Director, Internal Audit
Oscar Health —New York, NY
- $180,504 - $236,911 a year
- Hybrid work
- CPA
- Office
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
Audit Director
Fidelity Investments —Jersey City, NJ
- $110,000 - $222,000 a year
- Full-time
- CPA
- Bachelor of Science
- Office
- Loan repayment program
- Tuition reimbursement
Audit Manager - Global Servicing
American Express —New York, NY
- $89,250 - $150,250 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Project management
- Paid parental leave
- Health insurance
8d
Director, Internal Audit
AmTrust Financial Services, Inc. —Jersey City, NJ
- $126,200 - $175,000 a year
- Full-time
- CPA
- Office
- Finance
- Health insurance
- Dental insurance
Audit Manager I
TD Bank —New York, NY
- $110,000 - $130,000 a year
- Full-time
- 5 years
- Writing skills
- Basic math
- Health insurance
- Paid time off
Manager - Audit, Credit and Fraud
American Express —New York, NY
- $89,250 - $150,250 a year
- Full-time
- Hybrid work
- 5 years
- US work authorization
- Fair chance
- Paid parental leave
- Health insurance
8d
Manager, Corporate Audit
Fox Corporation —New York, NY
- $128,000 - $168,000 a year
- Full-time
- CPA
- 5 years
- Office
- Health insurance
- Dental insurance
Deputy Director Internal Audit
New Jersey Turnpike Authority —Woodbridge, NJ
- $115,000 a year
- Email
- Microsoft Excel
- Management
- CPA
- Dental insurance
- Flextime
Process Risk and Controls Manager - Internal Audit and SOX
RSM —Edison, NJ
- $101,000 - $203,000 a year
- Full-time
- CPA
- Master's degree
- Bachelor's degree
Audit Manager
Dentsu —New York, NY
- $113,000 - $182,000 a year
- Email
- Hybrid work
- Spanish
- 7 years
- CPA

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audit manager jobs near madison, nj

Claims Manager, Audit & Complaints

MetroPlusHealth -
New York, NY

Quick Apply

Job Details

$100,000 - $120,000 a year

Qualifications

Medicare
Bachelor's degree
Health insurance knowledge
Medicare regulations
Data-driven problem-solving
Medicaid regulations
Medicaid
Healthcare reimbursement methods
Stakeholder relationship building
Stakeholder management

Full Job Description

Position Overview

Reporting to the Director of Claims Quality, the Claims Manager, Audit & Complaints will oversee operational excellence and regulatory compliance by collaborating with cross-departmental teams to ensure that claims-related
regulatory audits and complaints are thoroughly researched and addressed in a timely manner.

Scope of Role & Responsibilities

Working under the direction of and in collaboration with the Director of Claims Quality, the Claims Manager, Audit & Complaints will:

Act as a liaison for external audits conducted by DOH, CMS, and other regulatory entities related to claims operations
Coordinate audit preparation, assist with documentation collection, internal reviews, SME engagement, and timely submission of materials
Review audit findings and prepare an Executive Summary for Claims Leadership which identifies compliance gaps and deficiencies.
Collaborate with Claims Leadership, Compliance, and upstream operational teams to develop corrective action plans
Monitor and manage corrective action plan implementation, ensuring milestone dates are met
After correction action plans are implemented, periodically audit workflows and processes to ensure ongoing compliance and adherence
Review Claims teams’ complaint triage findings, supporting documents and responses prior to submission to the team managing the complaint to ensure clarity, accuracy, and alignment with regulatory expectations

Working in collaboration with the Regulatory Complaints and the Complaints & Grievance teams gather statistics of complaints related to claims adjudication errors or outcomes, track and trend. The Claims
Manager, Audit & Complaints will:

Identify trends, root causes, and systemic issues impacting accurate claims adjudication and claims quality. Collaborate with Claims leadership to identify systems fixes and configuration
corrections needed. Ensure CPI and or CRF tickets are submitted timely; monitor tickets to ensure timely implementation.
Drive continuous improvement initiatives by translating findings into scalable process and product enhancements
Partner cross-functionally to identify and suggest workflow changes to improve outcomes and quality results.

Required Education, Training & Professional Experience

Bachelor’s degree from an accredited college or university in an appropriate discipline required.
Master’s degree in business, healthcare or public administration preferred.
Minimum 5-7 years experience in a health plan environment, with strong experience in claims operations, compliance, audit, or product management.
Strong knowledge of claims lifecycle, adjudication processes, and reimbursement methodologies
Experience with Medicaid and Medicare products, particularly within New York State
Demonstrated ability to identify operational issues and implement effective, scalable solutions

Professional Competencies

Ability to work cross-functionally and influence without direct authority
Excellent analytical, problem solving, and data interpretation skills
Deep understanding of claims operations and regulatory requirements
Process improvement and operational excellence mindset
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced, evolving environment
Highly collaborative with strong stakeholder engagement and decision-making skills
Demonstrated sound judgment balancing compliance, operational, and business needs
Commitment to MetroPlusHealth’s Mission, Vision, and Values

#LI-Hybrid

#MHP50

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Refine Your Search

audit manager jobs in madison, nj

Claims Manager, Audit & Complaints

Audit Manager - Transaction Monitoring

Quality Audit Manager - Rail and Transit

Audit Manager

Audit Manager, Contract Assurance Reviews

Senior Manager, Internal Audit

Audit & Assurance Manager - Public Accounting

Audit Senior Manager – Financial Services (Hybrid) - NPA #ESF3154

Financial Operations Audit Manager

Claims Manager, Audit & Complaints

Director, Internal Audit

Audit Director

Audit Manager - Global Servicing

Director, Internal Audit

Audit Manager I

Manager - Audit, Credit and Fraud

Manager, Corporate Audit

Deputy Director Internal Audit

Process Risk and Controls Manager - Internal Audit and SOX

Audit Manager

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