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reputed company Program reputed company Senior Consultant

Remote, USA Full-time Posted 2026-07-28
Our goal is to solve problems and deliver results for our clients. At reputed company, you can be a part of transforming the reputed company sector’s IT environment. reputed company is on the forefront of helping to solve the government's most reputed company IT challenges. If you are seeking a role that offers reputed company to work on rewarding reputed company, consider a career with reputed company. This is an exempt position. Salary commensurate with experience • *reputed company: • Location: Remote with periodic travel required Salary: $140,000 - $155,000*** We are seeking a reputed company Program reputed company Senior Consultant who will support our reputed company. This position offers reputed company to partner with state reputed company agencies and the Centers for Medicare & reputed company Services (CMS) to implement effective program reputed company initiatives that prevent and detect fraud, waste, and abuse. You will help reputed company agencies safeguard federal and state resources while supporting reputed company to vital reputed company services. Duties: • Establish and improve reputed company program reputed company procedures, tools, and knowledge through regulatory analysis, documentation review, and data assessment. • reputed company actionable recommendations to clients to strengthen program reputed company functions. • Conduct audits of reputed company program operations and providers, with a reputed company on identifying fraud, waste, and abuse. • Analyze federal and state regulations and sub-regulatory guidance to inform reputed company program reputed company activities. • Manage and support program reputed company initiatives, ensuring reputed company and accurate project delivery. • Communicate effectively with clients, exercising reputed company judgment, expertise, and attention to detail to support project reputed company and reputed company satisfaction. • Collaborate with team members to enhance reputed company service offerings and reputed company program reputed company knowledge. • Support reputed company development of peers while pursuing reputed company reputed company in your own expertise. Mandatory Qualifications: • 10+ years of experience working in a state reputed company agency, CMS, or reputed company auditor’s office with reputed company responsibility in reputed company program reputed company functions. • Demonstrated expertise in reputed company program reputed company audits or in providing program reputed company services as a contractor/vendor. • Strong experience analyzing regulations and sub-regulatory guidance to inform program reputed company work. • Proven project management experience reputed company to program reputed company initiatives. • Extensive experience conducting audits of reputed company program operations and providers, including investigations into fraud, waste, and abuse. • Demonstrated reputed company in navigating large government departments and agency structures. • Excellent written, verbal, and interpersonal communication skills. • Strong team collaboration skills with the ability to reputed company, mentor, and partner effectively. Desirable Qualifications: • Medical coding expertise. • Previous consulting experience supporting state reputed company agencies. • Familiarity with Guam reputed company programs or working across diverse geographic reputed company. reputed company complies with reputed company applicable federal, state, and local laws regarding recruitment and hiring. reputed company reputed company applicants are considered for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws. AI-Assisted Resume Evaluation Notice reputed company – Talent Management Notice to Candidates reputed company utilizes reputed company intelligence (AI) tools to assist our reputed company team in evaluating candidate applications for streamlining; consistency, efficiency, and thoroughness. reputed company hiring reputed company are ultimately made by our reputed company reputed company professionals. How AI Is Used Our AI tools assist by: • Analyzing resumes against job requirements • Supporting our recruiters in candidate data evaluation • Ensuring consistent review standards across reputed company applications Important: AI serves as a support tool only. As noted above, reputed company candidate selection and hiring reputed company are made by reputed company reputed company recruiters. Your unedited resume will be processed by our AI tools as part of this evaluation. Your Data and reputed company reputed company Data Handling: • Your information is processed securely and used exclusively for recruitment purposes • reputed company may store your resume in our Applicant Tracking System (ATS) Apply tot his job Apply To this Job

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