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Healthcare Audit & Compliance Specialist

Job in Duluth, St. Louis County, Minnesota, 55806, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-10
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 47000 - 122000 USD Yearly USD 47000.00 122000.00 YEAR
Job Description & How to Apply Below

CVS Health is hiring a Program Integrity Auditor to review medical records and claims data, ensure correct coding and documentation, and identify potential fraud, waste, or abuse. This role involves audits across Medicaid lines of business, collaboration with internal teams, and reporting to state regulators when necessary.

The auditor will provide education to providers on regulatory requirements, maintain compliance, and support regulator deliverables.

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