Job Overview
Location
Remote
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 22, 2026
Full Job Description
📋 Description
- • The Team Lead, Integrated Dual Audit oversees a team responsible for conducting case file reviews to ensure compliance with regulatory requirements and standard operating procedures, playing a critical role in maintaining quality and adherence in Medicare and Medicaid audit processes.
- • Day-to-day responsibilities include managing audit team schedules and workload allocation, providing training and mentoring to direct reports, conducting performance feedback and coaching, ensuring inter-rater reliability through monthly monitoring, overseeing aggregated audit reporting, and serving as a subject matter expert in integrated dual audit processes.
- • The role involves close collaboration with Quality/Accreditation, Case Management, and Incident Management teams to align operational procedures with contract requirements, support accreditation efforts (including NCQA LTSS), and drive continuous improvement by identifying best practices and leading initiatives.
- • The Team Lead will develop leadership and operational expertise in healthcare auditing, gain deep knowledge of Medicaid and Medicare regulations, enhance supervisory and coaching skills, and contribute to organizational compliance and quality improvement initiatives that impact member health and safety.
🎯 Requirements
- • Associates degree required; Bachelor's degree preferred
- • Three (3) years of Managed Care experience required
- • Two (2) years of Audit Experience required
- • Previous supervisory experience preferred
- • Intermediate proficiency in Microsoft Excel, Access, and Word
- • Strong written and verbal communication skills
🏖️ Benefits
- • Bonus tied to company and individual performance
- • Substantial and comprehensive total rewards package supporting employee well-being
- • Opportunity to serve as a subject matter expert and lead continuous improvement initiatives
- • Remote work flexibility with general office environment expectations
- • Professional development through training, mentoring, and leadership responsibilities
Skills & Technologies
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About CareSource Management Group Company
CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.
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