Director of Payor Audits (Remote)
- Lead all external audits, including Medicaid, Medicare, and commercial payors
- Serve as the primary point of contact for commercial and payor audits
- Oversee audit responses, rebuttals, corrective action plans, and appeals
- Partner with Legal to ensure the company speaks with one voice during audits
- Track audit outcomes, recoupments, pre-pay activity, and financial exposure
- Design and implement a robust internal audit and monitoring program, built from the ground up
- Use audit findings to inform policy updates, training, and operational improvements
- Identify root causes and drive sustainable remediation across teams
- Advise executive leadership on audit risk, mitigation strategies, and resource needs
- Navigate audits across multiple state Medicaid manuals, understanding the nuance and variation by state
- Lead and develop audit staff, setting expectations and raising performance
- Operate effectively within a large, multi-state, national organization
- Other job duties as assigned
- Command presence in high-stakes environments, with the ability to represent Aeroflow confidently and credibly in government and commercial audit settings
- Exceptional written and verbal communication skills, particularly in drafting audit responses, rebuttals, and executive-level summaries
- Strong judgment and decision-making ability, especially when navigating ambiguity, incomplete guidance, or competing regulatory interpretations
- Analytical rigor, with the ability to assess audit findings, quantify exposure, and translate risk into clear business impact
- Cross-functional influence, including the ability to partner effectively with Legal, Compliance, Operations, and Executive Leadership
- Root-cause orientation, focused not just on closing audits but on preventing recurrence through sustainable remediation
- Organizational and prioritization skills to manage multiple audits, timelines, and stakeholders simultaneously
- Leadership and coaching capability, with experience developing audit talent and raising performance standards across a team
- Balance of precision and pragmatism, knowing when to apply strict interpretation and when to navigate toward practical, defensible outcomes
- Certified Fraud Examiner (CFE) credential
- Direct government audit experience, with strong preference for Medicaid
- Experience auditing DME or similarly regulated healthcare environments
- Hands-on experience managing audits across multiple states
- At least 5+ years of pure audit experience, with leadership responsibility
- Willingness to travel to Headquarters (Asheville, NC) on a monthly basis
- Prior work with or within a Medicaid Fraud Control Unit (MFCU) or equivalent government audit authority
- CHC certification
- Experience enhancing an audit program
- Thrives under pressure
- Enjoys solving complex problems with limited precedent
- Is comfortable making judgment calls when the answer is not obvious
- Knows how to lead people through uncertainty
- Can balance precision with pragmatism
- Wants to leave something stronger than they found it
- Family Forward Certified
- Great Place to Work Certified
- Inc. 5000 Best Place to Work award winner
- HME Excellence Award
- Sky High Growth Award
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