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Medicaid Compliance Auditor

Active

State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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The Medicaid Compliance Auditor subcontract involves conducting technical and administrative audits for prime contractors managing State of Illinois Medicaid projects. The selected provider will perform gap analyses of certification workflows, execute risk assessments on billing and certification data, and identify areas of non-compliance. The primary deliverables include comprehensive compliance audit reports and detailed remediation plans to address identified deficiencies. This engagement is based in Springfield, Illinois, and requires specialized expertise in healthcare auditing. Qualified candidates must hold a Certified Fraud Examiner or Certified Public Accountant certification with a specific specialization in healthcare. The contract falls under NAICS code 541211 and is managed through the Illinois procurement system.

General Info

Healthcare auditor providing Medicaid compliance audits and remediation plans in Springfield, Illinois.

Agency

Illinois → PROCUREMENT

NAICS

541211 - Offices of Certified Public Accountants

Place of Performance

Springfield, IL, 62701, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-418DCFS-PROCU-B-50133.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-418DCFS-PROCU-B-50133 | Emergency Notice - Medicaid Certification and Technical Assistance

AI Contract Breakdown

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Timeline

PostedDec 2

subcontract

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Organization & Contact Information

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AgencyIllinois → PROCUREMENT

ContactsNo contacts available

OfficeN/A

Organization / AgencyIllinois → PROCUREMENT

Office AddressN/A

ContactsNo contact information available

Full Description

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Conducts audits of technical and administrative processes for prime contractors on State of Illinois Medicaid projects. Performs gap analysis of certification workflows, risk assessment of Medicaid billing/certification data, and reports on non-compliance. Requires CFE or CPA certification with healthcare specialization. Delivers compliance audit reports and remediation plans.

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