Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts – 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 hours per week Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state healthcare program. This role focuses on conducting both desk and onsite audits of healthcare providers to ensure compliance with contractual standards and regulatory requirements. Responsibilities + Conduct audits (onsite and desk-based) of healthcare providers in alignment with state program guidelines + Travel locally as required to perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy + Collaborate with internal audit teams and leadership to maintain audit quality standards + Document findings and present audit outcomes clearly and effectively + Use Microsoft Office tools to manage reports, track audits, and communicate outcomes + Adhere to defined Service Level Agreements (SLAs) for audit completion and reporting Requirements Required Qualifications + 3–5 years of experience in auditing, compliance, or claims analysis within a healthcare setting + Proficiency in Microsoft Office (Word, Excel, Outlook, etc.) + Ability to travel locally as needed + Strong analytical, organizational, and communication skills + RN (Registered Nurse) + Experience working in a Program Integrity role or similar environment is strongly preferred Preferred Qualifications + Experience with MMQ/MDS assessments + Background in claims and coding audits + Strong presentation and stakeholder communication skills Certifications & Licensing + RN license Interview Process + Rounds: 2 + Format: Phone interviews How to Apply If you meet the qualifications and are interested in this opportunity, please submit your resume and a brief cover letter detailing your relevant experience. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .