New

Senior Specialist, HHS Compliance Auditor

KPMG
life insurance, 401(k)
United States, New York, Albany
515 Broadway (Show on map)
Oct 31, 2025
KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we do not anticipate that slowing down. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility and leading market tools, we make sure our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory. KPMG is currently seeking a Senior Specialist, HHS Compliance Auditor to join our Managed Services practice. Responsibilities: Conduct and support audit and compliance activities for state and federal-sponsored healthcare and human services programs, ensuring alignment with professional standards, regulatory requirements, and contractual obligations, and document work papers in accordance with the professional standards set forth within each engagement's audit program guide and instructions documents Learn and apply technical audit procedures and project subject matter to the degree of independently completing test procedures and document findings, results, insights, and observations, and support the generation of formal reports for internal stakeholders and external regulatory bodies Analyze and validate healthcare provider and payer financials, including cost reports, reimbursement models, payment integrity metrics, and supporting documentation to measure compliance with program requirements and state/federal regulations, and review and interpret claims and encounter data to identify anomalies, trends, and compliance risks Lead interactions and collaborate with clients, third-party auditees, internal team members, management, and subcontractor stakeholders regarding daily project matters and technical information, and collaborate with cross-functional teams to develop and implement corrective action plans based on audit findings Support the development and delivery of training and technical assistance to clients, auditees, and/or team members on project processes and reporting standards, and contribute to process improvement initiatives to enhance data accuracy, reporting efficiency, client delivery, and compliance outcomes Deliver against responsibilities on time and on budget, adhere to firm/team protocols for information protection and managing confidential client data as defined in each engagement's formal Information Protection Plan and other guidance documents Act with integrity, professionalism, and personal responsibility to uphold KPMG's respectful and courteous work environment Qualifications: Minimum three years of recent experience in healthcare audits, compliance, or financial analysis within state and/or federal programs, and a minimum of one year recent experience overseeing staff and reporting to both management and/or clients Bachelor's degree from an accredited college or university is required Strong understanding of Medicaid/Medicare and other HHS programs, provider reimbursement methodologies, and payer operations, and familiarity with healthcare provider and payer financials, cost reports, and claims/encounter data Proficiency in analyzing claims and encounter data using tools such as Microsoft Office (especially Excel, PowerPoint, and Word), SQL, or healthcare analytics platforms Familiarity with regulatory frameworks such as CMS guidelines, HIPAA, and state-specific compliance standards Excellent verbal/written communication, presentation, analytical, and organizational skills Ability to travel as required by business needs, especially to Albany, NY Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa) KPMG LLP and its affiliates and subsidiaries ("KPMG") complies with all local/state regulations regarding displaying salary ranges. If required, the ranges displayed below or via the URL below are specifically for those potential hires who will work in the location(s) listed. Any offered salary is determined based on relevant factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications and market considerations. In addition, KPMG is proud to offer a comprehensive, competitive benefits package, with options designed to help you make the best decisions for yourself, your family, and your lifestyle. Available benefits are based on eligibility. Our Total Rewards package includes a variety of medical and dental plans, vision coverage, disability and life insurance, 401(k) plans, and a robust suite of personal well-being benefits to support your mental health. Depending on job classification, standard work hours, and years of service, KPMG provides Personal Time Off per fiscal year. Additionally, each year KPMG publishes a calendar of holidays to be observed during the year and provides eligible employees two breaks each year where employees will not be required to use Personal Time Off; one is at year end and the other is around the July 4th holiday. Additional details about our benefits can be found towards the bottom of our KPMG US Careers site at Benefits & How We Work. Follow this link to obtain salary ranges by city outside of CA: https://kpmg.com/us/en/how-we-work/pay-transparency.html/?id=M217_4_25 KPMG offers a comprehensive compensation and benefits package. KPMG is an equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link contains further information regarding KPMG's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please. KPMG recruits on a rolling basis. Candidates are considered as they apply, until the opportunity is filled. Candidates are encouraged to apply expeditiously to any role(s) for which they are qualified that is also of interest to them. Los Angeles County applicants: Material job duties for this position are listed above. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation. Pursuant to the California Fair Chance Act, Los Angeles County Fair Chance Ordinance for Employers, Fair Chance Initiative for Hiring Ordinance, and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.