Audit & Data Reconciliation Specialist
VLBPO
- Kingston and St. Andrew / St. Catherine / St. James
- Not disclosed
- Permanent full-time
- Updated 03/03/2026
- Recruiter
Audit & Data Reconciliation Specialist
Job Title: Audit & Data Reconciliation Specialist
Department: Operations
Reports To: Team Manager / Operations Manager
Location: Remote
Employment Type: Full-Time
Job Summary
The Audit & Data Reconciliation Specialist is a detail-oriented and analytical professional responsible accurate data review and reconciliation. This role involves reviewing rosters, eligibility reports, and supporting documentation to identify discrepancies, ensure data integrity, and maintain compliance standards.
This is a hands-on operational auditing role focused on accuracy, documentation, and process validation that requires strong analytical ability, technical proficiency, and attention to detail.
Work Schedule
- Schedule: Monday to Friday, standard business hours
- Time Zone: Must be able to work aligned with client operational time zones (EST preferred)
- Flexibility: May require extended hours during peak audit or recertification periods
Essential Job Functions
(Listed in order of importance with approximate % of time. Total equals 100%.)
# | Function | % of Time |
1 | Roster & Eligibility Review – Review and reconcile Medicaid rosters, eligibility reports, and related documentation to ensure accuracy and completeness. | 30% |
2 | Data Reconciliation & Comparison – Compare large data sets across multiple systems to identify discrepancies, missing information, or inconsistencies. | 25% |
3 | Discrepancy Identification & Documentation – Clearly document findings, flag issues, and provide detailed summaries for resolution and compliance tracking. | 15% |
4 | System Navigation & Data Management – Work across multiple platforms and databases to extract, validate, and verify data integrity. | 10% |
5 | Compliance Support – Ensure documentation and processes align with Medicaid guidelines and internal compliance standards. | 10% |
6 | Reporting & Operational Support – Assist with preparing reports, summaries, and audit trackers to support leadership review and program oversight. | 10% |
Required Qualifications (Knowledge, Skills & Experience)
- 2–4 years of experience in auditing, reconciliation, billing, payroll, compliance, or a related analytical role.
- Strong numerical and analytical skills with high attention to detail.
- Advanced proficiency in Microsoft Excel (pivot tables, formulas, data comparison functions such as VLOOKUP/XLOOKUP, conditional formatting).
- Comfortable reviewing and analyzing large data sets across multiple systems.
- Ability to identify inconsistencies and clearly document findings.
- Strong written communication skills for reporting discrepancies and summaries.
- Ability to manage repetitive, detail-heavy tasks with accuracy and consistency.
Preferred Qualifications
- Healthcare or insurance experience is a plus but not required.
- Experience in data validation, operational audits, or compliance-focused roles.
- Familiarity with case management systems or eligibility platforms.
Work Conditions / Physical Demands / Travel Requirements
This position operates in a fully remote environment and requires:
- A quiet, professional workspace
- Reliable high-speed internet connection
- Extended periods of computer use and data review
- Strict adherence to confidentiality and data protection standards
Travel is not required.
Important Notes
- This is a hands-on operational auditing role focused on data accuracy and reconciliation.
- The role requires strong focus, consistency, and the ability to detect subtle discrepancies.
- Responsibilities may evolve based on business needs or regulatory changes.
- Professionalism, confidentiality, and accuracy are critical to success in this role.
Disclaimer
This job description outlines the general nature and level of work performed and is not an exhaustive list of duties or responsibilities. Duties may be adjusted to meet business needs.
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