Medical Audit Lead

Company: Mercer Description: Role Summary Leads end-to-end medical benefit audits, leveraging advanced analytics and third-party Software as a Service (SaaS) platform to review claims, select defensible representative samples, and deliver accurate, client-ready reports while directing and collaborating with audit team members performing the same core audit tasks. Role Overview The Medical Audit Lead is accountable for the planning, execution, quality, and delivery of complex medical claims audits. This role serves as the day-to-day audit owner, translating scope and plan provisions into actionable audit work, overseeing analytics-driven claim review activities, resolving vendor disputes, and presenting clear, defensible reports to clients.…