Sr. Program Integrity Analyst

Key Responsibilities:

• Analyze Medicaid claims, visit, and EVV datasets to identify fraud, waste, and abuse patterns.
• Distinguish between fraud, waste, and abuse and recommend investigative or corrective responses.
• Present fraud findings and program integrity insights to state agencies and managed care organizations.

Qualifications:

• Minimum of 5 years experience in healthcare fraud detection or related field.
• Strong analytical thinking and problem-solving skills.
• Ability to communicate findings to technical and non-technical audiences.

Benefits:

• Competitive health plans.
• Paid time-off and company paid holidays.
• 401K retirement program with Company elected match.