Medicaid Program Integrity Analyst (Fully Remote)
BerryDunn
- Remote job
Support Medicaid program integrity activities including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring. Translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations. Coordinate with stakeholders, vendors, and project leadership to support reporting, documentation, training, and quality assurance. #J-18808-Ljbffr BerryDunn
$69.4k - $99.2k
...Summary The Senior Medicaid Business Analyst (Configuration & Policy) at... ...federal Medicaid policy and program requirements into product... ...SME support during System Integration Testing (SIT) and User Acceptance... ...expect in this role ~ Fully remote options from most US...Remote workFull timeFlexible hours$86.8k - $124k
...an Lead Technical Business Analyst - Medicaid FHIR Architecture &... ...decisions related to FHIR‑based integration patterns , including APIs,... ...required by state Medicaid programs and CMS FHIR Standards &... ...should expect in this role ~ Fully remote options from most US...Remote workFull timeFlexible hours- Humana is seeking a Program Integrity Researcher to review, document, and investigate referrals related to potential fraud, waste, and abuse... ...with sensitive information, and the ability to work remotely with occasional travel for training or meetings. #J-18808-Ljbffr...Remote job
$69.4k - $99.2k
...alert: Senior Business Operations Analyst - CEV/Medicaid/SNAP Date: Oct 5, 2026 Location:... ...and Supplemental Nutrition Assistance Program (SNAP) public assistance program... ...What you should expect in this role ~ Fully remote options from most US locations and territories...Remote workFull timeWork experience placementFlexible hours$120k - $155k
Information Protection Program Management & Strategic Integration Support Analyst Join to apply for the Information Protection Program Management & Strategic Integration Support Analyst role at Tecolote Research . This range is provided by Tecolote Research. Your actual...SuggestedFull timeContract workTemporary workWork at officeImmediate start- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms |... ...Candidates with previous State Medicaid program experience will be given strong... ...resolve. Ensure referential integrity across eligibility, claims,...Remote workContract work
- ...is seeking an experienced Senior Payment Integrity Analyst to serve as a key business lead for payment integrity across our Medicaid and Marketplace lines of business . In... ...processed accurately and payment integrity programs are effective. Work Schedule:...Remote workFull timeContract workWork experience placement
$72.2k - $115.5k
...Job Summary: The Program Integrity Coding & Research Analyst acts as a Medical Coding subject matter expert for complex coding concerns and serve as... ...required Five (5) years of experience working with Medicaid policy in developing, analyzing and consulting...Hourly payFull timeWork experience placementWork at office- ...To support the Integrated Healthcare Transformation initiative at the Department of Veterans Affairs, the fully remote Senior Program Analyst will serve as Schedule Architect and P6 Migration Lead, responsible for architecting the Primavera P6 environment, mapping legacy...Remote work
$90k - $100k
...Piper Solutions is seeking a Program Analyst to support the DDVA VHA... ...Response Center through a 100% remote work arrangement. This... ...quality audits, and program integrity initiatives. Responsibilities... ...with VA/VHA, CMS, Medicare, or Medicaid programs. Background in...Remote workShift work- ...DPP is seeking a Program Planning & Scheduling Analyst III for an opportunity with our client in the Aerospace... ...industry. Work Location: Fully remote Duration: 12 months Terms:... ...Prepare develop and coordinate the Integrated Master Schedule (IMS) to meet all...Remote workContract workWork at office
$113.3k - $188.9k
...accelerate new digital ventures, and fuel growth through innovation. Work You’ll Do As a Project Lead Integration Engineer II on the project, you will provide program support and process improvement, support strategic readiness initiatives, program oversight, and assist...Work at officeLocal area- ...capability development, portfolio management, program management, quality management, cost... ...have a near-term need for a Program Analyst: JISR&A Integration to provide onsite support out of... ...military capability development.Able to work fully onsite based on client needs.Active...Contract workWork at officeFlexible hours
$105k - $120k
...Senior Integration Analyst We are seeking a Senior Integration Analyst to... ...patient outcomes. This is a remote-first role that may require... ...Pay & Perks: Fully remote opportunity with about... ...insurance, and Employee Assistance Program 401K retirement plan with...Remote workFlexible hours$100k - $150k
...measurable outcomes. Its work spans program integrity and compliance quality... ...the Centers for Medicare & Medicaid Services (CMS) the... ...efficiency. The Senior Program Analyst is a hands-on subject matter... ...essential functions. This is a remote position. While performing...Remote workFull timeContract workFor contractors- ...Level III Business Analyst (Integrated Eligibility System) Location: Albany, NY (Hybrid/Remote Eligible) Employment Type: Full-Time... ...work. Individuals approved for fully remote work must attend... ...Integrated Eligibility System (IES) program within a Health and Human...Remote workFull timeContract workWork at officeLocal areaFlexible hours
$64.9k - $92.7k
...to receive an alert: Senior Business Analyst - Medicaid Date: Oct 1, 2026 Location: Any city,... ...Experience supporting State Medicaid programs, MMIS operations, or healthcare technology... ...What you should expect in this role Fully remote options from most U.S. locations and...Remote workFull timeFlexible hours- ...opportunities are posted here as they become available . Integrated Product Support Analyst, Senior - USMC MAGTF C2 Program Office (Stafford, VA) Triumph Enterprises, Inc.... ...within 15 miles of them; this position is not remote. ABOUT THE WORK PM MAGTF C2 assesses, acquires,...Contract workWork at officeLocal area
- ...Gainwell Company, is seeking a Senior Business Operations Analyst to support CEV/Medicaid/SNAP programs within Gainwell Technologies. You will drive... ...and the ability to develop reports and dashboards. Fully remote options are available for most US locations, with a...Remote job
- Support program planning, tracking, and reporting for VA clinical informatics programs, keeping schedules, metrics, risks, and deliverables organized. Maintain integrated schedules, track deliverables against due dates, and prepare biweekly sprint reports and status updates...Remote job
- ...Cognizant is seeking a Program Analyst to support operations through data analysis, reporting, customer service, and process coordination. This fully remote, part-time role focuses on accurate reporting, data integrity, and cross-functional collaboration to improve operational...Remote workPart time
$55.6k - $79.4k
...development. Summary As a Business Analyst - Medicaid Claims at Gainwell, you can... ...required ~ Knowledge of basic computer programming concepts such as configuration,... ...you should expect in this role Fully remote options from Contiguous US locations...Remote workFull timeFlexible hours$69.4k - $99.2k
.... Summary As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you... ...will leverage your expertise in Medicaid programs, business analysis, and process... ...you should expect in this role ~ Fully remote options from most US locations and territories...Remote workFull timeFlexible hours- Revecore is seeking an Underpayment Analyst to join our Revenue Integrity team in a remote capacity in the United States.... ...A comprehensive 90-day training program supports onboarding and success.... ...payer guidelines from Medicare, Medicaid, and commercial #J-18808-Ljbffr...Remote work
$31.01 - $48.84 per hour
...job Job Description: The RCO Revenue Integrity Analyst is responsible for appropriate charge... ...Microsoft Teams will be required as well for fully remote position. Essential Functions Analyzes... ...package that covers a wide range of programs to foster a sustainable culture of...Remote workHourly payFlexible hours- ...with airport planning or GIS tools. Familiarity with government programs and industry associations. Generous PTO and comprehensive... ...partnership with federal agencies and a culture of collaboration, integrity, and technical excellence, Crown is recognized as a best place...Remote job
- About the roleAs a Program Analyst, you will make an impact by supporting... ...accurate reporting, data integrity, and exceptional customer service... ...with team members in a remote environment.These will help... ...related field.Work ModelThis is a fully remote, part-time position....Remote workPart timeWork at office
$88.8k - $184.46k
...consultant with strong Medicaid managed-care... ...managed Medicaid programs with a preference... ...fieldDemonstrates integrity in all functions of... ...consultants, managers, and analysts coordinate their... ...Harford office. Remote candidates will be... ...Term Disability - Fully paid by Milliman....Remote workFull timeTemporary workWork experience placementWork at officeFlexible hours$80k - $120k
...Machinify brings together a fully configurable and... ...Concept Development Analyst applies subject... ...optimization of payment integrity audit concepts. This... .... Complex Audit) and program lines (CMS, Medicaid, Commercial). Policy... ...and in a remote environment, delivering...Remote workFull timeWork at officeFlexible hours$117.4k - $161.5k
...to Campbell’s. Our “Campbell’s Cares” program matches employee donations and/or volunteer... ...make history here... The Workday Integration Analyst is responsible for the design,... ...Workday release activities This is a fully remote role Compensation and Benefits:...Remote workFull timeTemporary workImmediate startVisa sponsorship
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