Remote Medicaid Program Integrity Leader
UnitedHealth Group
- Remote job
UnitedHealth Group is seeking a Medicaid Program Integrity Leader to develop and oversee strategies that help state agencies comply with federal and state Medicaid regulations while preventing, detecting, and addressing fraud, waste, and abuse. This role balances regulatory compliance with financial stewardship and member/provider experience to safeguard program resources. You'll lead cross-functional teams, establish goals and KPIs, and drive operational excellence across pre-payment, #J-18808-Ljbffr UnitedHealth Group
- CoventBridge Integrity Systems is seeking a Medicaid/Medicare Program Integrity Analyst II for a REMOTE role based in Grove City, OH. You will evaluate leads, complaints, and investigations to verify potential fraud and determine appropriate actions, supporting our mission...Remote job
$70k - $77k
Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements...Remote workFull timeFor contractorsH2bH1bWork at officeLocal areaHome office$134.6k - $230.8k
...Join us to start Caring. Connecting. Growing together. The Medicaid Program Integrity Leader is responsible for developing, implementing, and... ...program resources. You'llenjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...the United States is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation, and clinical quality programs across multiple plans. You will lead large-scale initiatives, interpret contractual requirements, and monitor performance to...Remote job
$140k - $180k
...missions through the seamless integration of advanced technologies,... ...Requisition #: 1890 Job Title: Senior Program Integration Lead Location:... ...direction and senior-leader priorities into executable program... ...personal electronic devices and remote connectivity. Strength...Remote workWork at office$99k - $225k
Program Integrator, Lead**The Opportunity:**As a Program Integrator, you know both sides of the acquisition... ..., and briefing senior government leaders* Experience using Microsoft 365* Secret... ...their cameras on during meetings.* **Remote**: If this position is listed as remote...Remote workFull timeContract workPart timeWork at office- ...Position: Program Team Leader Department: Patient Support Center / Call Center Reports To... ...Pennsylvania Pharmacy Technician License. Remote Workers: ~ Must be registered as a... ..., standard operating procedures, data integrity requirements, quality control/quality...Remote workFull timeTraineeshipWork at officeLocal areaMonday to FridayShift workWeekend work
$199.68k - $221.68k
Overview Position: Sr. Program Manager - Core Team Leader Department: Program Management Office Location: Remote-US WHO WE ARE: Endologix LLC operates as a subsidiary of Rhevera... ...lives with every advancement we deliver. Integrity Defines Us: We do what’s right, stay...Remote workFull timeFor contractorsWork at officeLocal areaWork from homeFlexible hours- ...quality training and instruction programs for youth athletes and teams.... ...connections with community leaders, industry influencers,... ...policies and standards with integrity and excellence. Embrace additional... ..., recreation fields/parks, remote locations, and office spaces...Remote workWork at officeLocal areaNight shift
- Naukai Mitra is hiring a Remote HR Program Manager to lead the design, development, and management of HR programs in a fully remote environment... ...and inclusion, performance management, and HR technology integration. The candidate will drive recruitment strategies, workforce...Remote job
- ...difference? Join Pennsylvania's premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations, safeguard the quality of care, and influence...Remote workWork from home
- ...Director to ensure quality services, supervise staff, and manage Medicaid billing notes. It requires coordinating ISP plans and maintaining thorough documentation. The position emphasizes leadership, program coordination, and ensuring compliance with Medicaid standards...Remote job
- JLL is seeking a Program Controls Lead to drive integrated cost controls, scheduling, and forecasting across a portfolio. You will establish governance, standards, and analytics while partnering with Project Delivery, PMO, Design Enablement, and client stakeholders to improve...Remote job
- Rialtic is seeking a highly analytical Payments Integrity Analytics & Strategy Manager to lead strategic editing... ...development across Commercial, Medicare, and Medicaid, shaping future edits and revenue protection programs. You will collaborate with Content, Product, Clinical...Remote job
- ...has an opening for a hands-on people leader - Manager of Programming and Data Services reporting directly... .... This position supports data integration, reporting, and analytics; establishes... ...to apply. These positions are remote with an option to work hybrid or in...Remote workFor contractorsWork at officeVisa sponsorshipWork visa
$215k - $260k
Enterprise Program Leader, Diagnostics SolutionsBring more to life.Are you ready to accelerate... ...the Danaher Business System (DBS), you integrate strategic planning, capital stewardship... ...We recognize the benefits of flexible, remote working arrangements for eligible roles...Remote workFull timeContract workWork from homeWorldwideFlexible hours- Jobgether is seeking a Program Manager, Health Plan Payment Integrity (Claims & Recovery) in the United States. This remote, full-time role leads payment integrity initiatives, oversees... ...has 5+ years in managed care analytics, Medicaid/Medicare experience, and strong data...Remote jobFull time
$106.5k - $207.5k
Join to apply for the Integration Program Leader role at Gallagher . Base pay range $106,500.00/yr - $207,500.00/yr Introduction At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help...Full timeLive outWork at officeLocal areaFlexible hoursShift work2 days per week3 days per week$197.36k - $370.05k
...) to lead our AMG Strategy & Program Management Center of Excellence... ...advisor and strategic integrator—ensuring alignment, agility,... ...opportunity to join a global leader in analytical and clinical laboratory... ..., CA (commutable preferred); remote considered with travel.Key...Remote workFull timeWork at officeLocal area$110k - $160k
...improve resiliency. We are seeking a Programming & Commissioning Group Leader to help grow our automation... ...clients to expand the Programming and Integration group’s market presence, client relationships... ...network segmentation, secure remote access, and compliance with...Remote workFull timeFor contractors$113k - $165k
...Systems division is hiring a Digital Integration Solutions Team Leader for the Northeast region. In this... ...across the Northeast region. This is a remote role for candidates living in the... ...also eligible for a variable incentive program.Please note the salary information...Remote workFor subcontractorH1bWork at officeLocal areaVisa sponsorshipRelocation package$59.81k - $129.59k
...Molina Healthcare of Kentucky is hiring a Program Manager, Health Plan Payment Integrity (Claims & Recovery). This position is remote. Highly Qualified Candidates Will Have the... ...Managed care experience Strong Medicaid experience, Medicare, Marketplace (Specifically...Remote workFull timeTemporary workWork at office$107.5k - $204.5k
...access information under this program/contract. Security Clearance... .... Pratt & Whitney is a world leader in the design, manufacture... ...& Whitney is seeking an ESTO Integrated Product Team Leader to support... ...designated as on-site, hybrid or remote.The salary range for this...Remote workContract workTemporary workWork experience placementWork at officeRelocationFlexible hours$140k - $220k
...: 2026-11-06The OpportunityAs a Client Account Manager, Medicaid Finance & Program Integrity, you will lead client growth, solution development, and... ...serve as a trusted advisor to federal and state Medicaid leaders, helping clients strengthen payment accuracy, improve financial...Permanent employmentContract workFor contractorsWork at officeWork from homeFlexible hours$107.5k - $204.5k
.... Pratt & Whitney is a world leader in the design, manufacture and... ...and collaborative Integrated Product Team (IPT) Leader to... ...critical technical, financial, and program objectives. You will serve as... ...designated as on-site, hybrid or remote.The salary range for this role...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hours- ...NELSON is seeking an AI Program Lead to manage the day-to-day delivery... ...Digital Services Strategy Leader, the AI Program Lead serves... ...ingestion, agent orchestration, integrations, automation, and user... ...other classification protected by law. #LI-MV1 #LI-Remote...Remote workFull timeWork from homeFlexible hours
$104k - $143k
...Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-... ...to-end operational support of specialty Medicaid value-based payment (VBP) models in... ...Additional Information Workstyle: This is a remote position. Travel: This role may...Remote workFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday- ...difference? Join Pennsylvania's premier Quality Improvement Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations, safeguard the quality of care, and influence...Remote workFull timeTemporary workWork at officeWork from home
- ...A grants management support company is seeking a part-time Program Manager to lead contract oversight and manage a team for highway-related... ...contract contact and ensuring quality deliverables. This remote role offers flexible hours and a collaborative environment. Join...Remote workContract workPart timeFlexible hours
$248.4k - $350.69k
...Job Description: About the RoleLead the integration and execution of next-generation hybrid... ...lead large, cross-functional technical programs and drive decisions across organizational... ...problems.Ability to influence senior technical leaders, customers, and cross-functional...Full timeLocal areaImmediate startShift work
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