Program Integrity Projects Manager

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25

Location:

Lincoln NE

Hiring Rate:

$28.371

Job Posting:

JR2026- Program Integrity Projects Manager (Open)

Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):

0

Job Description:

The State of Nebraska Department of Health and Human Services Medicaid and Long-Term Care team is seeking a highly motivated leader to join their team as the Program Integrity Projects Manager. The essential purpose of the position is the oversight and day-to-day work associated with ensuring that significant Program Integrity projects are successfully completed.

Under limited supervision responsible for the management and oversight of a single program with limited scope or multifaceted functions of a program within the Department of Health and Human Services. Performs activities necessary to plan organize direct and evaluate the activities of an assigned program with limited scope or multiple program function(s) through the supervision of subordinate program staff; manages resources necessary to operate and maintain assigned program function(s); develops and/or revises the assigned program/functions operating policies procedures and objectives within agency and/or regulatory guidelines; coordinates program/function services with other State local and federal agencies health professionals and service agencies; performs related work as assigned.

You have the passion; we have the opportunities lets make a difference for Nebraskans!

A s the Program Integrity Projects Manager you will:

Manage several Program Integrity projects

• The Payment Error Rate Measurement Audit

• Provide collaboration with the Managed Care Entities and the Unified Program Integrity Contractor and implementation and management of requirements related to 68-974.

• Program Integrity Activity Reporting

• Development design implementation and training related to new changes and projects or audits.

• Manage several Program Integrity Investigators

Hiring Wage: $28.371 per hour - Exempt
Work Schedule: Monday - Friday 8:00 AM 5:00 PM
Dress Attire: Business Casual

Location Lincoln at the Nebraska State Office Building

Driving Required

Requirements / Qualifications

Minimum Qualifications: Bachelors degree in business or public administration social/behavioral sciences education health sciences public health law or related field and experience in program planning implementation monitoring evaluating program functions or supervising/management staff and budgets. Related coursework training and/or education may substitute for the Bachelors degree on a year-for-year basis.

Preferred Qualifications:

• Knowledge of Nebraska Medicaid covered services and regulations (471 482 & 482).

• Experience with provider fraud waste or abuse investigations managing projects that involve Department staff and internal and external parties.

• Experience with Department systems including NFOCUS MMIS HIA and

• Experience with investigations into compliance with regulations.

Other: Valid drivers license or the ability to provide independent authorized transportation.

Knowledge Skills and Abilities:

Knowledge of: the principles and techniques of management; business and management principles including planning budgeting resource allocation and human resources; the principles of grant writing and grant administration; the techniques of research planning and evaluation; work performance or other standards of development; program analysis/evaluation; policy development.

Skill in: communicating to convey information so others will understand; drafting procedures; writing documentation or content.

Ability to: plan assign direct and evaluate the work of subordinate staff; learn apply and interpret agency policies and procedures relating to the assigned program or function; learn apply and interpret State and federal laws and standards; develop and maintain effective relationships with program representatives and the public; apply instructions; summarize program and administrative data/statistics into reports; formulate goals and plans; manage time and workflow of oneself and that of others to meet deadlines; demonstrate professionalism; operate basic computer software and hardware.

If youre currently employed by the State of Nebraska please dont apply through this external career site. Instead log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: offer a comprehensive package of pay benefits paid time off retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position agency and employment status. For more information on benefits please visit: Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.

Required Experience:

Manager