Medicaid Program Integrity Analyst

Job Summary

A company is looking for a Medicaid/Medicare Program Integrity Analyst I.

Key Responsibilities:

• Enter new leads for analysis and potential escalation to Medicare or Medicaid teams
• Submit payment suspension activation requests for durable medical equipment suppliers
• Monitor revocations workload and maintain documentation and reporting requirements

Required Qualifications, Training, and Education:

• High School Diploma or G.E.D equivalent
• 1-5 years of related experience
• Working knowledge of AdvanceTrack and UCM or similar inventory management systems
• Ability to work independently and manage multiple assignments
• Effective time management and prioritization skills