Medicaid Program Integrity Analyst

Job Summary

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

Key Responsibilities

• Enter new leads in UCM and AdvanceTrack for analysis and potential escalation
• Submit payment suspension activation and ad hoc requests to the MAC
• Compile and maintain various 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 systems
• Ability to work independently and manage multiple assignments
• Effective time management and prioritization skills