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 appropriate administrative actions.

Program Integrity Audit Analyst II -  REMOTE   The Program Integrity Audit Analyst II performs evaluation and development of leads associated with performance audits of Medicaid Managed Care Plans to identify potential fraud, waste, and abuse; issue findings and recommendations; and identify improper payments.  

Medicaid Medical Review RN (Medical Reviewer III) - REMOTE    The Medicaid Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud investigations or other program integrity initiatives such as requests for information or in support of proactive data analysis efforts.  In addition, this position applies Medicare and Medicaid guidelines in making clinical...