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Program Integrity Representative Jobs

Health Insurance Specialist (Program Integrity)
By US Centers for Medicare & Medicaid Services At , Woodlawn, 21244, Md $59,319 - $92,429 a year
If you are relying on your education to meet qualification requirements:
Qualified - for those who only meet the minimum qualification requirements
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
You will be evaluated for this job based on how well you meet the qualifications above.
Resume showing relevant experience; cover letter optional.
College Transcripts and Foreign Education:
Employment Program Representative Jobs
By Employment Development Department At Glendale, CA, United States
Do not include your full Social Security Number on your documents and/or do not provide any LEAP information.
Resume is optional. It may be included, but is not required.
Other - A DD 214 is required and must be included. Must be a qualified Veteran or eligible spouse.
It is strongly encouraged to apply through your CalCareer Account at www.calcareers.ca.gov
Program Integrity Strategy Director
By Elevance Health At Chicago, IL, United States
Prior strategic planning, management consulting, and process improvement/project management experience
Business knowledge in multiple disciplines within a Healthcare organization
Job Family: Business Development and Planning
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Supports business case development and portfolio planning process, working to frame investment rationale
Creates and presents extremely high quality presentations to executive levels
Vice President, Program Integrity
By Oscar Health At United States
Senior level project management experience
Evaluate opportunities to build internal capabilities vs. outsource to external vendors to select the optimal model for Oscar to pursue
15+ years of healthcare experience, preferably in health insurance
Specific experience and demonstrated success in Program Integrity
Robust knowledge of applicable fraud statutes and regulations, and of CMS guidelines
5+ years of leadership experience
Investigator, Program Integrity Unit
By Evolent Health INC At Arlington, VA, United States
Strong problem-solving and time management abilities.
Ensure compliance with legal reporting requirements.
Strong analytical skills and familiarity with analysis and output verification techniques.
Experience with pivot tables and v-lookups in Excel.
Knowledge of SFTP and FTP protocols.
What We Have To Offer
Program Representative Jobs
By Arizona Department of Economic Security At Lake Havasu City, AZ, United States
Reviews, and teaches employment competency curriculum to include pre-employment, work maturity, and soft skills.
This is a Grant Funded Position*
Assesses participant need for support services; provides remedial budget counseling and evaluates participant income/expenses, determining means to resolve financial gaps.
Reviews classwork and documentation for employment competency program.
May participate on relevant committees, councils and/or boards, as assigned.
Performs related work as required.
Program Integrity Training & Documentation Specialist
By Cognosante, LLC At , Remote $34.92 - $56.39 an hour
A minimum of four (4) years’ experience in training and development management
Fantastic organizational and time management skills
Effectively communicate with team members and management
Identify and assess the training needs of the organization through job analysis, career paths and consultation with managers
Assess employees’ skills, performance, and productivity to identify areas of improvement
Manage the technologies and technical personnel required to develop, manage, and deliver training
Director, Communications And Policy, Visa Integrity Risk Program Management Office
By Visa At , Atlanta, Ga
Proven project management skills and experience (e.g. certifications a plus).
Help implementing governance and oversight of program management, including design and maintenance
Provide input to the Management Information Systems (MIS)/Analytics team to build-out required program MIS, KRIs and overall reporting packs
Strong Visa or Payments industry experience with focus on risk products & services, risk programs or related domains
Strong experience driving programs, projects and collaborating in large, matrixed organizations
Strong experience with project planning software & tools (e.g. MS Project, Kanban sprints, critical path method analyses, etc.)
Program Security Representative Jobs
By LOCKHEED MARTIN CORPORATION At , Littleton, 80125, Co
Automated access control management, required reporting, security education, and protection of classified assets.
Knowledge of 32 CFR Part 117 National Industrial Security Program Operating Manual (NISPOM) Rule
Working knowledge of OPSEC, Controlled Unclassified Information (CUI), and Counterintelligence
Experience with various security databases such as SIMS, DISS, NISS, etc.
Strong interpersonal and team building skills
Candidate will typically have a Bachelor's Degree and 3+ years of experience.
Employment Program Representative Jobs
By Employment Development Department At Santa Cruz County, CA, United States
Do not include your full Social Security Number on your documents and/or do not provide any LEAP information.
Other - A College Transcript is required and must be included
It is strongly encouraged to apply through your CalCareer Account at www.calcareers.ca.gov

Are you looking for an exciting opportunity to help protect the integrity of government programs? We are looking for a Program Integrity Representative to join our team and help ensure that our programs are operating in compliance with all applicable laws and regulations. You will be responsible for conducting investigations, analyzing data, and making recommendations to ensure program integrity. If you are a detail-oriented problem solver with a passion for protecting the public, this could be the perfect job for you!

Overview Program Integrity Representatives are responsible for ensuring the integrity of programs and services by monitoring and evaluating program activities and identifying potential areas of risk. They are responsible for developing and implementing strategies to reduce or eliminate risks and ensure compliance with applicable laws and regulations. Detailed Job Description Program Integrity Representatives are responsible for monitoring and evaluating program activities to identify potential areas of risk. They develop and implement strategies to reduce or eliminate risks and ensure compliance with applicable laws and regulations. They also review program documents and records to ensure accuracy and completeness. They may also provide guidance and advice to program staff on program integrity issues. Job Skills Required
• Knowledge of applicable laws and regulations
• Ability to analyze and interpret data
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to identify and resolve problems
• Strong organizational and time management skills
• Proficiency in computer applications
Job Qualifications
• Bachelor’s degree in a related field
• Previous experience in program integrity or related field
• Certification in program integrity or related field (preferred)
Job Knowledge
• Knowledge of applicable laws and regulations
• Knowledge of program integrity principles and practices
• Knowledge of data analysis and interpretation
• Knowledge of program evaluation and risk management
Job Experience
• Previous experience in program integrity or related field
• Experience in data analysis and interpretation
• Experience in program evaluation and risk management
Job Responsibilities
• Monitor and evaluate program activities to identify potential areas of risk
• Develop and implement strategies to reduce or eliminate risks
• Review program documents and records to ensure accuracy and completeness
• Provide guidance and advice to program staff on program integrity issues
• Prepare reports and presentations on program integrity activities
• Maintain records of program integrity activities