1

Medicaid Program Integrity Jobs in Ohio (NOW HIRING)

Healthcare Billing Specialist

Toledo, OH ยท On-site

$18 - $19/hr

  • Medical

  • Dental

  • Vision

  • PTO

As a faith-based nonprofit, our team is driven by compassion, integrity, and a commitment to making ... Medicare, Medicaid, Hospice, Managed Care, and private pay accountsReconcile census data and ...

Benefits Specialist

Cleveland, OH ยท On-site

$15.85 - $17.51/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Medicaid status, working with the consumer to obtain and/or maintain their benefits and ... Know and understand the range of qualified health plan options and insurance affordability programs.

Benefits Specialist

Cleveland, OH

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Medicaid status, working with the consumer to obtain and/or maintain their benefits and ... Know and understand the range of qualified health plan options and insurance affordability programs.

Benefits Specialist

Cleveland, OH ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Medicaid status, working with the consumer to obtain and/or maintain their benefits and ... Know and understand the range of qualified health plan options and insurance affordability programs.

Benefits Specialist

Cleveland, OH

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... Medicaid status, working with the consumer to obtain and/or maintain their benefits and ... Know and understand the range of qualified health plan options and insurance affordability programs.

SNF Medical Biller

Beachwood, OH

$17.50 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Pillars for successful employment are work ethic, integrity, and competence. We are currently ... Strong understanding of Medicaid, Medicare, and Managed Care processes. * Working knowledge of ...

New

Billing Specialist

Toledo, OH

$18 - $19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a faith-based nonprofit, our team is driven by compassion, integrity, and a commitment to making ... Generate and submit billing for Medicare, Medicaid, Hospice, Managed Care, and private pay accounts

Billing Specialist

Toledo, OH ยท On-site

$18 - $19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a faith-based nonprofit, our team is driven by compassion, integrity, and a commitment to making ... Generate and submit billing for Medicare, Medicaid, Hospice, Managed Care, and private pay accounts

Billing Specialist

Toledo, OH ยท On-site

$18 - $19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a faith-based nonprofit, our team is driven by compassion, integrity, and a commitment to making ... Generate and submit billing for Medicare, Medicaid, Hospice, Managed Care, and private pay accounts

Showing results 41-60

Medicaid Program Integrity information

What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?

AspectMedicaid Program IntegrityMedicaid Claims Examiner
Primary FocusDetecting and preventing fraud, waste, and abuse in Medicaid programsReviewing and processing Medicaid claims for accuracy and compliance
Required CredentialsTypically healthcare or compliance certifications, knowledge of Medicaid policiesHealthcare or claims processing certifications, attention to detail
Work EnvironmentRegulatory agencies, government offices, compliance departmentsInsurance companies, healthcare providers, government Medicaid offices

Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.

What are popular job titles related to Medicaid Program Integrity jobs in Ohio?

For Medicaid Program Integrity jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Integrity jobs in Ohio look for?

The top searched job categories for Medicaid Program Integrity jobs in Ohio are:

What cities in Ohio are hiring for Medicaid Program Integrity jobs?

Cities in Ohio with the most Medicaid Program Integrity job openings:

Infographic showing various Medicaid Program Integrity job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Regional Business Office Manager

American Medical Administrators LTC

Beachwood, OH โ€ข On-site

$62K - $71K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago


Job description

At the core of American Medical Administrators exists a foundation rooted in integrity, work ethic, and competence. These pillars generate the inertia that produce our organization’s results. Every action taken, big or small, is based on the premise of "doing the right thing," period.

We are seeking individuals with genuine empathy, patience, and a strong operational mindset to support our facilities and business office teams. Applicants must have a caring approach, a collaborative spirit, and a commitment to supporting both residents and team members. The pillars for successful employment are work ethic, integrity, and competence.

We are currently seeking a Regional Business Office Manager.

Job Responsibilities and Duties:

  • Provide oversight and support to facility business office operations across multiple locations

  • Monitor and guide billing, collections, cash posting, and accounts receivable processes

  • Support the management of resident trust funds and ensure compliance with all applicable regulations

  • Review daily banking activity, deposits, and cash reconciliation processes for assigned facilities

  • Ensure proper adherence to Social Security, State, Medicaid, Medicare, and other payer regulations

  • Assist facilities with Medicaid pending, denials, aging, collections, and reimbursement issues

  • Oversee Social Security Representative Payee processes where applicable

  • Partner with facility leadership and corporate teams to improve revenue cycle outcomes

  • Conduct audits, reviews, and follow-up related to billing practices, trust accounts, and financial processes

  • Train, mentor, and support Business Office Managers and other facility-level business office staff

  • Assist with month-end processes, financial reporting, and operational standardization across buildings

  • Travel to assigned facilities as needed to provide on-site support and leadership

Requirements:

Experience and/or knowledge of:

  • Medicare & Medicaid reimbursement

  • Long-term care billing and collections

  • Consolidation of billing processes

  • Management of resident trust accounts

  • Daily cash/check deposits and reconciliation

  • Accounts receivable follow-up and aging management

  • Daily staffing and financial reporting

  • Purchase order processes and facility business office operations

Additional qualifications:

  • Previous work in a long-term care facility required

  • Minimum of two years of related business office leadership experience, preferably in a multi-site or regional capacity

  • Proficiency with Microsoft Office

  • Strong organizational, analytical, and problem-solving skills

  • Team player with excellent work ethic and positive attitude

  • Willingness to travel, and work occasional weekend and evening hours as needed

Benefits:

  • Health Insurance

  • Dental Insurance

  • Disability Insurance

  • Vision Insurance

  • Employee Assistance Program

  • 401(k)

  • Life Insurance

  • Paid Time Off

Additional Benefits:

  • Telemedicine:$0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.

  • Unlimited Assistance:Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.

  • Mayo Clinic Programs:Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.

These additional benefits are available to you without reducing your take-home pay!

We only accept resumes and applications submitted directly through our Applicant Tracking System for posted positions. We do not accept unsolicited resumes from third-party agencies, recruiters, or staffing firms. Company employees and hiring managers are not authorized to enter into agreements or otherwise bind the company with respect to recruiting services. Any resumes submitted without a signed written agreement by the Executive Vice President of Recruitment will be considered unsolicited, and no fees will be owed.