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Medicaid Program Integrity Jobs in Utah (NOW HIRING)

Billing Specialist

Salt Lake City, UT · On-site

$58K - $61K/yr

... program claimsInvestigate and resolve claim denials and billing issuesPerform Medicaid eligibility ... Our culture is grounded in integrity, transparency, accountability, humility, compassion, positive ...

... Medicaid, and other payer enrollment; not excluded from any federal or state healthcare program ... integrity, pain, behavior, rehabilitation, risks, goals, and response to treatment. Completes ...

Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive ... Must have a minimum two (2) years of experience in Medicare/Medicaid coding, * Hospice experience ...

Showing results 21-40

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 Utah?

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

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

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

Infographic showing various Medicaid Program Integrity job openings in Utah as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution.

Board Certified Behavior Analyst (BCBA) - Program Development Opportunity

Touchstone Therapy Center

Salt Lake City, UT • On-site

$71K - $87K/yr

Full-time

Re-posted 2 days ago


Job description

About the Role


This is a unique opportunity for a BCBA interested in helping develop and lead an ABA service line within an established behavioral health organization serving children, families, foster care, adoption, and trauma-focused populations throughout Utah.


As a Board Certified Behavior Analyst (BCBA), you have the opportunity to make a meaningful and lasting impact in the lives of children, families, and the broader clinical team through high-quality behavioral assessment, treatment planning, clinical leadership, and direct support.

At Touchstone, we believe clinical excellence starts with strong relationships, thoughtful collaboration, and a commitment to delivering services that are ethical, individualized, and rooted in measurable progress. Success in this role means balancing clinical expertise with emotional intelligence, strong communication, accountability, and a solutions-oriented mindset.

This role carries significant influence across both client outcomes and team culture, as you are not only responsible for the quality and effectiveness of treatment, but also serve as a key source of support, guidance, and trust for families and team members.


To Be Successful in This Role

  • Recognize the level of trust families place in you and approach your work with professionalism, compassion, and clinical excellence.
  • Conduct behavioral assessments, functional behavior assessments (FBAs), treatment planning, and progress monitoring in accordance with BCBA ethical standards and payer requirements.
  • Design individualized, evidence-based treatment plans that align with client needs, family goals, and measurable clinical outcomes.
  • Provide ongoing supervision, training, and support to Registered Behavior Technicians (RBTs) and other assigned team members in accordance with BCBA supervision requirements.
  • Ensure documentation, treatment plans, progress notes, and supervision records are completed accurately and within required timelines to support compliance and billing integrity.
  • Maintain strong and collaborative communication with families, caregivers, clinical leadership, and interdisciplinary providers.
  • Support caregivers with education, coaching, and treatment collaboration in a way that is empowering, respectful, and aligned with client goals.
  • Maintain a high standard of ethical and professional conduct in alignment with BCBA Ethics Code requirements, payer expectations, and Touchstone values.
  • Be dependable with scheduling, communication, responsiveness, and follow-through, recognizing the importance of consistency in clinical care.
  • Be open to feedback, collaboration, and ongoing professional growth to strengthen clinical effectiveness and team development.


Meet Your Future Team

This role works closely with:

  • Registered Behavior Technicians (RBTs)
  • Clinical leadership
  • Client families and caregivers
  • Administrative support team
  • Referral / intake coordination
  • Other interdisciplinary providers as appropriate

As a BCBA, you are both a clinical expert and a leader within the organization, helping shape the quality of services, family experience, and team development.



If You Were the BCBA Now, Here Are Some of the Core Activities You Would Be Doing

  • Experience working with children, adolescents, and families in home, clinic, school, or community settings.
  • Familiarity with Medicaid / payer documentation requirements and utilization expectations.
  • Experience collaborating within interdisciplinary treatment teams.



Utah Compliance Considerations

  • Maintain documentation, treatment plans, and progress reporting in alignment with Medicaid and payer billing requirements.
  • Ensure supervision requirements are consistently met according to BACB standards and payer expectations.
  • Maintain active credentialing, licensure, and payer eligibility requirements.
  • Support audit readiness and documentation integrity for assigned clinical services.
  • Participate in required trainings, compliance expectations, and quality assurance initiatives.


Here Are Some of the Things You Could Be Working On in the Future

As Touchstone continues to grow, there may be opportunities to expand your impact through:

  • Mentoring developing clinicians and clinical team members.
  • Supporting onboarding and clinical training initiatives.
  • Participating in program development, quality improvement, and clinical innovation projects.
  • Supporting specialty programming, service-line development, or expanded behavioral health offerings.
  • Taking on leadership growth opportunities within clinical operations.