... Medicaid, CMMI, Center for Program Integrity, etc. • Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. • Strong understanding of federal acquisition processes and ...
... Medicaid, CMMI, Center for Program Integrity, etc. • Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. • Strong understanding of federal acquisition processes and ...
... Medicaid, CMMI, Center for Program Integrity, etc. · Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. · Strong understanding of federal acquisition processes and ...
Quick apply
... Medicaid, CMMI, Center for Program Integrity, etc. · Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III. · Strong understanding of federal acquisition processes and ...
Manager, Care Manager
Linthicum, MD · On-site +1
$106K - $117K/yr
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
Manager, Care Manager
Linthicum, MD · On-site +1
$106K - $117K/yr
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care ... Ensures that program integrity and regulatory requirements are met in conjunction with the Director ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
Bethesda, MD · On-site
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
Bethesda, MD · On-site
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Quick apply
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Program Director
$124K - $130K/yr
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
Program Director
$124K - $130K/yr
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
Program Director
Alexandria, VA · On-site
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
Program Director
Alexandria, VA · On-site
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
Bethesda, MD · On-site
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
Medicaid Eligibility Representative (Onsite) - Bilingual - Spanish/English - Bethesda, MD
Bethesda, MD · On-site
$19 - $21/hr
Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at ... programs Skills & Competencies: Compassion Communication Problem-solving Teamwork Required ...
Program Director
Alexandria, VA · On-site
$85 - $120/hr
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
Program Director
Alexandria, VA · On-site
$85 - $120/hr
Obtains initial Medicaid authorizations for all patients and provides UR with needed information ... Development and maintenance of fiscal and budget integrity * Maintain ethical standards and ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Quick apply
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Test Automation Engineer III
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
Test Automation Engineer III
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
Test Automation Engineer III
Columbia, MD · On-site
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
Quick apply
Test Automation Engineer III
Columbia, MD · On-site
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
... CMS program priorities, procurement trends, and legislative drivers affecting Medicare, Medicaid ... program integrity, beneficiary experience, and data modernization. * Support color team reviews ...
Test Automation Engineer III
Columbia, MD · On-site
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
Test Automation Engineer III
Columbia, MD · On-site
$97K - $98K/yr
Validate data sourced from CMS's Integrated Data Repository (IDR) and OnePI (Program Integrity ... Prior experience supporting Centers for Medicare & Medicaid Services (CMS) programs. * Experience ...
Fraud AI / Data Healthcare Senior Consultant (remote)
Arlington, VA · On-site +1
$113K - $188K/yr
Federal or State Medicaid experience, particularly experience with fraud prevention and detection and/or program integrity experience with Medicaid The annual salary range for this position is $113 ...
Fraud AI / Data Healthcare Senior Consultant (remote)
Arlington, VA · On-site +1
$113K - $188K/yr
Federal or State Medicaid experience, particularly experience with fraud prevention and detection and/or program integrity experience with Medicaid The annual salary range for this position is $113 ...
Fraud AI / Data Healthcare Senior Consultant (remote)
Mclean, VA · On-site +1
$113K - $188K/yr
Federal or State Medicaid experience, particularly experience with fraud prevention and detection and/or program integrity experience with Medicaid The annual salary range for this position is $113 ...
Fraud AI / Data Healthcare Senior Consultant (remote)
Mclean, VA · On-site +1
$113K - $188K/yr
Federal or State Medicaid experience, particularly experience with fraud prevention and detection and/or program integrity experience with Medicaid The annual salary range for this position is $113 ...
Medicaid Program Integrity information
What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?
| Aspect | Medicaid Program Integrity | Medicaid Claims Examiner |
|---|---|---|
| Primary Focus | Detecting and preventing fraud, waste, and abuse in Medicaid programs | Reviewing and processing Medicaid claims for accuracy and compliance |
| Required Credentials | Typically healthcare or compliance certifications, knowledge of Medicaid policies | Healthcare or claims processing certifications, attention to detail |
| Work Environment | Regulatory agencies, government offices, compliance departments | Insurance 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.
How do I become a Medicaid Program Integrity specialist?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 24 days ago
Job description
Requirements
Key Responsibilities:
• Support the development and execution of growth strategies targeting CMS.
• Identify, qualify, and nurture new business opportunities within CMS.
• Build and maintain strong relationships with federal program offices, acquisition officials, and mission stakeholders across Medicare, Medicaid, and related divisions.
• Collaborate with capture managers, proposal teams, and technical leads to support tailored solutions and competitive proposals.
• Assist with pipeline management and opportunity tracking for CMS.
• Monitor federal health procurement trends, priorities, and forecasts to identify potential opportunities.
• Represent Centennial at industry events, networking forums, and partner meetings to enhance visibility and expand networks.
Key Qualifications:
• 6+ years of experience in federal business development, account management, or capture support, preferably within CMS
• Knowledge of federal health programs including Medicare, Medicaid, CMMI, Center for Program Integrity, etc.
• Familiarity with contract vehicles such as GSA MAS, OASIS Plus, Stars III.
• Strong understanding of federal acquisition processes and procurement lifecycles.
• Demonstrated success in supporting or contributing to business development and capture efforts.
• Excellent communication, interpersonal, and organizational skills.
• Bachelor's degree required.
Security Clearance:
• Applicants must be eligible to work in the United States, may be subject to a government security investigation, and must meet eligibility requirements for clearance
Work Conditions
- Location: Hybrid - 4 days onsite in Tysons Corner, VA (preferred DC Metro candidates: VA, DC, MD).
- Job Type: Full-time
About Centennial Technologies Inc.:
Centennial Technologies Inc. is committed to a healthy work-life balance and provides a collaborative and supportive professional environment. We offer flexible PTO, casual work culture, and regular opportunities for career advancement and skills development.
Benefits and Perks
• Medical and Vision Insurance - Centennial covers 80% of employee and family premium costs, making high-quality healthcare affordable for you and your loved ones.
• Dental Insurance - 100% employer-paid coverage for employees.
• Short-Term and Long-Term Disability Insurance - Fully employer-paid, providing financial security and peace of mind.
• Life Insurance - Company-paid coverage to support you and your family.
• 401(k) Retirement Plan with Employer Match - A competitive retirement plan with employer matching to support your long-term financial goals.
• Paid Time Off & Federal Holidays - A generous paid time off program and 11 paid federal holidays to support balance and time to recharge.
• Metro Reimbursement - Transportation benefits to help offset commuting costs and make commuting more affordable.
Centennial offers a highly competitive benefits package that protects your family, rewards your future, and supports your work-life balance.
Work Environment and Culture
• Collaborative, respectful, and inclusive culture.
• Direct access to leadership and decision-makers.
• Opportunity to work on high-impact federal modernization programs.
• Recognition programs for outstanding performance and innovation.
Technology and Innovation
• Exposure to cutting-edge technologies (AI, cloud, data, automation, cybersecurity).
• Opportunities to contribute to proprietary platforms and innovation labs.
• Modern tools and environments that support productivity and creativity.
Why Employees Love Working at Centennial
• Small business agility with enterprise-level impact.
• Your ideas are heard and implemented.
• You see the real-world impact of your work in government programs that matter.
• Strong values: professionalism, focus, integrity, trust, innovativeness, and excellence.
Equal Opportunity Employer:
Centennial is an equal opportunity employer and complies with all applicable federal, state, and local employment laws