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Medicaid Program Integrity Jobs in Washington (NOW HIRING)

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Working closely with the Senior Program Integrity & Compliance Manager, this role will transform ... Support, Medicaid, or Workforce Development. · Experience developing technical assistance ...

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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.

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

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

Infographic showing various Medicaid Program Integrity job openings in Washington as of August 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution.

Senior Technical Assistance & Program Improvement Manager

BLH Technologies, Inc.

Rockville, MD • On-site

$135K - $145K/yr

Full-time

Re-posted 15 days ago


Job description

Position SummaryBLH Technologies is seeking an experienced Senior Technical Assistance & Program Improvement Manager to support the U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF). This leadership position will design, manage, and deliver technical assistance that strengthens organizational performance, improves program outcomes, builds the capacity of state and Tribal human services programs, and supports continuous improvement in program administration.Working closely with the Senior Program Integrity & Compliance Manager, this role will transform compliance review findings into actionable technical assistance strategies, corrective action support, virtual training and resources, reference materials, peer learning opportunities, and program improvement initiatives.Work You'll Do· Lead the planning, design, and delivery of technical assistance and organizational improvement initiatives for federal human services programs.· Collaborate with compliance review teams to identify technical assistance priorities based on monitoring findings and program needs.· Develop individualized improvement plans, corrective action strategies, and capacity-building approaches for grantees.· Design and facilitate in-person and virtual training, workshops, peer learning events, and communities of practice.· Develop guidance documents, toolkits, implementation resources, webinars, and other technical assistance products.· Coordinate subject matter experts and external consultants supporting technical assistance activities.· Analyze program trends and recommend strategies that improve organizational performance, compliance, and service delivery.· Build collaborative relationships with federal clients, grantees, and stakeholders while ensuring successful contract performance.· Perform other duties as assigned to support contract objectives.QualificationsRequired· Master's degree in Public Administration, Public Policy, Public Health, Human Services, Social Work, Education, Organizational Development, Business Administration, or a related discipline.· Minimum 10 years of progressively responsible experience providing technical assistance, capacity building, organizational development, training, program improvement, or federal grant support.· Experience supporting federal or state human services programs.· Demonstrated experience designing and delivering adult learning and technical assistance initiatives.· Strong facilitation, project management, analytical, and communication skills.· Ability to travel approximately 20-30% nationwide and obtain a U.S. Government Public Trust.Preferred· Doctoral degree (Ph.D., Ed.D., DrPH, or equivalent) in a relevant discipline.· Experience supporting HHS, ACF, OFA, or other federal civilian agencies.· Experience with TANF or related human services programs, including SNAP, Child Welfare, Child Support, Medicaid, or Workforce Development.· Experience developing technical assistance strategies based on compliance reviews, organizational assessments, or performance improvement initiatives.· Professional certification such as PMP, CPTD, Prosci Change Management, or similar credential.Why BLH Technologies?At BLH Technologies, you'll have the opportunity to work alongside experienced professionals supporting mission-critical federal initiatives that improve programs serving children, families, and communities nationwide. We offer competitive compensation, comprehensive benefits, professional development opportunities, and a collaborative environment where innovation and client success drive meaningful results.BLH Technologies is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to any characteristic protected by applicable federal, state, or local law.