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Medicaid Program Integrity Jobs in Baltimore, MD

Maryland Physicians Care

Manager, Care Manager

Linthicum, MD · On-site +1

$106K - $117K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Maryland Care Management Inc

Manager, Care Manager

Linthicum, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

eSimplicity

Test Automation Engineer III

Columbia, MD · On-site

$97K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

eSimplicity

Test Automation Engineer III

Columbia, MD · On-site

$97K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

eSimplicity

Test Automation Engineer III

Columbia, MD · On-site

$97K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Pwc

Payer Quality Consultant, Director

Baltimore, MD · On-site

$155K - $410K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

You are expected to be a guardian of PwC's reputation, understanding that quality, integrity ... Medicaid program requirements - Leading teams to generate a vision and trust - Building ...

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Showing results 21-40

All JobsMedicaid Program Integrity JobsMedicaid Program Integrity Jobs in Baltimore, MD

Medicaid Program Integrity information

See Baltimore, MD salary details

$21.4K

$45.4K

$62.6K

How much do medicaid program integrity jobs pay per year?

As of Aug 13, 2026, the average yearly pay for medicaid program integrity in Baltimore, MD is $45,430.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $47,200.00 per year, depending on experience, location, and employer.

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.

How do I become a Medicaid Program Integrity specialist?

To become a Medicaid Program Integrity specialist, candidates typically need a bachelor's degree in health administration, public health, or a related field, along with experience in healthcare compliance or auditing. Relevant skills include knowledge of Medicaid policies, data analysis, and investigative techniques, and some roles may require certification such as Certified Fraud Examiner (CFE).

What are popular job titles related to Medicaid Program Integrity jobs in Baltimore, MD?

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

What job categories do people searching Medicaid Program Integrity jobs in Baltimore, MD look for?

The top searched job categories for Medicaid Program Integrity jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Medicaid Program Integrity jobs?

Cities near Baltimore, MD with the most Medicaid Program Integrity job openings:

Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in Baltimore, MD as of August 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $45,430 per year, or $21.8 per hour.

Social Science Research Analyst

Employment Opportunities for Veterans | CMS

Windsor Mill, MD • On-site

$107K/yr

Full-time

Re-posted 15 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services(CMCS).
As a Social Science Research Analyst, GS-0101-13, you will develop and use surveys, market research, and statistical
methodologies and techniques to conduct studies of assigned HHS programs.Qualifications:ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration.
In order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Applying qualitative and quantitative analytical techniques to interpret healthcare data in support of policy development, program implementation, program monitoring and evaluation, or compliance with program requirements; 2) Designing and implementing healthcare research projects or data studies related to Medicaid and CHIP data, or other similar healthcare programs; 3) Developing and presenting technical documents to explain data from studies OR to make recommendations to stakeholders on program policies or program integrity initiatives; AND 4) Advising on data collection, data quality, and data reporting, including providing technical assistance to stakeholder regarding Medicaid and CHIP data, or other similar healthcare programs (i.e state level, private organizations).
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.Education:Education Requirement: In addition to meeting the qualification requirements, all candidates must have the following educational requirements:
  • Degree: behavioral or social science; or related disciplines appropriate to the position; OR
  • Combination of education and experience that provided the applicant with knowledge of one or more of the behavioral or social sciences equivalent to a major in the field; OR
  • Four years of appropriate experience that demonstrated that the applicant has acquired knowledge of one or more of the behavioral or social sciences equivalent to a major in the field.
TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above. Failure to submit a copy of your transcripts at the time of application WILL result in an ineligible rating. Please see "Required Documents" section below for what documentation is required at the time of application.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13030775Employment Type: OTHER

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