ZipRecruiter

Log In

1

Medicaid Program Integrity Jobs in Boca Raton, FL

Altegra Health

Eligibility Counselor I

Weston, FL

We place a high value on qualities such as integrity, empathy, excellence and trust. This position ... experience, Medicaid program experience preferred. Demonstrated application of data entry and ...

Altegra Health

Eligibility Counselor I

Weston, FL · On-site

We place a high value on qualities such as integrity, empathy, excellence and trust. This position ... Medicaid program experience preferred. • Demonstrated application of data entry and related ...

previous pagenext page

Showing results 21-40

All JobsMedicaid Program Integrity JobsMedicaid Program Integrity Jobs in Boca Raton, FL

Medicaid Program Integrity information

See Boca Raton, FL salary details

$20.4K

$43.4K

$59.8K

How much do medicaid program integrity jobs pay per year?

As of Aug 16, 2026, the average yearly pay for medicaid program integrity in Boca Raton, FL is $43,388.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,600.00 and $45,100.00 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 Boca Raton, FL?

For Medicaid Program Integrity jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Integrity jobs in Boca Raton, FL look for?

The top searched job categories for Medicaid Program Integrity jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Medicaid Program Integrity jobs?

Cities near Boca Raton, FL with the most Medicaid Program Integrity job openings:

Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in Boca Raton, FL 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 $43,388 per year, or $20.9 per hour.

Enrollment Specialist - Spanish bilingual

Altegra Health

Weston, FL • On-site

Full-time

Re-posted 21 days ago

Job description

Company Description

Over 20 million individuals benefit from services that Altegra Health provides. When you join our team, you stand on the foundation of a successful organization that enriches an individual's life. We place a high value on qualities such as integrity, empathy, excellence and trust. 


Job Description

This position services to assist low-income Medicare beneficiaries enrolled in a contracted Managed Care Organization Medicare+Choice health plan, with the qualification and recertification process for Medicare Savings Programs. The recertification team conducts telephonic outreach to remind, assist, and keep the members enrolled by either phone outreach and mailings. This outreach is performed before and around the members' recertification date.



RESPONSIBILITIES:


Conducts telephonic outreach activities for members who need to recertify and are eligible for the Medicare Savings Programs. May also need to contact the state to properly complete the recertification process. 


Completes MSP renewal applications if needed for members. Also, insure that applications are completely filled out and every question is answered correctly before the member submits it to the state. 


Must conduct proper and effective follow up to ensure state renewal applications are sent to the state in a timely manner and Altegra Health documents are received to conduct further assistance.  


Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive MMS documentation


Participates as required in Altegra Health's staff and operational development programs. Acts as a team player and communicates openly and honestly.


Maintains current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects Altegra Health's Outreach Operations.


Demonstrates behaviors, actions, and attitudes that reflect Altegra Health's vision, mission and values.


Performs other duties as assigned.




Qualifications

High School Education; Associates Degree or Bachelors Degree preferred.


2 years experience with direct consumer interaction, telephone sales experience, Medicaid program experience preferred.


Demonstrated application of data entry and related computer skills.


Excellent oral communication skills; ability to communicate with elderly individuals and state governmental personnel.


Ability to analyze and interpret governmental program criteria; ability to interact and decipher information via telephonic or correspondence inquires.


**MUST BE BILINGUAL ENGLISH AND SPANISH**

Additional Information

All your information will be kept confidential according to EEO guidelines.

Apply