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Medicaid Program Integrity Jobs in Boston, MA (NOW HIRING)

MDS Coordinator

Danvers, MA · On-site

$35 - $60/hr

Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines. * Support ... Respect - Upholding integrity, accuracy, and confidentiality in all resident documentation and ...

MDS Coordinator

Rockland, MA · On-site

$35 - $60/hr

Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines. * Support ... Respect - Upholding integrity, accuracy, and confidentiality in all resident documentation and ...

MDS Coordinator

Saugus, MA · On-site

$30 - $60/hr

Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines. * Support ... Respect - Upholding integrity, accuracy, and confidentiality in all resident documentation and ...

MDS Coordinator

Needham, MA · On-site

$35 - $60/hr

Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines. * Support ... Respect - Upholding integrity, accuracy, and confidentiality in all resident documentation and ...

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site

$22 - $28.50/hr

We value teamwork, respect, integrity, and passion . * Growth opportunities: We invest in your ... Referral Incentive Program * Company Paid Life Insurance; and Short/Long-Term Disability What You ...

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site

$22 - $28.50/hr

We value teamwork, respect, integrity, and passion . * Growth opportunities: We invest in your ... Referral Incentive Program * Company Paid Life Insurance; and Short/Long-Term Disability What You ...

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

We value teamwork, respect, integrity, and passion . * Growth opportunities: We invest in your ... Referral Incentive Program * Company Paid Life Insurance; and Short/Long-Term Disability What You ...

Showing results 41-60

Medicaid Program Integrity information

See Boston, MA salary details

$23.4K

$49.7K

$68.4K

How much do medicaid program integrity jobs pay per year?

As of Aug 18, 2026, the average yearly pay for medicaid program integrity in Boston, MA is $49,672.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,700.00 and $51,600.00 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.

What are popular job titles related to Medicaid Program Integrity jobs in Boston, MA?

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

What job categories do people searching Medicaid Program Integrity jobs in Boston, MA look for?

The top searched job categories for Medicaid Program Integrity jobs in Boston, MA are:

Infographic showing various Medicaid Program Integrity job openings in Boston, MA 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 $49,672 per year, or $23.9 per hour.

$35 - $60/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 21 days ago


Job description

Join our team at Briarwood Rehabilitation and Healthcare Center as a MDS Coordinator. 

Proudly supported by Marquis Health Consulting Services

Full-time opportunity available  

Daily Pay!

$35-$60/hour

At Briarwood Rehabilitation and Healthcare Center, we believe that accurate clinical documentation and assessment are essential to delivering high-quality, compliant, and person-centered care. Guided by our core values of Passion, Respect, and Excellence, the MDS Coordinator plays a critical role in ensuring timely, accurate, and compliant completion of all Minimum Data Set (MDS) assessments to support resident care planning, reimbursement, and regulatory compliance.

Responsibilities for MDS Coordinator:

  • Ensure timely and accurate completion of all MDS assessments in accordance with regulatory requirements and established deadlines.

  • Verify compliance with federal, state, and facility regulations related to MDS documentation and submission.

  • Supervise MDS data entry, validation, and transmission processes to ensure accuracy and timeliness.

  • Identify, investigate, and resolve data discrepancies and validation issues.

  • Prepare and present MDS-related reports and updates to the Director of Nursing (DON) and leadership team.

  • Provide feedback to clinical teams and address operational concerns related to documentation and care planning.

  • Participate in facility surveys, audits, and regulatory reviews, providing required documentation and support.

  • Assist with audit responses and maintain ongoing compliance with Medicare and Medicaid requirements.

  • Stay current on changes to Medicare, Medicaid, and RAI/MDS regulations and guidelines.

  • Support and contribute to MDS-related quality improvement and performance initiatives.

  • Collaborate with interdisciplinary teams to ensure accurate representation of resident care needs.

Qualifications for MDS Coordinator:

  • Graduate of an accredited School of Nursing (RN, BSN, or LPN).

  • Current, active RN license required.

  • Minimum of three (3) years of clinical experience in a long-term care setting.

  • Prior MDS/RAI experience required.

  • Strong clinical assessment skills with attention to detail and accuracy.

  • Working knowledge of Medicare and Medicaid regulations and reimbursement systems.

Our Core Values in Action

Passion – Ensuring residents are accurately assessed so they receive the care and resources they need to thrive.

Respect – Upholding integrity, accuracy, and confidentiality in all resident documentation and interactions with care teams.

Excellence – Delivering precise, compliant, and high-quality MDS processes that support optimal outcomes and regulatory success.

Benefits for MDS Coordinator:  

  • Tuition reimbursement 

  • Employee referral bonus 

  • Health, vision, and dental benefits 

  • 401(k) with match 

  • Employee engagement and culture committee 

  • Company-sponsored life insurance 

  • Employee assistance program (EAP) resources 

Join our team at Briarwood Rehabilitation and Healthcare Center, a 120-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference.
Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us.

The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.