Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Program Integrity * Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends. * Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
Payment Integrity Manager
Bloomington, MN · On-site
... the Payment Integrity program. This role is responsible for designing and maintaining clear ... Working knowledge of Medicare, Medicaid, and Commercial reimbursement rules and regulatory ...
Payment Integrity Manager
Bloomington, MN · On-site
... the Payment Integrity program. This role is responsible for designing and maintaining clear ... Working knowledge of Medicare, Medicaid, and Commercial reimbursement rules and regulatory ...
Payment Integrity Manager
Bloomington, MN · On-site
... the Payment Integrity program. This role is responsible for designing and maintaining clear ... Working knowledge of Medicare, Medicaid, and Commercial reimbursement rules and regulatory ...
Payment Integrity Manager
Bloomington, MN · On-site
... the Payment Integrity program. This role is responsible for designing and maintaining clear ... Working knowledge of Medicare, Medicaid, and Commercial reimbursement rules and regulatory ...
Business Analyst with Domain FDE
Eden Prairie, MN · On-site
$140K - $160K/yr
... program integrity etc. Aware of lines of business such as Medicare, Medicaid, CMS guidelines, overall healthcare industry trends. • Past Product Owner experience to manage product backlog, write ...
Business Analyst with Domain FDE
Eden Prairie, MN · On-site
$140K - $160K/yr
... program integrity etc. Aware of lines of business such as Medicare, Medicaid, CMS guidelines, overall healthcare industry trends. • Past Product Owner experience to manage product backlog, write ...
Integrity and Compliance Coding Analyst
Bloomington, MN · On-site
$31.38 - $47.06/hr
Apply knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, commercial payer requirements, and ... Recommend innovative approaches to strengthen compliance monitoring and risk mitigation programs.
Integrity and Compliance Coding Analyst
Bloomington, MN · On-site
$31.38 - $47.06/hr
Apply knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, commercial payer requirements, and ... Recommend innovative approaches to strengthen compliance monitoring and risk mitigation programs.
Medicaid Program Integrity information
See Maple Grove, MN salary details
$22K - $25.9K
0% of jobs
$25.9K - $29.7K
0% of jobs
$29.7K - $33.6K
3% of jobs
$33.6K - $37.5K
10% of jobs
$39.1K is the 25th percentile. Wages below this are outliers.
$37.5K - $41.3K
27% of jobs
$41.3K - $45.2K
9% of jobs
The median wage is $45.3K / yr.
$45.2K - $49.1K
29% of jobs
$49.1K - $52.9K
12% of jobs
$52.9K - $56.8K
8% of jobs
$56.8K - $60.6K
1% of jobs
$60.6K - $64.5K
1% of jobs
$22K
$46.8K
$64.5K
How much do medicaid program integrity jobs pay per year?
As of Sep 2, 2026, the average yearly pay for medicaid program integrity in Maple Grove, MN is $46,816.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,400.00 and $48,600.00 per year, depending on experience, location, and employer.
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.
What job categories do people searching Medicaid Program Integrity jobs in Maple Grove, MN look for?
The top searched job categories for Medicaid Program Integrity jobs in Maple Grove, MN are:
What cities near Maple Grove, MN are hiring for Medicaid Program Integrity jobs?
Cities near Maple Grove, MN with the most Medicaid Program Integrity job openings:
Full-time
This job post has expired today. Applications are no longer accepted.
Job description
We are looking for an experienced Business Analyst with strong Healthcare Payer domain expertise to drive requirements, solution design, stakeholder alignment, and innovative technology initiatives. The ideal candidate will have 10+ years of hands-on healthcare payer experience, strong claims knowledge, and prior Product Owner experience.
Must-Have Skills- 10+ years of hands-on Healthcare Payer experience.
- Strong knowledge of healthcare claims, claims engines, product and benefits, and claims processing.
- Broad understanding of payer functions, including:
- Sales and Marketing
- Product Management
- Membership
- Provider Management
- Prior Authorization and Utilization Management
- Claims
- Program Integrity
- Knowledge of Medicare, Medicaid, CMS guidelines, and healthcare industry trends.
- Strong ability to gather, analyze, and steer requirements across multiple stakeholders.
- Ability to drive consensus and stakeholder buy-in.
- Experience creating solution concepts, prototypes, and POCs.
- Ability to translate high-level business requirements into detailed solutions and user stories.
- Prior Product Owner experience managing product backlogs, user stories, use cases, and sprint/program planning.
- Strong analytical, communication, influencing, and leadership skills.
- Ability to write clear and SMART requirements.
- Define and document business requirements and detailed use cases with minimal guidance.
- Collaborate with Data Scientists, AI Architects, and technical teams to develop rapid solutions and POCs.
- Work with business and IT stakeholders to align goals and drive consensus.
- Support product backlog management, user stories, acceptance criteria, and functional testing.
- Develop business POVs, articles, and insights based on healthcare industry and regulatory trends.
- Support account teams with innovative technology and AI/GenAI solution ideas.
- Identify opportunities to apply AI and Generative AI to real-world healthcare business problems.
- Drive teams toward showcase-ready solutions.
- Stay current with healthcare trends including FHIR, HL7, EDI, interoperability, cost of care, and value-based care.
- Understand the healthcare ecosystem, value chains, and interactions between industry entities.
- Quickly understand adjacent domains such as pharmacy, PBM, and dispensing businesses.
- Identify innovative solution concepts and contribute to patents, copyrights, and trademarks where applicable.
About 2T Consulting
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US