ZipRecruiter

Log In

1

Medicaid Program Integrity Jobs in Rosedale, MD (NOW HIRING)

Pwc

Payer Quality Consultant, Director

Baltimore, MD · On-site

$155K - $410K/yr

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 ...

Peraton

Deputy Program Director

Windsor Mill, MD

$135K - $216K/yr

... Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) customer delivery and lead our ...

Peraton

Deputy Program Director

Windsor Mill, MD

$135K - $216K/yr

... Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) customer delivery and lead our ...

Peraton

Deputy Program Director

Windsor Mill, MD · On-site

$135K - $216K/yr

... Integrity Solutions Operating Unit seeks a Deputy Program Director to support our Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) customer delivery and lead our ...

Maximum Support Services

Be Seen First

Accountant

Columbia, MD · On-site

About the Role You will support the financial integrity of our DDA and LTSS programs through daily ... Strong understanding of Medicaid billing and compliance * Excellent attention to detail and ...

CareFirst

Business Consultant (Remote)

Baltimore, MD · Remote

Specifically, this position will be part of the Appeals and Grievances Government Programs team and ... Develops and updates Medicaid and Medicare Advantage policies and SOPs with input from key ...

Marquis Health Services

MDS/RNAC Coordinator

Towson, MD · On-site

$104K - $115K/yr

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 ...

previous page

Showing results 41-60

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

Medicaid Program Integrity information

See Rosedale, MD salary details

$20.6K

$43.9K

$60.4K

How much do medicaid program integrity jobs pay per year?

As of Aug 10, 2026, the average yearly pay for medicaid program integrity in Rosedale, MD is $43,853.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,000.00 and $45,600.00 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.

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 job categories do people searching Medicaid Program Integrity jobs in Rosedale, MD look for? The top searched job categories for Medicaid Program Integrity jobs in Rosedale, MD are:
What cities near Rosedale, MD are hiring for Medicaid Program Integrity jobs? Cities near Rosedale, MD with the most Medicaid Program Integrity job openings:
Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in Rosedale, 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 $43,853 per year, or $21.1 per hour.

Project Director

Neil Hoosier & Associates, Inc.

Owings Mills, MD • On-site, Remote

Full-time

Re-posted 21 days ago

Job description

The Project Director is the senior executive responsible for shaping and leading the Project from concept development through execution, ensuring the solution is strategically defined, operationally feasible, analytically defensible, and successfully delivered. This role is accountable for overall program performance and, upon award, contract performance, including strategic leadership, technical oversight, stakeholder alignment, subcontractor coordination, and management of all Project activities.
Serving as the primary point of contact with the Government, the Senior Project Director manages expectations, facilitates alignment across CMS, VA, subcontractors, and internal SMEs, and ensures the Project remains responsive to evolving objectives, regulatory requirements, performance standards, and implementation needs.
This role oversees complex, multi-phase initiatives involving data integration, analytics, technology modernization, AI-enabled capabilities, validation, and policy implementation, including Projects supporting Medicare Advantage (MA), Department of Veterans Affairs (VA) coordination, and related federal healthcare program integrity efforts.
Key Responsibilities:
Project Leadership & Contract Management
  • Lead development of the Project from concept through Government approval, including shaping scope, defining workstreams, identifying data dependencies, and translating stakeholder feedback into an actionable implementation approach.
  • Manage complex stakeholder engagement across CMS, VA, subcontractors, technical SMEs, policy leads, and executive leadership to ensure alignment, timely decision-making, and coordinated messaging.
  • Serve as primary Government interface, ensuring responsiveness and alignment with requirements.
  • Maintain accountability for contract performance, including quality, timeliness, and compliance.
  • Oversee all Project activities, including planning, execution, staffing, and risk management.
  • Manage subcontractors and partners to ensure coordinated delivery.
  • Oversee financial performance, including budgeting, forecasting, and cost control.

Technical & Strategic Oversight
  • Provide executive oversight of data integration, system interoperability, and technology modernization to support the analysis of complex healthcare data.
  • Guide adoption of advanced analytics and emerging technologies, including AI, to support Project objectives.
  • Ensure AI-enabled and analytics outputs are transparent, explainable, validated, reproducible, and appropriately documented before being used to support Government decision-making.
  • Ensure technical solutions align with business needs, federal regulations, and scalability requirements.
  • Establish and enforce data governance, security, privacy, and audit readiness frameworks.

Analytics, Policy & Decision Support
  • Translate analytical outputs into actionable insights to inform Government decision-making.
  • Oversee pilot planning, execution, monitoring, and evaluation.
  • Provide recommendations to support policy development, Project refinement, and scale-up.

Implementation & Operations
  • Lead transition from pilot to full-scale implementation, ensuring operational readiness and controlled rollout.
  • Establish governance and performance management processes to sustain operations.
  • Oversee reporting of financial, operational, and performance outcomes.
  • Ensure effective stakeholder communication and coordination.

Leadership & Organizational Management
  • Operate effectively in a lean, remote environment, balancing executive leadership with hands-on development of project structure, client materials, action tracking, risk management, and stakeholder communications.
  • Lead and mentor senior staff and project managers to ensure high performance.
  • Support workforce planning and recruitment of qualified personnel.
  • Identify opportunities for innovation, efficiency, and Project growth.
  • Support business development activities, as required.

Qualifications:
  • Master's Degree or equivalent relevant experience.
  • Minimum 15 years of experience managing large, complex federal Projects involving healthcare payment, policy, operations, data, or analytics.
  • PMP certification preferred.
  • Experience overseeing Projects involving healthcare data, technology, and analytics.
  • Demonstrated Federal healthcare experience including CMS, Medicare Avantage, Veteran's Affairs, Medicare, Medicaid, or comparable healthcare payment and delivery environments.
  • Experience leading initiatives where analytics, data integration, or policy analysis informed healthcare payment decisions, cost-savings estimates, program refinement, or implementation strategy.
  • Executive leadership and Government stakeholder engagement.
  • General federal program management experience alone is not sufficient; candidates must demonstrate practical understanding of healthcare payment, policy, data, and delivery environments.
  • Strategic oversight of healthcare data, technology, and AI-enabled solutions with the ability to direct and ask informed questions of technical, analytics, policy, and operational subject matter experts.
  • Ability to assess whether analytical outputs are accurate, explainable, reproducible, policy-ready, and appropriate for federal healthcare decision-making.
  • Strong analytical, problem-solving, and executive decision-making skills, including the ability to manage ambiguity, competing stakeholder priorities, and high-visibility delivery risks.
  • Expertise in Project governance, compliance, and risk management, data governance, privacy, security, audit readiness, and implementation oversight for healthcare policy and payment solutions.
  • Ability to lead multi-disciplinary teams across policy, analytics, data engineering, technology, operations, subcontractors, and client stakeholders.
  • Excellent written and verbal communication skills, including the ability to translate complex healthcare payment, policy, data, and technical issues into clear executive-level recommendations.

Technical Qualifications:
  • Authority to Operate (ATO) and data use agreement (DUA) documentation strongly preferred
  • Enterprise data and analytics platforms
  • Modern technology ecosystems, including cloud environments
  • Microsoft Office Suite, Project, Visio, SharePoint
  • Agile methodologies preferred

Compensation: $180K dependent upon qualifications, experience, and overall fit
Location: This is a 100% remote/telework position.
NHA is a state and federal government contractor; all employees must be legally authorized to work in the United States. NHA does not provide sponsorship at this time.
NHA is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment based on merit, without regard to race, color, religion, sex, sexual orientation, national origin, veteran status, disability or any other basis protected by law.

Apply