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Medicaid Program Integrity Jobs (NOW HIRING)

State of Iowa

Medicaid Provider Liaison

Des Moines, IA · On-site

$61K - $94K/yr

Steffensen@hhs.iowa.gov The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Program Integrity is seeking a Provider Liaison to join our team! The Medicaid Provider ...

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State of Iowa

Medicaid Provider Liaison

Des Moines, IA · On-site

$61K - $94K/yr

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Program Integrity is seeking a Provider Liaison to join our team. The Medicaid Provider Liaison serves as a ...

Honest Health

SVP, Medicaid Services

$267K - $334K/yr

Background in value-based care or risk-bearing Medicaid programs * Familiarity with clinical operations, documentation integrity, or population health management The base pay range for this role is ...

State of Louisiana

MEDICAID LTC SPECIALIST

Baton Rouge, LA · On-site

$3.9K - $7.1K/mo

... program integrity and identify opportunities for improvement. • Analyzes federal performance data and program outcomes to identify trends, compare performance, and develop recommendations for ...

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All JobsMedicaid Program Integrity Jobs

Medicaid Program Integrity information

See salary details

$21.5K

$45.7K

$63K

How much do medicaid program integrity jobs pay per year?

As of Aug 11, 2026, the average yearly pay for medicaid program integrity in the United States is $45,721.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $47,500.00 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).
More about Medicaid Program Integrity jobs
What cities are hiring for Medicaid Program Integrity jobs? Cities with the most Medicaid Program Integrity job openings:
What states have the most Medicaid Program Integrity jobs? States with the most job openings for Medicaid Program Integrity jobs include:
What job categories do people searching Medicaid Program Integrity jobs look for? The top searched job categories for Medicaid Program Integrity jobs are:
Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 25% In-person, and 75% Remote job distribution, with an average salary of $45,721 per year, or $22 per hour.

Program Integrity - Coordinator 1

State of Louisiana

Baton Rouge, LA • On-site

Other

Posted 23 days ago

State Of Louisiana rating

6.8

Company rating: 6.8 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

43rd of 50 rated states

Job description

Salary: Depends on Qualifications
Location : Baton Rouge, LA
Job Type: Unclassified
Job Number: R-002059
Department: University of New Orleans
Opening Date: 07/20/2026
Job Duties and Other Information
Please click HERE to apply.
  • Investigate providers of various Medicaid programs to ensure expenditures are made in accordance with Federal and State regulations.
  • Process and track all Medicaid provider and recipient related complaints reported via email, the Medicaid Fraud website or internally.
  • Interacts with varies internal and external entities such as Medicaid recipients, Medicaid providers, LDH program operations, licensing boards, the Attorney General's office, etc.
  • Document findings of investigations initiated by referrals from Medicaid programs including but not limited to OAAS, Behavioral Health, Provider Enrollment, MFCU and Plans.
  • Detail any corrective action(s) necessary after conducting a comprehensive case review of findings.
  • Ensure all providers are furnished with a written notification of any corrective actions and cite the applicable Medicaid/LaCHIP policy reference.
  • Assist in maintaining records of provider fraud, waste and abuse referrals for investigation.
  • Maintain findings and results on fraud referrals received within the centralized tracking system.
  • Conducts research on all policy violations and corrective action.
  • Maintains and assists with up-to-date reporting statistics and data for unit reports.
  • Notify management of any trends that are a direct cause of or contributing factor to errors that come to light during the review process or while tracking all cases received for review.
  • Refer applicable cases to the Office of the Attorney General.
  • Prepare written summary report with all relevant background facts.
  • Provide any assistance needed to the legal authority.
  • May be called upon as a witness to a case once it proceeds to trial.
  • Complete special projects as directed by management.

Required Qualifications:
  • Bachelor's Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.
  • Excellent analytical skills, effective organizational and time management skills.
  • Excellent verbal and written communications skills.
  • Proficient in the use of Microsoft Office, including but not limited to Outlook, Word, and Excel.

Desired Qualifications:
  • Advanced degree.
  • 2 years professional experience in provider enrollment and credentialing.
  • 1 year professional experience with Louisiana Medicaid policy and procedures.
  • Experience with Electronic Visit Verification.
  • Experience with data analysis and report development.

Benefits for unclassified employees are determined by the individual hiring authority.

What State Of Louisiana employees say

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About State of Louisiana

Sourced by ZipRecruiter

The State of Louisiana, based in Baton Rouge, LA, US, is not a traditional company per se, but a government body that oversees the administration of the state. As revealed on its official website, louisiana.gov, its wide range of services falls within public administration industry, including education, healthcare, infrastructure, environment conservation, and law enforcement. Founded in 1806, the State of Louisiana’s mission is to ensure a high quality of life for its residents by effectively managing public resources, enforcing laws, and fostering economic growth. Its most notable achievements include the successful implementation of its Coastal Master Plan, aimed at conserving Louisiana's extensive coastline, and the dramatic overhaul of its public education system.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Baton Rouge, LA, US

Year founded

1812

Social media

Twitter

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