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Medicare Medicaid Program Integrity Manager Jobs in Ridgeway, SC

Gentiva Hospice

Patient Care Manager

Columbia, SC · On-site

... Medicare, Medicaid, JCAHO, ACHC) * Knowledge and compassion for terminally ill patients and their ... Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) * Education ...

Amerihealth Caritas

Account Executive

Columbia, SC · On-site +1

... supporting Medicare, Medicaid, and/or Affordable Care Act (ACA) Exchange programs preferred ... Our offerings include integrated managed care products, pharmaceutical benefit management and ...

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All JobsMedicare Medicaid Program Integrity JobsMedicare Medicaid Program Integrity Manager JobsMedicare Medicaid Program Integrity Manager Jobs in Ridgeway, SC

Medicare Medicaid Program Integrity Manager information

See Ridgeway, SC salary details

$36.7K

$102.4K

$149.7K

How much do medicare medicaid program integrity manager jobs pay per year?

As of Sep 7, 2026, the average yearly pay for medicare medicaid program integrity manager in Ridgeway, SC is $102,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,800.00 and $126,300.00 per year, depending on experience, location, and employer.

What does a Medicare Medicaid Program Integrity Manager do?

A Medicare Medicaid Program Integrity Manager is responsible for overseeing efforts to prevent, detect, and address fraud, waste, and abuse within Medicare and Medicaid programs. They develop and manage compliance strategies, conduct audits and investigations, and ensure that healthcare providers and beneficiaries follow federal and state regulations. Their work helps protect public funds and maintain the integrity of government healthcare programs.

What are the key skills and qualifications needed to thrive as a Medicare Medicaid Program Integrity Manager?

To thrive as a Medicare Medicaid Program Integrity Manager, you need expertise in healthcare compliance, fraud detection, regulatory policy, and a bachelor's degree in healthcare administration or a related field. Familiarity with data analytics tools, case management systems, and regulatory databases such as CMS is typically required, along with certifications like Certified Professional in Healthcare Quality (CPHQ) or Certified Fraud Examiner (CFE). Strong analytical thinking, leadership, and effective communication skills are essential for coordinating investigations and collaborating with stakeholders. These skills and qualifications are crucial for upholding program integrity, minimizing fraud and abuse, and ensuring adherence to government healthcare regulations.

How does a Medicare Medicaid Program Integrity Manager typically collaborate with compliance teams and federal auditors?

A Medicare Medicaid Program Integrity Manager regularly works alongside compliance teams to develop and implement processes that detect and prevent fraud, waste, and abuse in government healthcare programs. They also serve as a key liaison during audits and investigations conducted by federal agencies, ensuring that all requested documentation is accurate and submitted promptly. Frequent communication and coordination with both internal teams and external auditors are essential, as these partnerships help maintain program integrity and regulatory compliance.

What job categories do people searching Medicare Medicaid Program Integrity Manager jobs in Ridgeway, SC look for?

The top searched job categories for Medicare Medicaid Program Integrity Manager jobs in Ridgeway, SC are:

What cities near Ridgeway, SC are hiring for Medicare Medicaid Program Integrity Manager jobs?

Cities near Ridgeway, SC with the most Medicare Medicaid Program Integrity Manager job openings:

Medicare Medicaid Program Integrity Manager jobs near you
Infographic showing various Medicare Medicaid Program Integrity Manager job openings in Ridgeway, SC as of August 2026, with employment types broken down into 96% Full Time, and 4% Temporary. Highlights an 78% In-person, 4% Hybrid, and 18% Remote job distribution, with an average salary of $102,445 per year, or $49.3 per hour.

Patient Care Manager

Gentiva Hospice

Columbia, SC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Gentiva Health Services rating

7.2

Company rating: 7.2 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

26th of 247 rated social care providers

Job description

Overview
Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.
$10,000 SIGN ON BONUS!
We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of patient care and regulatory compliance.
As a Hospice Patient Care Manager, You Will:
  • Oversee and direct patient care services to ensure the delivery of high-quality hospice care
  • Manage visit scheduling, including reassigned, missed, declined, or rescheduled visits-making decisions based on clinical judgment and priority
  • Triage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner
  • Lead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes
  • Serve as a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance
  • Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures
  • Support performance improvement initiatives, quality assessments, and operational efficiencies within your location
About You
Qualifications - What You'll Bring:
  • Current RN license in the state of employment
  • Graduate of an accredited nursing program
  • Minimum of 3 years of direct patient care experience, including 2 years in a hospice or home-based care setting
  • Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC)
  • Knowledge and compassion for terminally ill patients and their families
  • Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds
  • Strong interpersonal, organizational, and leadership skills
  • Competency in clinical documentation and technology systems
Preferred Qualifications (Not Required):
  • Bachelor of Science in Nursing (BSN)
  • Previous leadership, team management, or supervisory experience in hospice or home health
  • Familiarity with EMR systems and telehealth platforms
  • Certification in Hospice and Palliative Nursing (CHPN)
We Offer
Benefits for All Associates (Full-Time, Part-Time & Per Diem):
  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund
Additional Full-Time Benefits:
  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Ready to Join a Team That Cares?
Apply today and help us lead the way in delivering hospice care that truly matters.
Legalese
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace
Location
Gentiva Hospice
Our Company
At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include:
  • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care: Heartland Home Health
  • Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated.

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