Program Integrity Investigator Jobs in Virginia (NOW HIRING)

About Us

www.integritym.com

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.

At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees' professional development. Large company perks...Small company feel!

Description

In this role, the Test Engineer will be responsible will design, implement, and execute test plans to ensure the quality and performance of assigned products. This role requires a strong understanding of testing methodologies and tools, as well as excellent problem-solving skills. The Test Engineer works independently as well as collaboratively with various team members and managers as well as focused on delivering high-quality products.

Job Responsibilities

• Test design and development to include:
• Create, document, and execute test plans and test cases based on product requirements, user stories, and acceptance criteria.
• Develop and maintain automated test scripts to improve testing efficiency.

Testing execution:

o   Perform functional, regression, performance, and UAT and usability testing on software, hardware, and/or systems.

o   Identify, document, and track defects and issues in a clear and concise manner ensuring clear traceability of test activities.

Collaboration:

o   Work closely with developers, product managers, and other stakeholders to understand requirements and ensure comprehensive test coverage.

o   Provide feedback and suggestions for product improvement based on test results.

o   Participate in SAFe PI Planning sessions and SCRUM ceremonies, such as daily stand-ups, sprint reviews, and retrospectives.

Reporting:

o   Prepare detailed test reports, including test results, defect analysis, and performance metrics.

o   Monitor and report on the status of testing progress and quality trends.

Process Improvement:

o   Continuously improve testing processes and tools to enhance productivity and product quality.

o   Stay updated with industry best practices, emerging technologies, and testing tools.

• Ensures compliance with all applicable privacy and security training requirements (both IntegrityM and external/client-based), whether on an annual or ad/hoc basis. Please note: certain position levels (leads, managers, directors or higher) may require additional "role-based" training to ensure compliance with applicable privacy and security requirements.
• Serve as the primary liaison between business users, stakeholders, and the technical team, ensuring clear communication and understanding of project requirements and objectives.
• Conduct requirements gathering sessions, track requirements throughout the project lifecycle, and perform thorough analysis to ensure alignment with business needs.
• Create detailed process models, diagrams, and related documents to support project development and implementation.
• Utilize digital platform tools such as Jira, Confluence, Camunda, Appian, Bizagi, ServiceNOW, Workday, Salesforce, AWS, and Azure to support business processes and project requirements.
• Communicate complex information clearly and effectively to both technical and non-technical professionals.
• Ensure that all projects comply with CMS policies, procedures, and regulatory requirements, particularly those related to program integrity.
• Ensuring compliance with CMS policies and regulatory requirements
• Utilizing digital platform tools for business processes

Requirements

Job Qualifications:

• Bachelor's degree in Computer Science, Engineering, Information Systems, or a related field (or equivalent experience).
• 2+ years of experience in software or system testing, including manual and automated testing.
• Ability to create and execute detailed test cases, test plans, and test scripts
• Proficiency in testing tools such as Selenium, JIRA, or equivalent.
• Knowledge of programming languages like Python, Java, or C++ is a plus.
• Strong understanding of SDLC (Software Development Life Cycle) and STLC (Software Testing Life Cycle).
• Experience with SAFe, Agile, and/or Scrum methodologies.
• Familiarity with CI/CD tools and frameworks (e.g., Jenkins, Git).
• Knowledge of healthcare system requirements and compliance standards such as HIPAA.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and commitment to quality.
• Effective communication skills, both written and verbal.
• Ability to work independently and collaboratively.

• Ability to work collaboratively with cross-functional teams and stakeholders.
• Deep understanding of CMS policies, procedures, and regulatory requirements, particularly those related to program integrity and fraud, waste and abuse.
• Strong analytical and problem-solving skills, with a demonstrated ability to independently develop innovative solutions.

Benefits

This position is eligible for the benefits applicable to full-time regular employees, such as:  vacation, sick leave, paid holidays, health insurance, dental insurance, vision insurance, short- and long-term disability, life insurance, employee assistance plan, 401(K) retirement plan, and educational benefits.

U.S. remote annual salary range: $55,000-$85,000/annual

For candidates in jurisdictions requiring range disclosure, this is the good-faith range for this role; final pay may vary by work location and  job-related factors such as skills, experience, location, and internal equity. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.