Jobs in the United States

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Added 2 hours ago
UB
Experience Manager
Ulta Beauty, Inc.
Rensselaer, NY
- $28.5 to $35 USD / hour
The Experience Manager (EM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 2 hours ago
Sales Manager
Ulta Beauty, Inc.
Brownwood, TX
The Sales Manager (SM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 2 hours ago
Sales Manager
Ulta Beauty, Inc.
Avondale, AZ
The Sales Manager (SM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 3 hours ago
General Posting 2027-2028: School Counselor
Virginia Beach City Public Schools
Virginia Beach, VA
Review school data frequently to ensure that the school counseling program is meeting the academic, career and personal/social development of all students.
Added 8 hours ago
Assistant Manager I
Dollar Tree Stores INC
Niskayuna, NY
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 8 hours ago
Merchandising Assistant Manager
Dollar Tree Stores INC
Sparks, NV
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 8 hours ago
Merchandising Assistant Manager
Dollar Tree Stores INC
Lamar, MO
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 12 hours ago
Task Order Project Manager (TOPM)
AMYX INC
Columbus, OH
Added 13 hours ago
Assistant Manager I
Dollar Tree Stores INC
Bluefield, WV
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 13 hours ago
Merchandising Assistant Manager
Dollar Tree Stores INC
Vernon, TX
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 13 hours ago
Assistant Manager II
Dollar Tree Stores INC
Dallas, TX
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 13 hours ago
Merchandise Manager
Dollar Tree Stores INC
Beaumont, TX
As a Merchandise Assistant Manager at Dollar Tree, you’ll join our Store Manager in leading a dynamic team of associates and creating positive experiences for the communities we serve. In…
Added 13 hours ago
Business Development Manager - Federal
Loenbro
Great Falls, MT · Westminster, CO
Federal maintenance, Indefinite Delivery, Indefinite Quantity/ Multiple Award Task Order Contract (IDIQ/MATOC) task order, and project lead generation.
Added 14 hours ago
Assistant PT Manager
CLUB4 FITNESS
Plano, TX
A Club4Fitness Assistant Personal Training Manager is responsible for assisting the Personal Training Manager (PTM) in mentoring new and existing personal trainers whose role includes…
Added 14 hours ago
UB
Operations Manager
Ulta Beauty, Inc.
Columbus, OH
- $24 to $31 USD / hour
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 14 hours ago
Sales Manager
Ulta Beauty, Inc.
Palestine, TX
The Sales Manager (SM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 14 hours ago
UB
Operations Manager
Ulta Beauty, Inc.
Mentor, OH
- $23 to $30 USD / hour
The Operations Manager (OM) is responsible for leading through Ulta Beauty’s mission, vision, and values in order to develop a high-performing team that consistently delivers top-line sales…
Added 14 hours ago
Contracting Officer Representative
Centers for Medicare & Medicaid Services
Woodlawn, MD
Added 14 hours ago
Contracting Officer Representative
Centers for Medicare & Medicaid Services
Woodlawn, MD
Added 14 hours ago
Network Operations & Engineering Manager
CACI International
National Harbor, MD
CACI is seeking a Network Operations & Engineering Manager to join our Desktop Support Services (DSS) team supporting the Department of Homeland Security (DHS). The Network Operations &…
Added 14 hours ago
Computer Systems Analyst - Windows
Northrop Grumman
Elkridge, MD
…must be enrolled in the U.S. Government Continuous Evaluation Program (CEP) in order to be considered; the required security clearance must be maintained as a condition of continued…
Added 14 hours ago
Health System Specialist
Veterans Affairs, Veterans Health Administration
Baltimore, MD
Added 15 hours ago
TDCJ - Maintenance Supervisor III - Plumber, Water
Texas Department of Criminal Justice - SET
BRAZORIA, TX
Added 15 hours ago
Functional Manager – Bone, EVA, and Exercise Physiology Laboratories
Trinzic
Houston, TX
…International Space Station, Artemis, Moonbase , the Human Research Program (HRP), and ground analog studies. Here you will demonstrate a steadfast commitment to the performance, safety,…
Added 16 hours ago
CF
Assistant PT Manager
CLUB4 FITNESS
Orlando, FL
- $22 to $30 USD / hour
A Club4Fitness Assistant Personal Training Manager is responsible for assisting the Personal Training Manager (PTM) in mentoring new and existing personal trainers whose role includes…

CoventBridge Integrity Systems

Medicaid/Medicare Program Integrity Analyst II

Remote, United States

$70,000 to $77,000 USD / year

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Job details

Pay: $70,000 to $77,000 USD / year
Apply by: Oct 30, 2027
Posting language: English
Posted: Oct 30, 2026

Original job description

Overview

Medicaid/Medicare Program Integrity Analyst II - REMOTE

The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appropriate administrative actions.

In assuming this position, you will be a critical contributor to meeting CoventBridge Integrity Systems' objective: To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.

This position will report directly to the Program Integrity Supervisor and will work in our Grove City, OH office. If not local, remotely from a home office.

Responsibilities/ Requirements

Responsibilities:

Perform evaluation and development of leads, complaints, and/or investigations to determine if further investigation and administrative actions are warranted
Conduct independent reviews resulting from the discovery of situations that potentially involve fraud or abuse
Utilize basic data analysis techniques to detect aberrancies in Medicare and Medicaid claims data, and proactively seeks out and develops leads/investigations received from a variety of sources (e.g., CMS, OIG, 1-800-MEDICARE, and fraud alerts)
Review information contained in standard claims processing system files (e.g., claims history, provider files) to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in Medicare and Medicaid policies and initiate appropriate action
Make potential fraud determinations by utilizing a variety of sources such as internal guidelines, Medicare and Medicaid provider manuals, Medicare and Medicaid regulations, and the Social Security Act
Compile and maintain documentation and information related to investigations, cases, and/or leads
Participate in onsite audits in conjunction with investigation development
Develop and prepare potential Fraud Alerts and program vulnerabilities for submission to CMS. Share information on current fraud investigations with other Medicare contractors and state Medicaid agencies, law enforcement, and other applicable stakeholders
Prepare and submit external correspondence and reports, including, but not limited to, overpayment letters, fraud case referrals, suspensions, rebuttals, Medicare/Medicaid findings reports, and administrative action recommendations
Submit suspension notifications to providers upon suspension approval
Prepare and submit ADR letters to providers associated with requests for medical record requests or suspension overpayment determinations
Serve as mentor/trainer to new Program Integrity staff
Perform other duties as assigned by PI Supervisor or PI Manager that contribute to task order goals and objectives

Requirements:

Excellent research and organization, prioritization, and time management skills
Excellent verbal and written communication skills
Ability to work independently with minimal supervision
Ability to multi-task in a fast-paced environment
Knowledge of statistics, data analysis techniques, and PC skills are preferred

Educational/Experience Qualifications:

High School Diploma or G.E.D. equivalent, with preference given to those candidates who have successfully completed college or technical degree programs related to the position (e.g., Criminal Justice, Statistics, Data Analysis, etc.)
Candidates with Certified Fraud Examiner (CFE) Certifications will be given priority consideration
At least 1 year of experience in Program Integrity investigation/detection or a related field that demonstrates expertise in reviewing, analyzing/developing information, and making appropriate decisions

Benefits

Medical, Dental, Vision plans
Life, LTD and STD paid by the employer
401(k) with company match up to 4%
Paid Time Off and company paid holidays
Tuition assistance after 1 year of service

The salary range for this role is $70,000 to $77,000 annually. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.)

About Us:

CoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk.

CoventBridge Integrity Systems is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.

CoventBridge Integrity Systems is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge Integrity Systems will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.

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