Managed Care Oversight Analyst

A company is looking for a Departmental Analyst 9 to P11 - MCO Oversight Analyst. Key Responsibilities Assist in managing compliance with Medicaid Managed Care Entities' program integrity requirements Support the oversight of Medicaid Health Plans, Prepaid Inpatient Health Plans, and other related entities Conduct investigations related to fraud, waste, and abuse in programs administered by the department Required Qualifications, Training, and Education Possession of a bachelor's degree in any major No specific experience required for Departmental Analyst 9 One year of professional experience for Departmental Analyst 10 Two years of professional experience, including one year at the intermediate level, for Departmental Analyst P11 Active-duty experience in the uniformed services may substitute for educational requirements for Departmental Analyst 9

May 19, 2025 - 20:10

A company is looking for a Departmental Analyst 9 to P11 - MCO Oversight Analyst. Key Responsibilities Assist in managing compliance with Medicaid Managed Care Entities' program integrity requirements Support the oversight of Medicaid Health Plans, Prepaid Inpatient Health Plans, and other related entities Conduct investigations related to fraud, waste, and abuse in programs administered by the department Required Qualifications, Training, and Education Possession of a bachelor's degree in any major No specific experience required for Departmental Analyst 9 One year of professional experience for Departmental Analyst 10 Two years of professional experience, including one year at the intermediate level, for Departmental Analyst P11 Active-duty experience in the uniformed services may substitute for educational requirements for Departmental Analyst 9