University of New Orleans
Program Integrity - Coordinator 1
Baton Rouge, La
Sponsorship not specifiedDetected 7 days ago
Data AnalysisStatisticsResearchCommunicationTime ManagementMicrosoft Office
About the role
- 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.
Responsibilities
- Maintain findings and results on fraud referrals received within the centralized tracking system.
- Maintains and assists with up-to-date reporting statistics and data for unit reports.
Requirements
- Bachelor's Degree, or Associates degree with 3 years professional experience, or 6 years professional experience in lieu of the degree.
- 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.
- Required Attachments
- Cover Letter indicating why you are a good fit for the position and LSU New Orleans
- Applications that do not include the required uploaded documents may not be considered.
- Detailed resume listing relevant qualifications and experience;
- Names and contact information of three references;
Nice to have
- Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter.
- The search committee will use this information during the initial review of application materials.
- References will be contacted at the appropriate phase of the recruitment process.
- This position may require a criminal background check to be conducted on the candidate(s) selected for hire.
- LSU New Orleans seeks to recruit a highly productive workforce and will provide equal employment opportunities to all employees and prospective employees.
- Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.
Benefits
- Document findings of investigations initiated by referrals from Medicaid programs including but not limited to OAAS, Behavioral Health, Provider Enrollment, MFCU and Plans.
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