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Part-time Employee

Remote

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About Us

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 perksSmall company feel!

Description

We are now seeking a Regulatory Policy Analyst who will collaborate with the Project Director, SMEs, and other IntegrityM team members, as necessary, to define potential areas or topics for analysis.

Responsibilities

• Provide research assistance for issues, policies, laws, regulations, and industry standards, primarily in Medicaid, CHIP, and School Based Services (SBS)
• Provide research assistance with developing the Technical Assistance (TA) Plan, training materials, templates, tool kits, cheat sheets, FAQ, etc.
• Provide research assistance, stakeholder outreach, and education services
• Provide research assistance in response to requests from the Medicaid SBS mailbox
• Provide research assistance with developing the Biennial Reports and Evidence Based Measures
• Maintain Compliance with data security requirements

Requirements

Qualifications

• Minimum Education & Experience: Bachelor's + 7 years of experience
• Bachelors in Public Health, Public Policy, Health Services or a related field is ideal
• Experience using Microsoft Word, Excel, PowerPoint and SharePoint

The selected candidate will have knowledge and thorough understanding and experience of the following:

• The Medicaid Program. This includes an understanding of the Medicaid programs primary programmatic components, beneficiary populations, Medicaid payment methodologies, regulations, statutes, and Medicaid data systems.
• Medicaid State Plan process expertise, including an understanding of the drafting of an approvable Medicaid state plan methodology and all federal regulatory requirements associated with that process.
• Medicaid Cost Reporting process expertise, including an understanding of the development and implementation of a Medicaid cost report and documentation related to that process.
• Medicaid and CHIP financial data reporting on the CMS-64, particularly with the documentation of claims for purposes of supporting an audit.
• Understanding of Medical Coding, particularly with coding a claim that may or may not be accompanied by a diagnosis of a patient as often happens in schools.
• An ability to effectively use and analyze large amounts of state, territory, and federal Medicaid data sources as well as identify and use other available access to care data sources.
• The understanding and ability to produce reports that are completed at a level that policy analysts at CMS would easily understand and that support the purpose of this SOW.
• An understanding of the Individuals with Disabilities Education Act policies and procedures that ensure students with disabilities receive a free, appropriate, public education in accordance with their individualized education plan.
• An understanding of federal programs designed to assist schools attract and retain qualified education, health and mental health professionals who can provide school-based services.
• An understanding and ability to produce reports that are at a level that policy analysts at CMS and in state and territory governments would easily understand.
• Experience analyzing financial data.
• Experience with program evaluation.
• Experience in conducting Webinars to large audiences and report outcomes.
• Conduct policy research and use to identify opportunities and solutions
• Past experience in policy development or drafting technical documents is a plus
• Provide recommendations for improvements process and procedures
• Demonstrated knowledge of Medicaid federal and state specific laws and regulations.

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.