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Program Integrity Specialist (209140)

  • Kansas Department of Health and Environment
  • Topeka (Full-Time)

Posted: Aug 16, 2023

Job Description: The Program Integrity Specialist (K0221996) Monitors and directs implementation of FFS utilization reviews of services provided to Medicaid consumers by selected providers. Reviews are completed by fiscal agent medical and policy analysts including RNs. Manages subsequent corrective action activities as determined when inadequacies or weaknesses are identified by fiscal agent utilization management (UM) provider reviews. Imposes sanctions on providers based on case reviews and investigations for the purpose of elimination of improper utilization of Medicaid funds. Assists the ...
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Salary Range

$ $21.13 to $23.31