Program Integrity Projects Manager

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Job Description:

As the Program Integrity Projects Manager you will:

Manage several Program Integrity projects

• The Payment Error Rate Measurement Audit

• Provide collaboration with the Managed Care Entities and the Unified Program Integrity Contractor and implementation and management of requirements related to 68-974.

• Program Integrity Activity Reporting

• Development design implementation and training related to new changes and projects or audits.

• Manage several Program Integrity Investigators

Hiring Wage: $28.371 per hour - Exempt
Work Schedule: Monday - Friday 8:00 AM 5:00 PM
Dress Attire: Business Casual

Location Lincoln at the Nebraska State Office Building

Driving Required

Requirements / Qualifications

Minimum Qualifications:Bachelors degree in business or public administration social/behavioral sciences education health sciences public health law or related field and experience in program planning implementation monitoring evaluating program functions or supervising/management staff and budgets. Related coursework training and/or education may substitute for the Bachelors degree on a year-for-year basis.

Preferred Qualifications:

• Knowledge of Nebraska Medicaid covered services and regulations (471 482 & 482).

• Experience with provider fraud waste or abuse investigations managing projects that involve Department staff and internal and external parties.

• Experience with Department systems including NFOCUS MMIS HIA and

• Experience with investigations into compliance with regulations.

Other: Valid drivers license or the ability to provide independent authorized transportation.

Knowledge Skills and Abilities:

Knowledge of: the principles and techniques of management; business and management principles including planning budgeting resource allocation and human resources; the principles of grant writing and grant administration; the techniques of research planning and evaluation; work performance or other standards of development; program analysis/evaluation; policy development.

Skill in: communicating to convey information so others will understand; drafting procedures; writing documentation or content.

Ability to: plan assign direct and evaluate the work of subordinate staff; learn apply and interpret agency policies and procedures relating to the assigned program or function; learn apply and interpret State and federal laws and standards; develop and maintain effective relationships with program representatives and the public; apply instructions; summarize program and administrative data/statistics into reports; formulate goals and plans; manage time and workflow of oneself and that of others to meet deadlines; demonstrate professionalism; operate basic computer software and hardware.

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