Managed Care Oversight Analyst

Job Summary

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