Program Integrity Administrator Opening – North Dakota

https://www.omb.nd.gov/team-nd-careers/career-openings

Program Integrity Administrator

Job ID 3025818

Location Telecommute

Salary Range From 5973.00 To 7964.00 Monthly

Full/Part Time Full-Time

Regular/Temporary Regular

Closing Date 9/12/2023

Medical Services – Telecommute Nationwide – Program Integrity Administrator

The North Dakota Department of Health and Human Services (DHHS) is seeking a Program Integrity Administrator for its Medical Services Division to lead program integrity efforts and strategy in North Dakota Medicaid. North Dakota Medicaid provides health care access to 1 in 6 North Dakotans and plays a vital role in shaping healthcare in North Dakota. North Dakota Medicaid services children, low-income families and adults, elderly adult, and individuals with disabilities.

As the Program Integrity Administrator, you’ll direct the development, implementation and maintenance of contracts, policies and procedures for the Surveillance Utilization Review Section (SURS), Fraud, Waste and Abuse (FWA) Section, Managed Care Program Integrity, and Medicaid Provider Enrollment. You’ll provide training, education, outreach and reports to a variety of providers and stakeholders. Additionally you will serve as a resource for identifying error trends and root causes, risk analysis, performance improvement, and compliance-related initiatives and special projects, and provide guidance and mentorship to team members.

To be successful in this position , you should be able to build and manage a healthy, collaborative team culture, influence and engage stakeholders, and be able to drive results. You view your work through a compliance lens, have a mindset for continuous quality improvement, and ability to complete tasks with minimal direction. You must be able to analyze raw data, provide strategic interpretation, assess problems, and identify creative solutions. You enjoy organizing and leading projects and drafting procedures and policy. You are experienced in data analysis and Microsoft Office products including advanced skills using Excel.

To be considered for this position , you must have either a bachelor’s degree with a major in business, public, or healthcare administration and six (6) years related professional work experience that involves program administration, process improvement and lead work; OR a master’s degree in one of the fields listed above and four (4) years related professional experience in program administration. Prior supervisory experience is preferred; OR eight (8) years related professional work experience involving program administration, process improvement and lead work.

About DHHS: ND DHHS strives to make North Dakota the healthiest state in the nation by reinforcing the foundations of well-being: physical, economic, and behavioral. Those services are to be delivered as close to home as possible with a focus on dignity and respect. The keys to delivery of those services are the 2800 committed, compassionate ND DHHS team members and more than $4 billion in funding from nearly 200 different federal, state, and special sources.

Location: ND DHHS utilizes a blended workplace model. The Program Integrity Administrator may be remote within the United States a with willingness and ability to travel for occasional in-person meetings.

About Team ND

“Far and away the best prize life offers is the chance to work hard at work worth doing.” – Theodore Roosevelt

More than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.

Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family. In addition to the exceptional health insurance and retirement benefits, DHHS values continued learning and career enhancement. Therefore, we offer varying continuing education formats, including in-person and online, as well as tuition reimbursement.

Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.

Application Procedures

Your resume should include information to demonstrate how you meet the minimum qualifications as posted. If the Department’s Human Resource Division is unable to determine that you meet the minimum qualifications, credit will not be given.

Applicants must be legally authorized to work in the United States. The Department of Health & Human Services does not offer or provide sponsorships.

All application material must be received on or before the closing date by 11:59 pm.

A copy of your qualifying degrees transcript and any applicable certifications or licensures must be provided at the time of an interview.

For more information or if you need an accommodation, please contact Shelly Lura at dhhscareers@nd.gov or at 701.239.8931.

Employing Unit: ND DHHS – Medical Services

TTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice)

If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact recruiter@nd.gov or (701)328-3290.

Equal Employment Opportunity

The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.

As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. § 23-12-10.