Des Moines, IA26 days ago
Serving as the primary liaison between Sun Life DentaQuest and our client at Iowa Health and Human Services, the Program Integrity Manager is based near Des Moines, Iowa, works full time, and is responsible for ensuring transparency, accountability, and safeguarding the integrity of Medicaid programs through full access to claims, processing data, and investigative resources. The Program Integrity Manager leads and oversees a Medicaid Managed Care program integrity operation, providing strategic direction, leadership, and oversight of special investigations and contractor activities to prevent and address fraud, waste, and abuse while upholding compliance regulations.