The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program
Job Summary
The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program.
This position is responsible for providing oversight of vendors and Managed Care Organizations (MCOs), supporting investigations, and engaging in audit activities.
This position also serves as a subject matter expert (SME) in consultations with management and team members regarding Medicaid policies and procedures.
Matching Summary
The Lead Managed Care Investigator plays a critical role in ensuring quality and compliance within the Medicaid program.