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Managed Care Oversight Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

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

Keywords: VirtualVocations, Corona , Managed Care Oversight Analyst, Professions , Vista, California

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