Integrity Management Services, Inc.

Analyst

• Conduct medical record reviews and apply sound clinical judgment to claim payment decisions
• Additional research on medical claims data and other sources of information to identify problems
• Review sophisticated data model output
• Utilize a variety of tools to detect situations of potential fraud
• Support ongoing fraud investigations and requests for information
• Research national and local policy as well as Medicare and/or Medicaid guidelines for supporting references in review determinations
• Conduct reviews under the guidance of a Medical Review Manager/supervisor

Medical Review Analyst, Registered Nurse

Consultant

• Assist in the development of comparative billing reports (CBR) and programs to evaluate payment patterns electronic reports (PEPPER) reports in support of CMS’s effort to reduce Medicare fee-for-service improper payments.
• Uses data science techniques to perform and review tasks such as:
• Data Analysis on large data sets
• Data Mining
• Statistical Analysis, and
• Text Mining
• Participate in the evaluation of target areas for all PEPPER types, providing recommendations for discontinuation or identifying new target areas that could benefit specific facility types.
• Conduct claims data analysis to assist in the development of PEPPER reports targeted to physicians, suppliers, pharmacies and other medical professionals.
• Conduct research to support topic development and work with the data analytics staff in creating report metrics.
• Assist with analyzing outlier data to identify target patterns, other anomalous patterns and report findings as well as support ad-hoc reports and special studies as needed.
• Develops and reviews models using machine learning techniques.
• Applies Natural Language Processing (NLP) and Artificial Intelligence (AI) frameworks to address business challenges and support data-driven decision-making.
• Continuously learning (staying up-to-date) Medicare policy changes and updates.
• Support the development of educational materials and activities (webinars, conference calls) to support CMS, stakeholders and other contractors in using the report data.
• Support the ongoing review and updates of all PEPPER User Guides and related documentation across all PEPPER types.
• Support CMS and other contractors with provider questions related to report findings.
• Attends meetings, trainings, and conferences as needed or available
• Exercises appropriate discretion and independent judgment relating to company policies and practices in an effective, consistent and professional manner.
• Able to maintain quality and meet expectations.
• May provide subject matter expertise in areas of clinical nursing, quality, education, mentoring, or peer reviews.
• Maintains strict confidentiality and security of all sensitive and/or business confidential information obtained or accessed during the course of business and/or contract operations.
• Adheres to all IntegrityM and/or client privacy and security protocols governing sensitive and/or business confidential information.
• Adheres to applicable policies and procedures ensuring commitment to quality, compliance and security to protect the confidentiality, integrity, and availability of sensitive data and information.
• Ensures compliance with all applicable privacy and security training requirements (both IntegrityM and external/client-based), whether on an annual or ad/hoc basis.
• Exercises appropriate discretion and independent judgment relating to company policies and practices in an effective, consistent and professional manner.

Lead Clinical Data Consultant

Data Analyst

Lead Inpatient Data Analyst

• Provide senior-level support in Federal grants management and financial assistance programs, helping agencies navigate the full lifecycle of grants and cooperative agreements.
• Our team ensures compliance with Federal regulations and streamlines processes to enhance efficiency and accountability.
• Providing expert-level technical advice and consultation across all phases of the grants management lifecycle, including pre-award, post-award, and closeout.
• Conducting price/cost analyses, implementing new developments, and interpreting policy to guide program managers and senior leadership.
• Reviewing, analyzing, and ensuring compliance with applicable statutes, regulations, and agency-specific policies governing Federal financial assistance.
• Troubleshooting and resolving complex grants management issues in order to maintain program integrity and compliance.
• Supporting the development of procedures, templates, and process improvements to enhance efficiency and effectiveness in grants administration.
• Preparing documentation, reports, and correspondence that reflect expert understanding of Federal Assistance practices and requirements.
• Advising leadership on the implications of regulatory changes and new policy guidance.

Senior Grants Analyst

• Providing technical advice and consultation across the full lifecycle of grants management, including pre-award, post-award, and closeout.
• Conducting price/cost analyses and assisting with the interpretation of applicable regulations and policies.
• Reviewing and analyzing grant documents and ensuring compliance with Federal Assistance requirements.
• Supporting program managers and leadership by developing recommendations, documenting findings, and assisting with policy interpretation.
• Monitoring and maintaining compliance with internal controls, reporting requirements, and audit readiness.
• Preparing reports, correspondence, and documentation related to grant actions in accordance with Federal standards.
• Identifying issues and assisting in troubleshooting to resolve grant-related challenges.

Grants Analyst

• Integrity Management Services, Inc. (IntegrityM) is a woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs.
• At IntegrityM, we offer a culture of opportunity, recognition, and collaboration; flexibility; large company perks, small company feel.
• Position Title: Grants Analyst – Federal Grants Oversight; Location: Hybrid/Onsite; Employment Type: Full-Time.
• Supports evaluation, analysis, and monitoring of federally funded programs administered by states, tribes, and nonprofit organizations; assesses program performance, analyzes trends, ensures alignment with federal objectives and statutory requirements; contributes to data-driven decision-making and provides technical assistance to grantees. Programs include LIHEAP, CSBG, and CED.
• Conduct programmatic analysis of federal grants, evaluating implementation, outcomes, and compliance across state, tribal, and nonprofit organizations.
• Monitor grantee performance using data, reports, and stakeholder engagement to assess compliance with funding objectives and federal regulations.
• Support development and refinement of program policies, guidance, and evaluation tools.
• Analyze quantitative and qualitative data to identify trends, performance risks, and areas for improvement.
• Prepare reports, dashboards, summaries, and presentations communicating analytical findings to internal and external stakeholders.
• Collaborate with program managers, financial analysts, and auditors to ensure coordinated and effective approach to federal grant oversight.
• Participate in planning and executing program monitoring visits, webinars, and technical assistance activities.
• Contribute to best practices in programmatic oversight and continuous improvement of grant monitoring processes.
• May involve occasional travel for monitoring site visits, training events, or coordination with state, tribal, and nonprofit grantees.

Grants Analyst – Federal Grants Oversight

Auditor

• Integrity Management Services, Inc. (IntegrityM) is a woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs.
• IntegrityM offers a culture of opportunity, recognition, and collaboration. We thrive off of these fundamental elements that make IntegrityM a great place to work. We offer the flexibility our employees need to challenge themselves and focus on advancing their professional development and careers. Large company perks. Small company feel.
• www.integritym.com
• Location: Remote
Employment Type: Full-Time
• Position Overview: The Sr. Grants Auditor conducts audits and compliance reviews of federally funded programs administered by state, tribal, and nonprofit organizations. The role ensures fiscal integrity, accountability, and compliance with federal grant requirements. Responsibilities include identifying financial risks, detecting noncompliance, recommending corrective actions, and producing detailed audit reports. Work involves planning and executing audits, analyzing financial records, and supporting programmatic and regulatory oversight to uphold the integrity and transparency of federal grant administration.
• Key Responsibilities:
- Perform financial audits and compliance monitoring of grants awarded to states, tribes, and nonprofit organizations receiving federal funds.
- Evaluate accounting systems, internal controls, and financial records for accuracy, completeness, and adherence to federal requirements.
- Identify audit findings, assess risk, and prepare recommendations for corrective action.
- Prepare detailed audit workpapers and reports in accordance with generally accepted government auditing standards (GAGAS) and federal guidelines.
- Collaborate with program teams, grantees, and oversight bodies to clarify audit results and support remediation efforts.
- Monitor grant financial activity to detect patterns of misuse, noncompliance, or fraud.
- Support continuous improvement of audit methodologies and reporting processes.
- Ensure audit findings are documented clearly and follow established protocols for review and approval.

Senior Grants Auditor

Program Manager

• Integrity Management Services, Inc. (IntegrityM) is a woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs.\n• At IntegrityM, we offer a culture of opportunity, recognition, and collaboration. We thrive off of these fundamental elements that make IntegrityM a great place to work. We offer the flexibility our employees need to challenge themselves and focus on advancing their professional development and careers. Large company perks. Small company feel.\n• http://www.integritym.com\n• Position Title: Program Manager - Federal Grants Management\n• Location: Remote\n• Employment Type: Full-Time\n• Position Overview:\n• The Program Manager provides oversight, planning, execution, and monitoring of federal grant programs at both the national and state levels. This position is responsible for ensuring alignment with program objectives, compliance with federal requirements, and the delivery of measurable outcomes. Key areas of focus include strategic oversight of grants such as LIHEAP, CSBG, CED, and AFI; coordination of cross-functional teams; and application of project management principles to guide large-scale initiatives. The Program Manager also ensures that program performance is continuously evaluated and improved in accordance with federal grant standards and stakeholder expectations.\n• Key Responsibilities:\n• Provide full life cycle oversight and strategic direction for multiple federal grant programs, such as LIHEAP, CSBG, CED, and AFI.\n• Serve as a primary liaison between federal agencies, state-level stakeholders, subgrantees, and internal project teams.\n• Lead and manage diverse teams to achieve program goals, resolve issues, and meet deliverables within budget and on schedule.\n• Apply project management methodologies to organize, execute, and monitor large-scale projects, aligning them with performance and compliance standards.\n• Develop program reports, dashboards, and presentations for government clients.\n• Monitor grant performance metrics and ensure alignment with federal and state policy frameworks.\n• Conduct risk assessments and establish mitigation strategies across program operations.\n• Utilize monitoring tools (such as TeamMate+) to track compliance, audit readiness, and performance outcomes.\n• Travel: Position may involve occasional travel to Federal or state offices, partner organizations, or federal agencies.