Integrity Management Services, Inc.

General

• Supports identification and selection of a business leader who owns strategy and execution for expansion into state markets
• Focuses on building and advancing a state market strategy, with emphasis on state health and human services programs
• Plays a central role in expanding IntegrityM beyond its federal base
• Builds the new State market practice by aligning company capabilities with state needs
• Shapes growth strategy, and leads execution from opportunity identification through delivery
• Serves as the primary leader for state market development
• Responsibilities include relationship development, portfolio growth, capture strategy, and initial delivery oversight until work scales
• Collaborates with internal teams to support procurement, pricing, and execution while driving client diversification and revenue growth
• Establishes relationships, drives strategy, secures work, and guides early delivery while scaling a sustainable market presence

New Markets Business Leader

Content Writer

• Work closely with the Marketing team, Business Development Team, Executive team, subject matter experts, and other IntegrityM personnel to produce winning content
• Responsible for creation, edits, and final review of proposed publications
• Will help manage marketing needs via Trello/other digital PM tools
• Gather necessary information from program personnel and research applicable policy, regulations, and best practices to support the team in developing, writing, formatting, and editing technical and non‐technical information for reports, white papers, blogs, marketing collateral, procedures, processes, briefs, and other forms of documentation
• Provide technical and editorial document review and written feedback on documents
• Maintain regular and frequent direct communication with subordinates to clearly articulate goals and priorities, and build trust and confidence
• Meet with proposal team to strategize win themes and proposal approaches
• Interview technical subject matter experts and develop written narrative from these interviews
• Write a variety of proposal sections, including executive summaries, technical approaches, management plans, and other content, and integrate proposal content authored by other writers into cohesive, compliant technical proposals with the flow of one voice
• Proofread and edit all work product: Review all proposals for consistent style and formatting according to company style guidelines. Ensure accurate spelling, punctuation, and grammar
• Stay informed of market developments in creative areas through reading, industry involvement, and research to determine competitive factors our company must address to stay viable and profitable

GovCon Proposal Writer/Editor – On-Call, Freelance

• Supports identification and selection of a business leader for state markets expansion
• Builds and advances a state market strategy focusing on health and human services programs
• Plays a central role in expanding the company beyond federal base
• Aligns company capabilities with state needs, shaping growth strategy
• Drives execution from opportunity identification through delivery
• Develops relationships, portfolio growth, capture strategy, and initial delivery oversight
• Collaborates with internal teams to support procurement, pricing, and execution
• Guides early delivery while scaling a sustainable market presence

New Markets Business Leader – State HHS, Medicaid Managed Care

Auditor

• Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
• Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
• Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
• Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
• Support fraud investigators with medical review expertise to detect and address fraudulent activities.
• Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

SIU Nurse Auditor, RN, CPC

Compliance

• Applies in-depth knowledge of federal and state regulations and healthcare industry standards.
• Comprehends and follows auditing plans and methodologies specific to contract requirements.
• Prioritization and assignment of workload, ensuring adherence to task order policies and procedures.
• Examines and calculates data from financial documents and statements such as provider cost reports as a method of audit.
• Utilize data mining and trend analysis tools to detect anomalies in Medicaid billing and payment patterns.
• Attend on-site audits to retrieve medical records and conduct provider entrance/exit conference.
• Prepare and submit medical record request letters to providers associated with requests for medical record requests or suspension overpayment determinations.
• Interpret and apply pertinent laws, regulations, policies, and procedures relevant to the specific audit findings and provider type being audited.
• Ensure Generally Accepted Government Auditing Standards (GAGAS) standards are applied to each applicable audit to identify fraud, waste or abuse.
• Preparing factual and objective written reports in conformance with professional auditing and evaluation standards and present findings to leadership, external agencies, and government partners.
• Calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures.
• Prepare and send suspension overpayment determinations to providers when applicable.
• Communicates with federal/state agencies and providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.
• Attends briefings and presentations as assigned.
• Maintains fraud case development quality standards so that proper case development is ensured, and quality cases are fully prepared.
• Maintains proper and timely updates in appropriate tools and applications for their investigations. Case development databases and documents.
• Develops and documents reports of investigative findings, compiles case file documentation, calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures.
• Program research relating to federal program applications, eligibility, payments, and other program requirements.
• Conducts on-site visits and/or interviews as required for investigation.
• Identify weaknesses in current audit processes and recommend enhancements for improved efficiency and effectiveness.
• Performs ad hoc tasks/duties as assigned.

Medicaid Audit and Compliance Specialist – Full-time

IT Support

• **About Us**
• Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
• At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!
• www.integritym.com
• **Position Summary ****IntegrityM is seeking an experienced Audit Manager to lead and oversee complex healthcare program audits in support of federal oversight initiatives. This full-time leadership role is responsible for managing audit engagements, supervising professional staff, ensuring compliance with government auditing standards, and delivering high-quality audit reports to support program integrity objectives.
• The ideal candidate brings strong experience in healthcare auditing, deep knowledge of federal health program requirements, and demonstrated success managing audit teams in a regulated environment.
• **Key Responsibilities **
• Lead and manage multiple audit engagements from planning through reporting and follow-up. **• Develop audit work plans, risk assessments, and testing methodologies. **• Ensure compliance with applicable federal regulations, program guidance, and Government Auditing Standards (GAGAS). **• Supervise, mentor, and evaluate audit staff. **• Review workpapers, findings, and reports for accuracy, quality, and adherence to standards. **• Communicate audit results and recommendations to senior leadership and external stakeholders. **• Identify emerging risks and recommend process improvements. **• Support continuous enhancement of audit methodologies and internal quality controls.

Federal Healthcare Audit Manager

Program Manager

• Serve as the primary point of contact for client leadership and key stakeholders
• Provide executive oversight and management of all contract activities and deliverables
• Lead operational planning, staffing coordination, workload management, and resource allocation activities
• Manage multidisciplinary teams and subcontractors to ensure successful contract execution
• Oversee operational performance, quality management, reporting activities, and deliverable schedules
• Monitor program risks, operational metrics, staffing utilization, and project performance
• Ensure timely delivery of high-quality deliverables and operational support activities
• Support implementation of quality assurance and continuous improvement initiatives
• Coordinate stakeholder communications, executive briefings, and operational meetings
• Manage schedules, staffing plans, budgets, and reporting activities
• Support governance, operational oversight, and strategic planning efforts
• Collaborate with operational, compliance, analytics, and technical teams to support successful program execution

Program Director, Federal Healthcare Audit

• Perform complex audit and compliance review activities in accordance with program requirements and established methodologies
• Conduct detailed case analysis, evidence review, operational assessments, and compliance testing activities
• Review financial, operational, and supporting documentation to assess compliance with applicable requirements and standards
• Develop and maintain audit workpapers, supporting documentation, and audit records
• Support development of audit findings, recommendations, corrective action assessments, and reporting materials
• Evaluate operational processes, payment activities, and compliance documentation for accuracy and completeness
• Collaborate with program leadership, compliance staff, analysts, and operational teams to support successful audit execution
• Participate in quality review and continuous improvement activities
• Support preparation of reports, summaries, briefings, and operational deliverables
• Assist with issue identification, trend analysis, and operational risk assessments
• Ensure timely completion of assigned tasks and deliverables while maintaining quality and compliance standards