Our goal is to empower clients to deliver on their missions, enhance program/payment integrity initiatives, and elevate best practices utilizing decades of experience in healthcare fraud, waste, and abuse (FWA). At Integrity Management Services, Inc. (IntegrityM), we strive to safeguard the integrity of healthcare systems while prioritizing the protection of our clients and beneficiaries. IntegrityM, an award-winning Certified Women-Owned Small Business, specializes in optimizing payment and program integrity for both Federal and nonfederal programs. Our healthcare expertise spans across various domains, including Medicare (Part A, B, C, and D), Medicaid, Managed Care, and the Marketplace. With over 20 years of experience, our team excels in consistently identifying and mitigating numerous cases of Medicare and Medicaid improper payments, program vulnerabilities, and potential FWA. Our solutions include statistical and data analysis, coding and medical reviews, fraud investigations, audits, compliance reviews, grants management, training and education, and technology solutions. For nearly two decades, IntegrityM has been a leader in program/payment integrity services, FWA prevention and detection, and compliance services. We serve a broad range of clients, including government agencies, health plans, and other healthcare providers. Our team of investigators, auditors, medical review nurses and coders, statisticians, data analysts, and Medicare and Medicaid subject matter experts converge expertise and experience providing exceptional customized solutions. We take pride in our in-depth knowledge and application of healthcare regulations, identification of the latest fraud schemes, and analysis of large datasets, combined with agility and adaptability, allowing us to rapidly meet our clients’ program needs.
Open Positions
Proposal Writer/Editor
5+ years' experience as a content writer/editor, Bachelor's degree in English, Technical Writing, Communications, and strong time management habits
Managed Care Audit Manager (Full-time, Remote)
3+ years of management experience in auditing, knowledge of federal healthcare programs, and CPA license required
Medicaid Audit and Compliance Specialist (Full-time, Remote)
5-7 years of related experience in finance, accounting, or auditing. Bachelor’s Degree in finance, accounting or related field required
Healthcare Statistician (Full-time, Remote)
Bachelor's degree in statistics/biostatistics, mathematics, computer science, or other job related field. 2-3 years of experience with data analysis, preferably in the healthcare industry. Proficient in project software: Python, Databricks, SAS, SQL, Excel, Word, PowerPoint, Business Objects, and Outlook
Clinical Nurse Coding Auditor (Part-time, Remote)
Associate's degree, 5+ years of clinical nursing experience, and knowledge of commercial insurance plans and Medicare/Medicaid programs