Integrity Management Services, Inc.

Integrity Management Services, Inc. (IntegrityM) is a certified Woman Owned Small Business founded by former Inspector General Richard Kusserow. Specializing in establishing and auditing government organizations, IntegrityM focuses on quality improvement, compliance, and initiatives addressing fraud, waste, and abuse.

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Jobs at this company:

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🔥 Marketing Specialist (Full-time or Part-time, Remote)

Posted 2 days ago

📍 United States

🧭 Full-Time, Part-Time

🔧 Requirements

Bachelor's degree in Marketing, Design, Communications, or a related field.
2-3 years of experience as a Marketing Specialist or in a similar role, with a strong focus on creative design and video production.
Proficiency in graphic design software and tools, such as Adobe Creative Suite (Photoshop, Illustrator, InDesign, Premiere Pro, After Effects), Canva, and others.
Solid understanding of design principles, typography, color theory, and layout techniques.
Demonstrated portfolio showcasing design skills and creativity.
Excellent verbal and written communication skills.
Strong attention to detail and ability to work in a fast-paced, deadline-driven environment.
Knowledge of current marketing trends, digital platforms, and best practices.
Ability to collaborate effectively with cross-functional teams and stakeholders.

💡 Responsibilities

Design and develop marketing collateral, including website graphics, social media visuals, infographics, brochures, flyers, presentations, and advertisements.
Produce and edit video content for various platforms, including YouTube and LinkedIn, ensuring alignment with brand messaging and campaign objectives.
Create visually engaging content for digital platforms, such as websites, landing pages, digital newsletters, and social media channels.
Collaborate with the Marketing Director to conceptualize and execute compelling marketing campaigns across multiple channels, ensuring brand consistency and high visual impact.
Assist in the development and execution of A/B testing and optimization strategies to improve marketing effectiveness.
Maintain and enforce brand identity, style guidelines, and visual assets library.
Ensure a cohesive integration of visual and written content across all marketing materials.
Conduct market research to stay updated on industry trends, informing design decisions and campaign strategies.
Utilize analytics tools to monitor website and campaign performance and apply insights to refine marketing strategies.
Work closely with internal stakeholders, including business development and product teams, to ensure marketing materials align with brand guidelines and business objectives.

Adobe After EffectsAdobe Creative SuiteAdobe IllustratorAdobe InDesignAdobe PhotoshopGraphic DesignHTMLCSSContent creationContent managementCommunication SkillsCollaborationSEOAttention to detailMarket ResearchMarketingDigital MarketingCRMWordPressA/B testing

Posted 2 days ago

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🔥 Senior Medicaid Auditor (UPIC) (Full-time, Remote)

Posted 15 days ago

📍 United States

🧭 Full-Time

🔧 Requirements

Bachelor’s degree in finance, accounting or related field preferred.
Knowledge and experience in auditing Medicare/Medicaid and other government payment and oversight programs (CMS, HRSA, OIG, DOE, Dept. of Commerce etc.).
Knowledge and experience in the application of government accounting principles and standards, including Generally Accepted Government Auditing Standards (GAGAS).
5+ Years of experience that is directly related to the duties and responsibilities specified.
Ability to provide guidance and training to professional staff in area of expertise.
Strong investigative skills.
Advanced data analysis skills.
Knowledge of medical terminology, ICD-9-CM, ICD-10-CM HCPCS level II and CPT codes. Utilizes Medicaid and Contractor guidelines for coverage determinations.
Experience in reviewing claims for appropriate billing and medical coding requirements, performing medical review, and/or developing fraud cases.
Strong oral and written communication skills, strong interpersonal skills, and superior organizational abilities.
Ability to take initiative, to maintain confidentiality, to meet deadlines, and to work in a team environment.
Ability to report work activity on a timely basis.
Ability to work independently and as a member of a team to deliver high quality work.
Ability to multitask and prioritize assignments while meeting deadlines.
Passion and alignment with IntegrityM’s mission, vision, values and operating principles.
Must pass post hire background screening checks
For remote work, required to have wired and/or wireless internet access.
Ability to obtain security clearance, if required by Client/Contract.

💡 Responsibilities

Applies comprehensive knowledge of federal and state Medicaid regulations, healthcare industry standards, and auditing methodologies specific to contract requirements.
Plans, prioritizes, and assigns workloads to ensure compliance with task order policies and procedures.'
Conducts audits by examining and calculating data from financial documents, including provider cost reports, and applies data mining and trend analysis to detect anomalies in Medicaid billing and payment patterns.
Prepares and submits medical record request letters to providers in support of audits, overpayment suspensions, or compliance investigations.
Interprets and applies relevant laws, regulations, policies, and procedures to audit findings and formulates accurate determinations.
Prepares clear, factual, and objective reports in adherence to professional auditing and evaluation standards; presents findings to internal leadership, external agencies, and government partners.
Calculates improper payments and develops findings, recommendations, and corrective actions in accordance with applicable guidelines.
Serves as a liaison with federal and state agencies and healthcare providers to address regulatory compliance issues, communicate audit outcomes, and support recovery processes
Applies in-depth knowledge of federal and state Medicaid 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.
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.
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.
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.
Provides subject matter support to projects and/or team leadership where appropriate to other auditors.
Provides mentoring responsibilities, such as guidance, coaching and development support for to other audit staff.
Examines financial documents and statements such as provider cost reports as a method of audit.
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.
Ensures compliance with all applicable privacy and security training requirements (both IntegrityM and external/client-based), whether on an annual or ad/hoc basis. Please note: certain position levels (leads, managers, directors or higher) may require additional “role-based” training to ensure compliance with applicable privacy and security requirements.
Exercises appropriate discretion and independent judgment relating to company policies and practices in an effective, consistent and professional manner.
Adheres to applicable policies ensuring commitment to quality, compliance and security to protect the confidentiality, integrity, and availability of sensitive data and information.
Adheres to all IntegrityM and/or client privacy and security protocols governing sensitive and/or business confidential information.

SQLData AnalysisData MiningAccountingComplianceFinancial analysis

Posted 15 days ago

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