Division Deputy Director (Division of State Program Integrity)

Serving as a trusted advisor to the Division Director, Group Director, and senior Agency leadership on complex Medicaid program integrity issues including identifying emerging risks and recommending appropriate program responses. Managing and overseeing day-to-day operational activities related to Medicaid audits and State program integrity reviews, including eligibility determinations, medical loss ratio audits, and Recovery Audit Contractor (RAC) program oversight. Serving as a first-level supervisor for a team of highly technical employees and contractors, providing direction, coordination, and guidance to ensure mission goals related to fraud, waste, and abuse prevention are met. Assisting in the development of policies, regulations, and procedures for the Medicaid Integrity Program (MIP), including analyzing proposed legislative changes and assessing their impact on DSPI operations. Collaborating with CMS components, State Medicaid agencies, and other stakeholders to build an inte