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Program Integrity - Coordinator 1
University of New Orleans
Posted 02/13/26
2000 Lakeshore Drive, New Orleans, LA 70148
Job Description
Investigate providers of various Medicaid programs to ensure expenditures are made in accordance with Federal and State regulations.
Process and track all Medicaid provider and recipient related complaints reported via:
- The Medicaid Fraud website
- Internally
Interacts with various internal and external entities such as:
- Medicaid recipients
- Medicaid providers
- LDH program operations
- Licensing boards
- The Attorney General’s office, etc.
Document findings of investigations initiated by referrals from Medicaid programs including but not limited to:
- OAAS
- Behavioral Health
- Provider Enrollment
- MFCU
- Plans
Detail any corrective action(s) necessary after conducting a comprehensive case review of findings.
Ensure all providers are furnished with a written notification of any corrective actions and cite the applicable Medicaid/LaCHIP policy reference.
Assist in maintaining records of provider fraud, waste and abuse referrals for investigation. Maintain findings and results on fraud referrals received within the centralized tracking system.
Conducts research on all policy violations and corrective action.
Maintains and assists with up-to-date reporting statistics and data for unit reports.
Notify management of any trends that are a direct cause of or contributing factor to errors that come to light during the review process or while tracking all cases received for review.
Refer applicable cases to the Office of the Attorney General.
Prepare written summary report with all relevant background facts. Provide any assistance needed to the legal authority.
May be called upon as a witness to a case once it proceeds to trial.
Complete special projects as directed by management.
About University of New Orleans
Outside GNO RegionCompany ProfileA Commitment to New Orleans and Beyond
Since its founding, UNO has been committed to diversity and inclusion. In 1958, the University of New Orleans opened its doors as the first fully integrated public university in the South. For nearly 60 years, we have not strayed from that vision. The University has educated students from all 64 Louisiana parishes, all 50 states, and more than 130 countries, bringing together a variety of talented and motivated students so that they may learn, interact and pursue their career goals.
The University of New Orleans is a major business driver in metro New Orleans, generating a total economic impact of $470.5 million for metropolitan New Orleans in the 2014-15 fiscal year. As a global community asset, we offer a wide array of relevant, undergraduate and graduate academic programs and world-class research opportunities. We proudly contribute to the industry, culture and economy of the New Orleans region and beyond.
Nationally Ranked
Our students come here for a number of reasons, but on the top of that list is the high quality education we provide. We're proud to be named one of the nation's best colleges by The Princeton Review, Forbes, U.S. News & World Report and one of the top 1,000 universities in the world by the Center for World University Rankings. We are also classified by the Carnegie Foundation as a Doctoral University with Higher Research Activity, one of only two in the state of Louisiana. The University's rankings are a testament to the students we attract and the quality of our faculty.
Website
uno.edu/Social Media
