Hiring Organization: Aetna

Post Name: Program Integrity Manager 

Qualification: Graduation

Work Hours: 8 Hours

Salary: $20-30/Hour

Location: Trenton, USA

Full Job Descriptions

This position can be telecommute anyplace in the US. Should work EDT plan consistently. Fills in as the single resource for state Medicaid programs for all program uprightness related issues. This incorporates administrative detailing, organizing interdepartmental program honesty drives, merchant oversight of extortion waste and misuse (FWA) movement, and distinguishing administrations in danger for FWA. You will be liable for consistence with state and government guidelines ordering the announcing of corporate extortion related exercises and the arrangement of the corporate Enemy of Misrepresentation Plan.

Aetna Remote Careers, Online Jobs Near Me @ Jobvacancyinfo ( Program Integrity Manager ) 

Also, you will:

• Use your experience and information to appreciate and carry out Medicaid guidelines and agreements

• Coordinate with division pioneers to satisfy the prerequisites of the program respectability unit

• Conform to all program honesty related demands, both inside and outside, and meet solicitation timetables

• Capacity to deal with and keep up with secret and delicate data relating to suppliers.

• Keep up with the Yearly Extortion Plan, Chance Evaluations and Work Plan including any wellbeing plan addendums

• Joint effort with plan consistence groups, including Review arrangement and Status Audit oversight

• Go about as a contact with state Medicaid organizations, MFCU and other state policing

• State revealing oversight and accommodation, as well as coordination of Merchant FWA exercises

• Draft demands for proposition on new/rebidding of agreements

• Yearly arrangement FWA preparing

Required Capabilities

• 3 years of work experience required (graduate level schooling might substitute)

• Experience in a medical services program honesty or consistence job

• Solid scientific and research abilities

• Capable in exploring data and distinguishing data assets

• Capability in Word, Succeed, MS Standpoint items, Data set search devices, and use in the Intranet/Web to explore data

Aetna Remote Careers, Online Jobs Near Me @ Jobvacancyinfo ( Program Integrity Manager ) 

Favored Capabilities

• Experience in Medicaid

• Experience with deciphering contracts

• Excellent hierarchical abilities

• Brilliant composed and oral relational abilities

• Capacity to cooperate with all levels of the association.

Instruction

• Four year certification or identical experience

Business Outline

Carry your heart to CVS Wellbeing All of us at CVS Wellbeing shares a solitary, clear reason: Carrying our heart to each snapshot of your wellbeing. This reason directs our obligation to convey upgraded human-driven medical services for a quickly influencing world. Secured in our image — with heart at its middle — our motivation sends an individual message that how we convey our administrations is similarly pretty much as significant as what we convey. Our Heart At Work Behaviors™ support this reason. We need every individual who works at CVS Wellbeing to feel enabled by the job they play in changing our way of life and speeding up our capacity to develop and convey answers for make medical services more private, advantageous and reasonable. We endeavor to advance and support a culture of variety, consideration and having a place consistently. CVS Wellbeing is a governmental policy regarding minorities in society manager, and is an equivalent open door boss, just like the doctor possessed organizations for which CVS Wellbeing gives the executives administrations. We don't separate in selecting, recruiting, advancement, or some other work force activity in light of race, identity, variety, public beginning, sex/orientation, sexual direction, orientation personality or articulation, religion, age, handicap, safeguarded veteran status, or some other trademark safeguarded by material government, state, or neighborhood regulation. We gladly support and empower individuals with military experience (dynamic, veterans, reservists and Public Gatekeeper) as well as military companions to go after CVS Wellbeing position open doors.

Aetna Remote Careers, Online Jobs Near Me @ Jobvacancyinfo ( Program Integrity Manager ) 

Top 20 Common Interview Questions

1. Tell me about yourself.
2. What are your strengths and weaknesses?
3. Why do you want to work for our company?
4. What experience do you have that makes you a good fit for this position?
5. What are your long-term career goals?
6. How do you handle stress and pressure?
7. Can you give me an example of a time when you had to resolve a conflict with a colleague?
8. What do you know about our industry/competitors?
9. How do you stay organized and manage your workload?
10. Can you describe a time when you had to think creatively to solve a problem?
11. How do you handle criticism or feedback?
12. What motivates you to perform at your best?
13. How do you prioritize tasks and manage your time effectively?
14. What do you think are the most important qualities for success in this role?
15. Can you describe your leadership style?
16. Can you walk me through your resume and explain any gaps or inconsistencies?
17. What do you think sets you apart from other candidates?
18. How do you handle ambiguity or uncertainty in a project?
19. Can you give an example of a time when you had to adapt to a new situation quickly?
20. What questions do you have for us?

It's important to prepare for these types of questions and think about how you can best showcase your skills and experience to demonstrate why you're the right fit for the job.

Aetna Remote Careers, Online Jobs Near Me @ Jobvacancyinfo ( Program Integrity Manager )