Sr. Program Integrity Analyst
- Role
- Operations
- Experience
- Senior
- Employment
- Full-time
Open to US only · UTC-6…UTC-5. Set where you work from to check your eligibility.
No BS summary
Senior analyst for Medicaid home and community-based care fraud, waste, and abuse detection. Must be located in the United States within EST or CST time zones.
HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states. The Sr Program Integrity Analyst is a key member of HHAeXchange’s growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based care data and translating those findings into scalable detection capabilities embedded within the HHAeXchange platform. This role sits at the intersection of investigative analysis, product development, and customer engagement — serving as the domain expert who grounds product development in operational and regulatory reality, ensuring that detection logic is clinically sound, investigatively credible, and directly actionable by the customers who rely on it to protect public funds and program integrity. The role works closely with product, engineering, and client-facing teams to ensure that analytical findings create measurable value for HHAeXchange customers. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This is a remote opportunity for candidates that are located within the EST or CST time zones within the United States.
What you'll do
- Identifying fraud, waste, and abuse patterns in Medicaid home and community-based care data
- Translating findings into scalable detection capabilities embedded within the HHAeXchange platform
- Serving as the domain expert who grounds product development in operational and regulatory reality
- Ensuring that detection logic is clinically sound, investigatively credible, and directly actionable by customers
- Working closely with product, engineering, and client-facing teams to ensure analytical findings create measurable value for HHAeXchange customers
- Perform each essential job duty satisfactorily with or without reasonable accommodation
What they require
- Candidates must be located within the EST or CST time zones within the United States
Benefits
- Competitive health plans
- Paid time-off
- Company paid holidays
- 401K retirement program with a Company elected match
- Other company sponsored programs
HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities.