Integrity Management Services, Inc.

• Oversees and performs administrative and financial assessment activities related to pre-award and post-award monitoring of the agency’s award portfolio. • Collects and compiles all supporting documentation (e.g., budget revisions, cost transfers, budget and expenditure monitoring, expenditure approvals, accounting treatment of unallowable costs, record retention, drawdowns, etc.); • Holds conference calls with senior level grants finance and accounting staff from awardee organizations (e.g., CEO, CFO, and VP of Research); • Facilitates management decisions resulting from audit findings. • Access to government systems required to obtain documentation needed for reviews. • Makes work assignments, track the status of deliverables, and update work templates. • Liaises with sponsor agencies, subcontractors, awardee sponsored project offices, and others.

Title: Statistician (Full-time, Remote) Location: Alexandria VA US Job Description: About Us http://www.integritym.com Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel! Description We are seeking a Statistician to join our Data Analytics team. In this role, the Statistician will provide statistical and analytical support for healthcare data analysis projects using a variety of statistical methods and analytical tools. Working under the guidance of senior analytical staff, the Statistician will develop, analyze, and interpret complex datasets to support program integrity, healthcare operations, and business decision-making. This position works both independently and collaboratively with data analysts, statisticians, and project leadership to produce high-quality deliverables for clients. Responsibilities - Perform data extraction, cleaning, validation, transformation, and maintenance across multiple data sources. - Conduct statistical analyses and quantitative data mining to identify trends, patterns, anomalies, and other meaningful insights. - Develop reports, dashboards, summaries, and visualizations to communicate analytical findings. - Compile, validate, interpret, and present data to support operational and business objectives. - Perform statistical programming and data analysis using analytical software and programming languages. - Design and execute database queries to retrieve and analyze data from large datasets. - Prepare clear, concise, and accurate reports, memoranda, data files, and presentations for internal and external stakeholders. - Communicate analytical methods, assumptions, and results to both technical and non-technical audiences. - Support internal quality reviews, audits, and data validation activities. - Participate in team projects, methodology discussions, and continuous process improvement initiatives. - Stay current on statistical methods, healthcare industry trends, data analytics technologies, and applicable regulations. - Perform ad hoc analyses and other duties as assigned. - Maintain compliance with all applicable privacy, security, and confidentiality requirements. - Adhere to IntegrityM policies and client requirements governing the protection of sensitive information. Requirements Qualifications - Bachelor's degree in Statistics, Biostatistics, Mathematics, Computer Science, Data Science, or a related quantitative field. - Minimum of two years of experience using statistical programming languages (e.g., SAS, Python, R, or SQL). - Preferred experience with statistical methodologies and relational databases. - Minimum of three years of experience analyzing healthcare, health insurance, or government healthcare program data. - Preferred experience working with healthcare claims, clinical, financial, or administrative datasets. - Advanced knowledge of statistical analysis, quantitative methods, and analytical problem solving. - Proficiency with Python, Databricks, SAS, SQL, Excel, Word, PowerPoint, and other analytical tools. - Experience developing queries, analyzing large datasets, and interpreting complex data. - Strong written and verbal communication skills with the ability to explain technical concepts to non-technical audiences. - Strong organizational, analytical, and problem-solving skills. - Ability to work independently while collaborating effectively within a multidisciplinary team. - Ability to manage multiple priorities and meet established deadlines. - Passion for supporting healthcare program integrity and IntegrityM's mission, vision, values, and operating principles. Benefits This position is eligible for the benefits applicable to full-time regular employees, such as: vacation, sick leave, paid holidays, health insurance, dental insurance, vision insurance, short- and long-term disability, life insurance, employee assistance plan, 401(K) retirement plan, and educational benefits. U.S. remote annual salary range: $65,000-$95,000/annual For candidates in jurisdictions requiring range disclosure, this is the good-faith range for this role; final pay may vary by work location and job-related factors such as skills, experience, location, and internal equity. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range. IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

• Conduct background research to identify relevant information regarding individuals, organizations, or entities under review. • Conduct investigations involving potential fraud, waste, and abuse. • Analyze healthcare and operational data to identify trends, anomalies, and potential indicators of fraud. • Review applicable laws, regulations, policies, and guidance to support investigative activities. • Collect, review, and analyze records and documentation relevant to investigations. • Conduct interviews and maintain accountability for evidentiary materials in accordance with established procedures. • Document investigative findings and prepare clear, well-supported reports and recommendations. • Coordinate with internal staff, legal counsel, government stakeholders, and law enforcement agencies, as appropriate. • Collaborate with investigators, analysts, program managers, and subject matter experts to develop investigative strategies and resolve cases. • Enter and maintain investigative information in case management and tracking systems. • Present investigative findings and recommendations to management and clients. • Assist with identifying emerging fraud schemes and recommending new investigative priorities. • Prepare recurring and ad hoc reports regarding investigative activities and case status. • Meet established quality standards and project deadlines.

• Perform data extraction, cleaning, validation, transformation, and maintenance across multiple data sources. • Conduct statistical analyses and quantitative data mining to identify trends, patterns, anomalies, and other meaningful insights. • Develop reports, dashboards, summaries, and visualizations to communicate analytical findings. • Compile, validate, interpret, and present data to support operational and business objectives. • Perform statistical programming and data analysis using analytical software and programming languages. • Design and execute database queries to retrieve and analyze data from large datasets. • Prepare clear, concise, and accurate reports, memoranda, data files, and presentations for internal and external stakeholders. • Communicate analytical methods, assumptions, and results to both technical and non-technical audiences. • Support internal quality reviews, audits, and data validation activities. • Participate in team projects, methodology discussions, and continuous process improvement initiatives. • Stay current on statistical methods, healthcare industry trends, data analytics technologies, and applicable regulations. • Perform ad hoc analyses and other duties as assigned. • Maintain compliance with all applicable privacy, security, and confidentiality requirements. • Adhere to IntegrityM policies and client requirements governing the protection of sensitive information.

• Work closely with the Marketing team, Business Development Team, Executive team, subject matter experts, and other IntegrityM personnel to produce winning content • Responsible for creation, edits, and final review of proposed publications • Will help manage marketing needs via Trello/other digital PM tools • Gather necessary information from program personnel and research applicable policy, regulations, and best practices to support the team in developing, writing, formatting, and editing technical and non‐technical information for reports, white papers, blogs, marketing collateral, procedures, processes, briefs, and other forms of documentation • Provide technical and editorial document review and written feedback on documents • Maintain regular and frequent direct communication with subordinates to clearly articulate goals and priorities, and build trust and confidence • Meet with proposal team to strategize win themes and proposal approaches • Interview technical subject matter experts and develop written narrative from these interviews • Write a variety of proposal sections, including executive summaries, technical approaches, management plans, and other content, and integrate proposal content authored by other writers into cohesive, compliant technical proposals with the flow of one voice • Proofread and edit all work product: Review all proposals for consistent style and formatting according to company style guidelines. Ensure accurate spelling, punctuation, and grammar • Stay informed of market developments in creative areas through reading, industry involvement, and research to determine competitive factors our company must address to stay viable and profitable

• Supports identification and selection of a business leader who owns strategy and execution for expansion into state markets • Focuses on building and advancing a state market strategy, with emphasis on state health and human services programs • Plays a central role in expanding IntegrityM beyond its federal base • Builds the new State market practice by aligning company capabilities with state needs • Shapes growth strategy, and leads execution from opportunity identification through delivery • Serves as the primary leader for state market development • Responsibilities include relationship development, portfolio growth, capture strategy, and initial delivery oversight until work scales • Collaborates with internal teams to support procurement, pricing, and execution while driving client diversification and revenue growth • Establishes relationships, drives strategy, secures work, and guides early delivery while scaling a sustainable market presence

• Supports identification and selection of a business leader for state markets expansion • Builds and advances a state market strategy focusing on health and human services programs • Plays a central role in expanding the company beyond federal base • Aligns company capabilities with state needs, shaping growth strategy • Drives execution from opportunity identification through delivery • Develops relationships, portfolio growth, capture strategy, and initial delivery oversight • Collaborates with internal teams to support procurement, pricing, and execution • Guides early delivery while scaling a sustainable market presence

• Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities. • Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity. • Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed. • Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy. • Support fraud investigators with medical review expertise to detect and address fraudulent activities. • Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

• Applies in-depth knowledge of federal and state 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. • Attend on-site audits to retrieve medical records and conduct provider entrance/exit conference. • 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 and provider type being audited. • Ensure Generally Accepted Government Auditing Standards (GAGAS) standards are applied to each applicable audit to identify fraud, waste or abuse. • 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. • Prepare and send suspension overpayment determinations to providers when applicable. • 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. • 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.

**About Us** Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel! www.integritym.com **Position Summary ****IntegrityM is seeking an experienced Audit Manager to lead and oversee complex healthcare program audits in support of federal oversight initiatives. This full-time leadership role is responsible for managing audit engagements, supervising professional staff, ensuring compliance with government auditing standards, and delivering high-quality audit reports to support program integrity objectives. The ideal candidate brings strong experience in healthcare auditing, deep knowledge of federal health program requirements, and demonstrated success managing audit teams in a regulated environment. **Key Responsibilities ** • Lead and manage multiple audit engagements from planning through reporting and follow-up. **• Develop audit work plans, risk assessments, and testing methodologies. **• Ensure compliance with applicable federal regulations, program guidance, and Government Auditing Standards (GAGAS). **• Supervise, mentor, and evaluate audit staff. **• Review workpapers, findings, and reports for accuracy, quality, and adherence to standards. **• Communicate audit results and recommendations to senior leadership and external stakeholders. **• Identify emerging risks and recommend process improvements. **• Support continuous enhancement of audit methodologies and internal quality controls.