Role Description Review and assist Everence Medicare Supplement members with Medicare Part D. - Develop and maintain a strong understanding of Medicare Part D prescription drug plans and apply this knowledge when evaluating plan options for members. - Utilize the Medicare Planfinder web tool to assist members in selecting an appropriate Medicare Part D prescription drug plan. - Schedule and meet with members via phone or Microsoft Teams to discuss recommended prescription drug plans and help them assess a final plan choice selection. - Contact members to request additional information and follow-up. - Audit Medicare Part D Data entry forms and documents to ensure accuracy. - Document member interactions and plan details using the customer relationship management system (CRM) and documents system (OnBase). - Collaborate with field offices to support member needs and ensure coordinated service. - Other tasks as needed. Qualifications - Experience or interest in working and communicating with members 65+ years of age. - Strong service orientation. - Accuracy and attention to detail. - Excellent overall verbal and written communication skills. - Experience working purposefully to accommodate a busy schedule. - Ability to keep absolute confidentiality of client information. - Ability to use objective and subjective information to help members make plan choices. - Comfortable using a computer and doing data input. - Familiarity with medication names and medical terminology is preferred, but not required. - Basic knowledge of how Medicare works is preferred, but not required. - Alignment in supporting the Everence mission of empowering financial well-being for faith-inspired living. Requirements - None Benefits - Temporary (approximately end of September to mid-December) 20-40 hours/week; schedule is negotiable.

Role Description We are seeking an experienced Affordable Housing Compliance Specialist with hands-on expertise in HUD Section 8, Project-Based Section 8 (PBRA and/or PBV), and Low-Income Housing Tax Credit (LIHTC) programs to support a portfolio located in Texas and Florida. This role is responsible for ensuring ongoing compliance with HUD, IRS, and state housing agency requirements, supporting audits and monitoring reviews, and providing technical guidance to property management teams. The ideal candidate is highly organized, detail-oriented, and comfortable navigating multi-state compliance requirements, MORs, and investor reviews. Key Responsibilities - Ensure compliance with: - HUD Section 8 - Project-Based Section 8 (PBRA/PBV) - Low-Income Housing Tax Credit (LIHTC) - Review and approve: - Initial, annual, and interim income certifications - Verifications of income and assets - Rent calculations, HAP rents, and utility allowances - Monitor adherence to: - HUD Handbook 4350.3 and related guidance - IRS Section 42 requirements - State agency compliance requirements for: - Texas Department of Housing and Community Affairs (TDHCA) - Florida Housing Finance Corporation (FHFC) - Support and coordinate: - HUD MORs and follow-up responses - State agency compliance reviews and file audits - Investor, syndicator, and lender audits - Conduct internal file audits and identify compliance risks - Track recertification deadlines, unit set-asides, income targeting, and rent limits - Prepare corrective action plans and ensure timely resolution of findings - Provide compliance guidance and training to site-level staff - Maintain accurate, audit-ready documentation in property management and compliance systems - Stay current on regulatory changes impacting HUD and LIHTC programs in Texas and Florida Qualifications - Minimum 3–5 years of affordable housing compliance experience - Demonstrated experience with: - HUD Section 8 - Project-Based Section 8 (PBRA and/or PBV) - LIHTC compliance - Working knowledge of: - HUD Handbook 4350.3 - IRS Section 42 regulations - TDHCA and FHFC compliance monitoring requirements - Experience supporting MORs and state agency audits - Ability to independently review tenant files and income calculations - Strong organizational, analytical, and time-management skills - Proficiency in Microsoft Office (Excel, Word, Outlook) Preferred Qualifications - BOS, TCS, COS, or similar affordable housing certifications - Experience with mixed-finance properties (LIHTC + HUD layered financing) - Familiarity with compliance and property management software (ResMan, Yardi, OneSite, etc.) - Experience working with multi-state portfolios - Ability to travel periodically within Texas and Florida, as needed Benefits - Competitive salary based on experience and certification - Comprehensive benefits package - Professional development and continuing education opportunities - Supportive, compliance-focused culture - Opportunity to play a key role in maintaining regulatory excellence across multiple states

Medicaid Audit and Compliance Specialist UPIC SE (Full-time, Remote) Remote Operations IM-AUD-1026 Alexandria, Virginia, United States Description 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! In this role, the Medicaid Audit and Compliance Specialist will be responsible for performing and reporting on Medicaid Managed Care Plans and providers to identify potential fraud, waste, and abuse; issue findings and recommendations; and identify improper payments. Audit assignments can be programmatic or financial and may range from desk reviews and/or onsite review activities as determined by federal and state regulations. Specific review types may include case management, program payment appropriateness, program and policy compliance, billing, coding and medical record documentation reviews, as well as research and analysis of industry trends. The Medicaid Audit and Compliance Specialist will perform audits as assigned which consist of but are not limited to performing licensing and exclusion reviews on providers and work with the medical staff to ensure services are reimbursed meet regulatory requirements. The Medicaid Audit and Compliance Specialist will work independently as well as collaboratively with other audit staff. Job Responsibilities: - 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. Requirements - Bachelor’s Degree in finance, accounting or related field required. - 5-7 Years of related experience in finance, accounting, or auditing. - Intermediate knowledge of internal audit policies and operating principles. - Intermediate knowledge and experience in auditing Medicare/Medicaid and other government payment and oversight programs. (CMS, HRSA, OIG, DOE, Dept. of Commerce etc.) - Knowledge and experience in the application of government accounting principles and standards, including Generally Accepted Government Auditing Standards (GAGAS). - Experienced investigative skills. - Strong data analysis skills. - Knowledge of medical terminology, ICD-9-CM, ICD-10-CM HCPCS level II and CPT codes. Utilizes Medicaid and Contractor guidelines for coverage determinations. - Experience in reviewing claims for appropriate billing and medical coding requirements, performing medical review, and/or developing fraud cases. - Strong oral and written communication skills, strong interpersonal skills, and superior organizational abilities.  - Ability to take initiative, to maintain confidentiality, to meet deadlines, and to work in a team environment. - Ability to report work activity on a timely basis. - Ability to work independently and as a member of a team to deliver high quality work. - Ability to multitask and prioritize assignments while meeting deadlines. - Proficiency in Microsoft Office, specifically Microsoft Word and Excel. - Passion and alignment with IntegrityM’s mission, vision, values and operating principles. Additional Requirements: - Must pass post hire background screening checks. - For remote work, required to have wired and/or wireless internet access.

• Coordinate regulatory timelines and deadlines for all assigned projects planned for RA and EC submissions • Provide regulatory support and advice to project teams; provides project-specific local submission strategy and technical expertise • Provide guidance to the client on submissions strategies • Prepare/review core packages and country packages for submission to RA (initial applications, amendment packages, and notifications) in assigned countries to ensure compliance • Prepare, manage, and track IRB/IEC submissions (including renewals); acts as the primary point of contact for the central IRB/IEC • Peer review of documents and packages prepared by colleagues within the regulatory team • Review regulatory documents and submissions created outside of the company by subcontractors (e.g., partner CROs, regulatory vendors) to ensure high quality standards before submission to RA and IEC • Point of contact for regulatory body and IRB/IEC, Sponsors, investigative sites, subcontractors, and local teams for all aspects related to study regulatory submissions • Develop/review Master Informed Consent Form (ICF), as applicable, and Country ICFs • Review site-level Informed Consent form documents as needed • Prepare or review study-specific regulatory documents/forms • Manage/oversee translations and requests with vendor • Submit and track SUSARs to RA, EudraVigilance, IRB/IEC, and Investigators, as per study scope • Perform regulatory review of essential documents and authorizes regulatory release prior to the shipment of investigational product to clinical sites • Review country-specific labelling content for clinical trial drug supplies to ensure conformity with regional regulations requirements • Participate in Kick-off meetings, client audits, and other project related meetings according to the company / client needs • Submit documents to TMF in a timely manner during the trial and ensures the TMF is complete for assigned sections by performing completeness reconciliation • Communicate activities performed out-of-scope to project team members and provides them with budgeting details related to said activity • Maintain high level knowledge about regulations in the area of company interest • Participate in function and/or corporate initiatives and special project assignments • Support Regulatory Country Intelligence activities • Communicate/liaise with regulatory agencies/competent authorities and/or other regulatory or functional experts on designated regulatory activities as required • May provide presentations, training or help to develop tools and processes for the Regulatory Team or other cross-functional teams • Provide line management to direct reports, including new-hire orientation, professional development, performance appraisals, and employee counseling/mentoring • Management and coordination of resources and workloads of direct reports • Supports staff by establishing goals that will increase knowledge and skill levels and by delegating tasks commensurate with skill level • Promote a positive work environment and motivate the team to achieve organization goals • Participate in the hiring process of new employees • Provide leadership and implement productivity improvements to ensure optimal utilization of resources • Participate in process improvement initiatives