Program Integrity Manager, Pennsylvania - Remote

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Program Integrity Manager, Pennsylvania - Remote

Pittsburgh, Pennsylvania

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Caring. Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve.

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Program Integrity Manager, Pennsylvania - Remote

Requisition number: 2370948

Job category: Regulatory & Compliance

Primary location: Pittsburgh, Pennsylvania

Date posted: 07/22/2026

Overtime status: Exempt

Travel: Yes, 10 % of the Time

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At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together  UnitedHealthcare Community & State, part of the UnitedHealth Group family of companies, is looking for an experienced Health Plan Program Integrity / Fraud, Waste and Abuse compliance consultant to join our dynamic Compliance team. The Program Integrity Manager is an individual contributor role responsible for fraud, waste and abuse and specific research leading to best practice policy implementation and vendor/subcontractor monitoring to drive problem/process resolution for the New Mexico Medicaid health plan. If you are located in Pennsylvania, you will have the flexibility to work remotely* as you take on some tough challenges.

Works to ensure that internal processes are executed, especially related to intersegment responsibilities, for fraud, waste, and abuse (FWA) vendors' instances of health care FWA by medical profession or insured member Acts as FWA subject matter