Administrator II – Medicaid Program Integrity and Provider Enrollment

State of Nebraska; Lincoln (NE); On-site; USD 53,000 - 56,000; Full time

Benefits offered by this job

Benefits package

Job summary

State of Nebraska in Lincoln is seeking an Administrator II for Medicaid Program Integrity and Provider Enrollment. Leads two major units, directs program strategies, and coordinates with external stakeholders.

Requires strong leadership, policy, and regulatory knowledge to guide statewide health program integrity efforts. The role offers growth opportunities and a comprehensive benefits package within the Exempt state service, with an emphasis on strategic program management and cross-agency

Job description

The work we do matters! Hiring Agency: Health & human Services - Agency 25 | Location: Lincoln, NE | Hiring Rate: $38.774 | Job Posting: JR2026-00030404 | Position: Administrator II – Medicaid Program Integrity and Provider Enrollment (Open)

Job Description

The State of Nebraska, Department of Health and Human Services, Medicaid and Long-Term Care team is seeking a highly motivated leader for the Administrator II – Medicaid Program Integrity and Provider Enrollment role. This position is responsible for leadership and direction of the Program Integrity unit and the Provider Screening, Enrollment, and Revalidation unit. The Administrator II directs and coordinates two major units within the Department of Health and Health and oversees multiple complex and diverse statewide programs that significantly impact agency operations. “You have the passion; we have the opportunities – let’s make a difference for Nebraskans.” As the Administrator II – Medicaid Program Integrity and Provider Enrollment, you will: Provide strategic leadership of Medicaid Program Integrity and Provider Screening business functions for the department. Provide leadership and engagement in departmental projects (business and technical) and involvement in department wide initiatives and projects. Provide oversight and guidance for business units leaders to help set strategy, goals, and objectives for those units in alignment with Agency objectives and federal and state regulations. Offer a leadership level of partnership with a variety of external stakeholders ranging from law enforcement agencies, the Federal Center of Medicaid and Medicare Services, the Attorney General’s office, department contractors, other state agencies, and providers/associations.

Responsibilities

Lead and coordinate the Program Integrity unit and the Provider Screening, Enrollment, and Revalidation unit.

Establish program objectives, formulate policies, and evaluate progress toward goals. Plan, assign, and supervise the work of others. Evaluate effectiveness of current strategies (and processes) deployed by the department and identify new or innovative strategies that the department could implement to prevent or detect provider Fraud, Waste, and Abuse.

Requirements / Qualifications

Minimum Qualifications

• Minimum Qualifications: Bachelor’s Degree in public administration, social work, human development, public health, behavioral science, law, finance, human resources or other program related field AND four years of experience in a field related to the assigned program area including supervisory experience; OR a Master’s degree in any of the above mentioned fields and two years commensurate experience. Equivalent experience or coursework/training may be substituted for the educational requirement on a year-for-year basis.

Preferred Qualifications

• Preferred Qualifications: 5 years of direct experience with leading teams responsible for preventing and investigating healthcare fraud, waste, and abuse.
• 5 years of direct experience leading teams responsible for screening health care providers to determine their appropriateness to provide healthcare services.
• Direct experience implementing large, complex business and technical projects.
• At least 2 years of experience leading at least two healthcare related business functions simultaneously.

Other

• Other: Valid driver's license.

Knowledge, Skills, and Abilities

• Knowledge of: Federal and state laws and regulations relevant to assigned programs. Quality assurance, performance improvement, and continuous improvement methods. Business and management principles, including strategic planning and resource allocation. Leadership, staff supervision, development, and coordination. Budget administration and fiscal management practices.
• Skill in: Communicating to convey information so others will understand; Using logic and reasoning to identify strengths and weaknesses of alternative solutions; Identifying complex problems to develop and evaluate options and implement solutions.
• Ability to: Interpret and apply agency policies, procedures, and changing priorities. Analyze complex organizational and operational issues, draw conclusions, and develop timely, cost-effective solutions. Establish program objectives, formulate policies, and evaluate progress toward goals. Conduct high-level analysis and coordinate interrelated activities across multiple departments. Exercise sound judgment, decisiveness, and creativity in critical or unexpected situations. Establish and maintain effective working relationships with executive leadership, community organizations, elected officials, and the public. Plan, assign, and supervise the work of others.

Location

Location: Lincoln – Nebraska State Office Building

Compensation

Hire Rate: $38.744 hourly to start. $40.682 after successful completion of original probation.

Contract

The position is Exempt.

Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex, age, national origin, disability, marital status or genetics. We are seeking talented individuals to join our team in careers that make a difference in the lives of Nebraskans.

Contact

Contact [e-mail] for additional support.

Thank you for your interest in joining our team! State Government is one of the largest and most diverse employers in Nebraska. Whether it's helping a vulnerable child, advancing public health, making highways safer, or preserving our natural resources, the work we do matters!