Behavioral Health Program Integrity Analyst

Position Summary: The Behavioral Health Program Integrity Analyst is responsible for conducting reviews of Medicaid service justifications, documentation concerns, and other atypical billing matters. This position supports CFBHN's oversight responsibilities by identifying potential compliance issues, billing irregularities, documentation deficiencies, and patterns that may indicate program integrity concerns. The analyst works collaboratively with network service providers, CFBHN staff, and state partners to promote accurate billing, appropriate service authorization practices, and compliance with Medicaid and contractual requirements.

This position performs analytical and investigative activities but does not provide clinical services, make medical necessity determinations, or require professional licensure.

This is a temporary full-time position created to support an important organizational initiative and is expected to continue for up to two (2) years. The position offers the opportunity to make a meaningful impact while receiving competitive compensation, benefits, and paid time off, subject to organizational policies and benefit plan eligibility requirements. As organizational needs evolve, CFBHN may modify, extend, or conclude the assignment.