Overview
On Site
Hybrid
USD 55.00 per hour
Full Time
Skills
Dashboard
Attention To Detail
FOCUS
Fraud
Research
Quality Assurance
Training
Corrective And Preventive Action
Risk Assessment
Auditing
Legal
Finance
Billing
Service Delivery
Management
Regulatory Compliance
Medicaid
Collaboration
Windows Server Essentials
Documentation
Job Details
Date Posted: 10/23/2025
Hiring Organization: Rose International
Position Number: 490417
Industry: Government/Staffing
Job Title: Program Manager
Job Location: Cranston, RI, USA, 02920
Work Model: Hybrid
Work Model Details: 3 days in office, 2 days remote
Shift: 8:30 AM - 4:00 PM (35 hours/week)
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 25
Min Hourly Rate($): 55.00
Max Hourly Rate($): 57.00
Must Have Skills/Attributes: Analysis, Audit, Compliance, Medicaid, Program management, Program Manager
Experience Desired: Experience in Medicaid program compliance, school-based services, or program operations (3+ yrs); Knowledge of Medicaid billing practices, especially for school-based or community-based services (1+ yrs)
Required Minimum Education: Bachelor's Degree
Preferred Education: Master's Degree
**C2C is not available**
Job Description
Required Skills, Knowledge, and Experience:
Minimum 3-5 years of experience in Medicaid program compliance, school-based services, or program operations with a regulatory component
Knowledge of Medicaid billing practices, especially for school-based or community-based services, and understanding of time studies like RMTS
Experience with program integrity principles, including preventing and detecting fraud, waste, and abuse in public programs
Demonstrated ability to conduct independent policy research, analyze regulatory changes, and translate them into actionable guidance
Strong interpersonal skills with the ability to communicate effectively with technical and non-technical audiences across agencies
Preferred Skills, Knowledge, and Experience:
Experience with Medicaid administrative claiming, cost allocation, or CMS program audits
Familiarity with Free Care policy, IEP/504-related billing, and school-based health services
Experience designing compliance monitoring tools or dashboards to track outcomes and risks
Familiarity with Rhode Island's education system, including local school districts and policies
Program Manager Job Summary:
Seeking a detail-oriented and proactive Program and Compliance Analyst to support oversight and compliance for Rhode Island's Medicaid School-Based Services (SBS) program and Medicaid benefits authorized under an Individual Family Service Plan (IFSP). This position is responsible for ensuring that Local Education Agencies (LEAs) and related Medicaid providers compliance with Medicaid regulations and newly issued federal CMS guidance, including requirements around documentation, service delivery, and claiming.
The analyst will manage time study methodologies (e.g., Random Moment Time Study - RMTS), develop policy guidance, and help build robust oversight infrastructure. A strong focus will be placed on program integrity, with responsibility for identifying and mitigating risks related to fraud, waste, and abuse (FWA).
This role requires a balance of independent research and analysis with cross-agency collaboration and technical assistance.
Program Manager Job Responsibilities:
Monitor and ensure LEA compliance with Medicaid SBS billing and documentation standards, including program integrity requirements and CMS policy updates
Oversee the administration and quality assurance of time study methodologies such as RMTS, including moment validation, staff training, and participation tracking
Develop, update, and disseminate program policy guidance, compliance toolkits, training materials, and FAQs for LEAs, administrative vendors, and internal staff
Build and maintain a compliance monitoring system, including tools for site visits, desk audits, and corrective action tracking
Conduct risk assessments and monitor claims data to proactively identify potential FWA, inappropriate billing patterns, and non-compliant provider behavior
Support the Medicaid Program Integrity and Compliance Unit in conducting reviews, investigations, and audit responses related to school-based services and related Medicaid benefits authorized under an IFSP
Collaborate with legal, finance, and program staff to align SBS operations and related Medicaid benefits authorized under an IFSP with broader Medicaid compliance and FWA prevention strategies
Provide technical assistance and serve as a subject matter expert for LEAs navigating Medicaid billing requirements
Support development of State Plan Amendments (SPAs) or other federal submissions as needed to align program operations with policy changes
Coordinate with the Rhode Island Department of Education (RIDE) and school districts to align Medicaid SBS policy with educational frameworks and service delivery models
Oversee and validate provider enrollment and qualifications to ensure compliance with State and federal Medicaid requirements for school-based service providers
Collaborate with the SBS grant project manager to assist in revising policy and guidance documentation, ensuring alignment with planned state policy changes and future program developments
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Hiring Organization: Rose International
Position Number: 490417
Industry: Government/Staffing
Job Title: Program Manager
Job Location: Cranston, RI, USA, 02920
Work Model: Hybrid
Work Model Details: 3 days in office, 2 days remote
Shift: 8:30 AM - 4:00 PM (35 hours/week)
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 25
Min Hourly Rate($): 55.00
Max Hourly Rate($): 57.00
Must Have Skills/Attributes: Analysis, Audit, Compliance, Medicaid, Program management, Program Manager
Experience Desired: Experience in Medicaid program compliance, school-based services, or program operations (3+ yrs); Knowledge of Medicaid billing practices, especially for school-based or community-based services (1+ yrs)
Required Minimum Education: Bachelor's Degree
Preferred Education: Master's Degree
**C2C is not available**
Job Description
Required Skills, Knowledge, and Experience:
Minimum 3-5 years of experience in Medicaid program compliance, school-based services, or program operations with a regulatory component
Knowledge of Medicaid billing practices, especially for school-based or community-based services, and understanding of time studies like RMTS
Experience with program integrity principles, including preventing and detecting fraud, waste, and abuse in public programs
Demonstrated ability to conduct independent policy research, analyze regulatory changes, and translate them into actionable guidance
Strong interpersonal skills with the ability to communicate effectively with technical and non-technical audiences across agencies
Preferred Skills, Knowledge, and Experience:
Experience with Medicaid administrative claiming, cost allocation, or CMS program audits
Familiarity with Free Care policy, IEP/504-related billing, and school-based health services
Experience designing compliance monitoring tools or dashboards to track outcomes and risks
Familiarity with Rhode Island's education system, including local school districts and policies
Program Manager Job Summary:
Seeking a detail-oriented and proactive Program and Compliance Analyst to support oversight and compliance for Rhode Island's Medicaid School-Based Services (SBS) program and Medicaid benefits authorized under an Individual Family Service Plan (IFSP). This position is responsible for ensuring that Local Education Agencies (LEAs) and related Medicaid providers compliance with Medicaid regulations and newly issued federal CMS guidance, including requirements around documentation, service delivery, and claiming.
The analyst will manage time study methodologies (e.g., Random Moment Time Study - RMTS), develop policy guidance, and help build robust oversight infrastructure. A strong focus will be placed on program integrity, with responsibility for identifying and mitigating risks related to fraud, waste, and abuse (FWA).
This role requires a balance of independent research and analysis with cross-agency collaboration and technical assistance.
Program Manager Job Responsibilities:
Monitor and ensure LEA compliance with Medicaid SBS billing and documentation standards, including program integrity requirements and CMS policy updates
Oversee the administration and quality assurance of time study methodologies such as RMTS, including moment validation, staff training, and participation tracking
Develop, update, and disseminate program policy guidance, compliance toolkits, training materials, and FAQs for LEAs, administrative vendors, and internal staff
Build and maintain a compliance monitoring system, including tools for site visits, desk audits, and corrective action tracking
Conduct risk assessments and monitor claims data to proactively identify potential FWA, inappropriate billing patterns, and non-compliant provider behavior
Support the Medicaid Program Integrity and Compliance Unit in conducting reviews, investigations, and audit responses related to school-based services and related Medicaid benefits authorized under an IFSP
Collaborate with legal, finance, and program staff to align SBS operations and related Medicaid benefits authorized under an IFSP with broader Medicaid compliance and FWA prevention strategies
Provide technical assistance and serve as a subject matter expert for LEAs navigating Medicaid billing requirements
Support development of State Plan Amendments (SPAs) or other federal submissions as needed to align program operations with policy changes
Coordinate with the Rhode Island Department of Education (RIDE) and school districts to align Medicaid SBS policy with educational frameworks and service delivery models
Oversee and validate provider enrollment and qualifications to ensure compliance with State and federal Medicaid requirements for school-based service providers
Collaborate with the SBS grant project manager to assist in revising policy and guidance documentation, ensuring alignment with planned state policy changes and future program developments
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.