Integrity Management Services, Inc.

New Markets Business Leader (State HHS, Medicaid Managed Care) (Remote)

Integrity Management Services, Inc.  •  Alexandria, VA (Remote)  •  8 days ago
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Job 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!

www.integritym.com

This position supports identification and selection of a business leader who owns strategy and execution for expansion into state markets for IntegrityM. The role focuses on building and advancing a state market strategy, with emphasis on state health and human services programs, including Medicaid managed care and related oversight activities.

The selected leader brings deep experience working with state clients and plays a central role in expanding IntegrityM beyond its federal base. This individual builds the new State market practice by aligning company capabilities with state needs, shaping growth strategy, and leading execution from opportunity identification through delivery.

This role serves as the primary leader for state market development. Responsibilities include relationship development, portfolio growth, capture strategy, and initial delivery oversight until work scales. The leader collaborates with internal teams to support procurement, pricing, and execution while driving client diversification and revenue growth.

This leader builds, grows, and delivers IntegrityM’s state market presence. The role requires ownership of the full lifecycle from market entry through execution, with support from internal teams. Success depends on ability to establish relationships, drive strategy, secure work, and guide early delivery while scaling a sustainable market presence.

Requirements

  • Minimum of ten years working with state health and human services programs and/or state managed care environments
  • At least seven years of government healthcare payer experience
  • Experience managing teams with client contract responsibility, including both business development and delivery

Demonstrated experience

  • Driving growth with existing clients and winning new state clients
  • Building and launching services in new markets
  • Managing long sales cycles, including qualification, capture management, competitive positioning, and price to win
  • Identifying and developing partnerships to maximize market success
  • Leading conference strategy and execution, including team coordination, sponsorships, presentations, and prospect identification
  • Proven ability to establish and grow a new market practice, including developing strategy, refining tactics, and scaling across multiple states
  • Experience serving in a dual role as growth leader and program leader, with accountability for both winning and delivering work.

Required Skills

  • Strong relationship development skills with state clients and stakeholders
  • Ability to connect market needs with organizational capabilities and translate strategy into actionable plans
  • Skilled leader with ability to mentor team members and drive high motivation
  • Excellent collaboration skills with peers across growth, delivery, and leadership teams
  • Resilience and patience required to navigate state procurement cycles and market entry challenges
  • Knowledge of CRM processes, including pipeline management and opportunity tracking
  • Ability to iterate market entry strategies across states and support expansion of account management structure as growth occurs
  • Strong business acumen, including understanding of state environments, funding structures, and program oversight
  • Project and program management experience preferred.
Integrity Management Services, Inc.

About Integrity Management Services, Inc.

Our goal is to empower clients to deliver on their missions, enhance program/payment integrity initiatives, and elevate best practices utilizing decades of experience in healthcare fraud, waste, and abuse (FWA). At Integrity Management Services, Inc. (IntegrityM), we strive to safeguard the integrity of healthcare systems while prioritizing the protection of our clients and beneficiaries.

IntegrityM, an award-winning Certified Women-Owned Small Business, specializes in optimizing payment and program integrity for both Federal and nonfederal programs. Our healthcare expertise spans across various domains, including Medicare (Part A, B, C, and D), Medicaid, Managed Care, and the Marketplace. With over 20 years of experience, our team excels in consistently identifying and mitigating numerous cases of Medicare and Medicaid improper payments, program vulnerabilities, and potential FWA. Our solutions include statistical and data analysis, coding and medical reviews, fraud investigations, audits, compliance reviews, grants management, training and education, and technology solutions.

For nearly two decades, IntegrityM has been a leader in program/payment integrity services, FWA prevention and detection, and compliance services. We serve a broad range of clients, including government agencies, health plans, and other healthcare providers. Our team of investigators, auditors, medical review nurses and coders, statisticians, data analysts, and Medicare and Medicaid subject matter experts converge expertise and experience providing exceptional customized solutions. We take pride in our in-depth knowledge and application of healthcare regulations, identification of the latest fraud schemes, and analysis of large datasets, combined with agility and adaptability, allowing us to rapidly meet our clients’ program needs.

Industry
Consulting & Advisory
Company Size
51-200 employees
Headquarters
Alexandria, VA
Year Founded
2009
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