SME - Medicaid Program Integrity and Claims Audits

Benefits

Parental leave

Not verified

Non-birth-parent leave

Not verified

Family-building benefits

• Fertility benefits: Not verified
• Adoption assistance: Not verified
• Surrogacy assistance: Not verified

Mental health support

Not verified

Relocation assistance

Not verified

Childcare support

Not verified

Learning budget

Not verified

Verification

Not verified

Salary

$120K-$140K From the posting source checked Jun 20, 2026

401(k) match

Not verified

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Market context

U.S. role benchmark (BLS OEWS)

$81,444 U.S. median for this role

Projected growth (BLS Employment Projections)

+6.9% - Faster than average

60% above the BLS role benchmark for healthcare aggregate.

Matched to SOC 29-1141 - Healthcare aggregate by role bucket.

Source: U.S. Bureau of Labor Statistics, OEWS, May 2024 and Employment Projections, 2024-2034.

Role

Role function

Healthcare From the posting source checked Jun 20, 2026

Seniority

Senior From the posting source checked Jun 20, 2026

Work mode

Remote From the posting source checked Jun 20, 2026

In-office days

0 days From the posting source checked Jun 20, 2026

Schedule

Shift type

Not verified

Weekend work

Not verified

Application

Cover letter

Not verified

Assessment

Not verified

Deadline

Not stated

Where they hire

State eligibility is not yet verified.

About this role

SME - Medicaid Program Integrity and Claims Audits Remote, UNAVAILABLE, US Overview BerryDunn is seeking a Senior Consultant with subject matter expertise in Medicaid program integrity and claims audits to assist clients with prevention and detection of fraud, waste, and abuse. This individual will be responsible for assisting with risk assessment, external audit coordination, interpretation and application of Medicaid policy and applicable code of federal regulations, and conducting Medicaid medical, dental, behavioral health, and pharmacy claims audits. You will work remotely, hybrid, or in one of our offices, mainly helping client in Guam. You will report to and partner with Government Assurance Practice Group management team members for both client work and career development. With a growth mindset, you will drive your own development with support from our management team. Travel Expectations: Travel to client sites can range up to 50%. You Will Establish and monitor Medicaid program integrity objectives, and key performance indicators (KPIs). Ensure the Medicaid program integrity policies and procedures meet federal and state policies and grants compliance. Research Medicaid policies and regulations. Advise and assist clients in translating Medicaid policy and program needs into system requirements and change requests, ensuring the State's program, policy, and business objectives are accurately captured using industry-standard language. Provide frequent, clear, and consistent communication to the client, team members, and vendors. Develop or up

Read the full description at careers-berrydunn.icims.com. FewerJobs shows a preview and links to the original posting.