Berrydunn jobs

Senior Program and Policy Consultant-Medicaid Remote, UNAVAILABLE, US Overview BerryDunn is seeking a Senior Consultant to join our Medicaid Practice Group . As part of our consulting team focused on state Medicaid agency clients, you'll leverage your Medicaid program and policy skills along with drive, initiative, and problem-solving abilities to help Medicaid agencies improve the health and lives of individuals. You'll be the success partner for Medicaid agencies in building healthier communities and stronger futures. In your first project, you will leverage your Medicaid 1915 (c) waiver program and policy project management skills and subject matter knowledge to help a current client with the implementation of waivers for children with serious emotional disorders and intellectual and developmental disabilities. You will be either remotely based or out of one of our several office locations. You will report to and partner with senior management in our Medicaid team both for client work and career development. With a growth mindset, you will drive your personal growth with the support of a learning and development culture. Travel Expectations: Up to 50% You Will Use your knowledge and experience to lead or support client initiatives where you provide subject matter knowledge and project management; this includes helping develop client deliverables such as program and policy recommendations, 1915c waiver amendments, complex analysis, ongoing status reports, data and technical strategy plans, and presentations. Build relationships with project t

Medicaid Practice Group Manager - Medicaid Enterprise Systems (MES) Remote, UNAVAILABLE, US; Kapolei, HI, US Overview BerryDunn is seeking an experienced Medicaid Practice Group Manager - Medicaid Enterprise Systems (MES) to serve as a trusted advisor and delivery lead for our American Samoa Medicaid client. This role is responsible for guiding the maturation of Medicaid enterprise systems programs and strengthening program and project management (PgMO) capabilities within a complex, evolving territorial Medicaid environment. This position will sit remotely and support American Samoa's Medicaid modernization efforts, with a primary focus on Eligibility and Enrollment (E&E) and other MES modules as identified. The successful candidate will bring deep MES domain expertise, strong program and project management leadership, and the ability to adapt best practices to the operational realities, scale, and capacity of a U.S. territory Medicaid agency. As an MPG Manager focusing on MES, you will lead efforts to standardize and strengthen PgMO processes across MES initiatives, with particular emphasis on Eligibility and Enrollment systems, system integration, and federal compliance. You will leverage your knowledge of Medicaid policy, systems implementation, and the vendor marketplace to help the American Samoa Medicaid agency advance modernization efforts that improve program sustainability, operational effectiveness, and beneficiary outcomes. Success in this role requires adaptability to shifting priorities, a culturally responsive and collaborative mindset, and strong active listening ski

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

Medicaid Enterprise Systems (MES) Subject Matter Expert (SME) and Business Analyst (BA) Remote, UNAVAILABLE, US; Kapolei, HI, US Overview BerryDunn is seeking a Senior Consultant to join our Medicaid Practice Group as a Medicaid Enterprise Systems (MES) Subject Matter Expert (SME) and Business Analyst (BA) . This role will provide direct analytical and delivery support to the MPG Manager - MES, with an initial and primary focus on supporting the American Samoa Medicaid State Agency, and the flexibility to support other U.S. states and territories as client needs evolve. As part of BerryDunn's consulting team serving state and territorial Medicaid agencies, you will apply your Medicaid systems knowledge, analytical expertise, and problem‑solving skills to help agencies modernize their Medicaid Enterprise Systems, strengthen program operations, and improve outcomes for beneficiaries. This role is well‑suited for a consultant who thrives in dynamic environments, enjoys translating complex policy and operational needs into actionable system and project deliverables, and values collaboration. This position may be remotely based or located in our Hawaii office and will report to senior leaders within the Medicaid Practice Group, working closely day‑to‑day with the MES Manager. Travel Expectations: This role may require up to 25% travel to support client engagements, including on-site meetings, planning sessions, and key project milestones across American Samoa and other assigned state or territorial clients. You Will Support the MPG Manager - MES in advancing Medicaid Enterprise Systems modernization initiat