Medicaid Payment Integrity SME at BerryDunn | 9to5 Jobs USA

Job Description

EXTERNAL LISTING — SOURCED FROM JOB NETWORK

Medicaid Payment Integrity SME

Company: BerryDunn

Location: Makakilo, Honolulu

Salary: $105,282 / year

Category: Accounting & Finance Jobs

BerryDunn is seeking an experienced Senior Consultant with subject matter expertise in Medicaid payment integrity to support Hawaiʻi Med-QUEST’s (MQD) Fraud, Waste, and Abuse (FWA), program integrity, audit, third party liability (TPL), payment integrity, and claims review initiatives. You will manage forensic review, investigative, and claims audit activities related to Medicaid medical, dental, behavioral health, pharmacy, provider, member, financial, and operational data. You will provide ov…