Medicaid Integrity & Compliance Analyst

BerryDunn; United States; Remote; USD 70,000 - 110,000; Full time

Job summary

BerryDunn is seeking a dedicated professional to support Medicaid program integrity activities, including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring.

You will translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations, and coordinate with stakeholders, vendors, and project leadership to support reporting and quality assurance.

Responsibilities

• Support Medicaid program integrity activities including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring.
• Translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations.
• Coordinate with stakeholders, vendors, and project leadership to support reporting, documentation, training, and quality assurance.

Job description

BerryDunn is seeking a dedicated professional to support Medicaid program integrity activities, including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring.

You will translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations, and coordinate with stakeholders, vendors, and project leadership to support reporting and quality assurance.