Strategic Medicaid Program Integrity Lead

BerryDunn — Assurance, Tax and Consulting; United States; On-site; USD 95,000 - 130,000; Full time

Job summary

BerryDunn is seeking a Program Integrity Lead to support Hawaiʻi Med-QUEST (MDQ) by driving Medicaid program integrity activities across fraud, waste, and abuse prevention, provider oversight, and claims audits.

You will coordinate priorities, Jira tracking, deliverables, and leadership reporting to build foundational processes and mature the unit for long-term MQD ownership. Travel up to 25% may be required.

Qualifications

• Leadership, communication, facilitation, organization, and attention to detail.
• Knowledge of Medicaid program integrity and related operations.
• Familiar with Jira or similar project management tools.
• Experience coordinating cross-functional stakeholders and client/vendor teams.

Responsibilities

• Lead program integrity workstreams including audits, policy, and processes.
• Stand up and mature MQD’s Program Integrity function with foundational processes and governance.
• Coordinate Jira tasks, reporting, and stakeholder communications across teams.
• Develop training and transition materials to enable MQD staff to sustain processes.

Skills

Leadership

Communication

Jira

Microsoft applications

Artificial intelligence tools

Education

Bachelor's Degree

Tools

Jira

SharePoint

KnowledgeLink

Job description

BerryDunn is seeking a Program Integrity Lead to support Hawaiʻi Med-QUEST (MDQ) by driving Medicaid program integrity activities across fraud, waste, and abuse prevention, provider oversight, and claims audits.

You will coordinate priorities, Jira tracking, deliverables, and leadership reporting to build foundational processes and mature the unit for long-term MQD ownership. Travel up to 25% may be required.