Medicaid Payment Integrity SME: Data Analytics & Audits
BerryDunn — Assurance, Tax and Consulting
BerryDunn is seeking a Payment Integrity Subject Matter Expert to drive Medicaid program integrity across Hawaiʻi Med-QUEST. You will translate policy, analytics, and audit findings into practical monitoring, dashboarding, and corrective action. Expected travel up to 25% and close collaboration with cross-functional teams. The role requires data analysis, SQL, and stakeholder coordination, with a focus on identifying improper payments, cost avoidance, and program improvements across medical, #J-18808-Ljbffr BerryDunn — Assurance, Tax and Consulting
$95k - $120k
...BerryDunn is seeking a Payment Integrity Subject Matter Expert (SME) to support Hawaiʻi... ...Program Integrity, audit, Third Party... ...matter expertise in Medicaid program integrity,... ...and development of data-driven methodologies... ...program needs, claims analytics, and audit findings...SuggestedContract work- BerryDunn is seeking a Claims Data Analyst for Hawaiʻi MQD to support FWA, program integrity, audit, and TPL activities. You will analyze Medicaid claims and related data, develop reports and... ...tracking, and documentation across payment integrity and program integrity...Suggested
- BerryDunn seeks a Payment Integrity Subject Matter Expert to support Hawaiʻi Med-QUEST's... ...integrity initiatives. You will interpret Medicaid policy, develop data-driven monitoring, and coordinate... ...analysis, dashboards, and claims audits across medical, dental, behavioral...Suggested
- BerryDunn is seeking a Claims Data Analyst to support Hawai‘i MQD's FWA and Program Integrity initiatives, analyzing Medicaid claims and related data to identify trends, risks... ...and recovery. You will work with the Payment Integrity SME and cross-functional teams to develop...Suggested
- ...actively seeking an experienced Senior Consultant with Medicaid payment integrity expertise to support Hawaiʻi MQD program integrity initiatives. You will oversee forensic reviews, provider audits, and claims data analysis, collaborating with MQD staff, data analysts,...SuggestedRemote job
$95k - $120k
...Claims Data AnalystBerryDunn is seeking... ...Abuse (FWA), Program Integrity, audit, Third Party Liability (TPL), payment integrity, claims... ...opportunities across Medicaid claims, provider,... ...Matter Expert (SME) and collaborate with... ....Document analytical findings, summarize...$85k - $100k
...subject matter expertise in Medicaid program integrity and claims audits to support Hawaiʻi Med-... ..., and operational data. You will work as part of... ..., waste, abuse, improper payments, compliance issues, and operational... ...-ready reporting, analytical summaries, methodology documentation...Permanent employmentWork at officeRemote work- BerryDunn seeks a Claims Data Analyst in Hawaii to support MQD's FWA, program integrity, audit, and TPL initiatives. You will analyze Medicaid claims and related data, develop dashboards, validate... ...Unit. You will collaborate with the SME and other teams to produce reports...
- BerryDunn is seeking a Senior Consultant with Medicaid program integrity expertise to support Hawaiʻi MQD initiatives as a forensic analyst. You will conduct claims audits, document findings, and perform investigations across Medicaid lines, working with cross-functional...Remote job
- SMX in Hawaii seeks a Technical Integration & Data Management SME to drive OAI lifecycle leadership and align SOCPAC enterprise data across systems. You will guide staff through planning, preparation, execution, and assessment while orchestrating data migrations from C2...
$82.5k - $110k
...and overall financial integrity of the hotel. Your Key... ...Responsibilities Income Audit Perform daily audits of... ...invoices and ensure timely payment in accordance with... ...compliance practices. Strong analytical and problem-solving... ...and present financial data clearly. Effective leadership...Local area$116k - $125k
...agencies to assist in the creation, dissemination, direction, and auditing of program policy, standards, and operating procedures... ...implementation of countermeasures or mitigating controls Ensures the integrity and protection of networks, systems, and applications by...Full timeWork at officeLocal area- ...timely collection of payments. Reconcile membership... ...support accurate member data entry and account... ...activities. Support audits by providing documentation... ...oriented with excellent analytical skills and a... ...with a high level of integrity and commitment to confidentiality...Local areaShift work
$164.38k - $212.75k
...Cyber Security Analyst SME supporting USPACOM J6 enterprise... ...plans, designs, and integration actions. Support RMF... ...POA&M management, and audit readiness activities.... ...Strong communication, analytical problem-solving, technical... ...use of your biometric data for identity...Immediate startRemote workWork from homeWorldwideFlexible hours$159.43k
..., pricing databases, and historical cost data to support continuous improvement of estimating... ...documentation for government review and audit purposes. • Evaluate risk and... ...Smith Talent Acquisition Manager to receive payment for your placement. Verbal or written commitments...For contractorsWork experience placementH1bImmediate startFlexible hours- BerryDunn in Kapolei, Hawai'i is seeking a ConsultingIntern to join the Medicaid Practice Group to support IT modernization for Medicaid programs. You will work with a supervisor and experienced team members to learn consulting, client interactions, and project support...Summer workInternshipSummer internshipWork at office
$80k - $120k
...BerryDunn's Health Analytics Practice Group (... ...actuarial science, data science, policy analysis... ...financing and payment, cost and risk,... ...decisions. As a Senior Medicaid Analyst , you will... ...-QUEST’s program integrity initiatives,... ...claims review or audit, compliance monitoring...Permanent employmentWork at officeRemote work- ...Prepare and manage Medicare and Medicaid filings and ensure compliance... ...Board Lead annual financial audits and support internal audit... ...Microsoft Office tools Strong analytical, problem-solving, and communication... ...Nice to Have Experience with integrated healthcare delivery systems...Work at officeLocal area
- ...detect and proactively mitigate data security threats, ensure... ...with leadership in compliance, audit coordination, and financial process... ...to help ensure accuracy, integrity, and reliability of financial... ...priorities. Excellent analytical, communication, and problem‑solving...Full timeWork at officeLocal areaRemote work
- ...a personal impact as a Network Engineer SME supporting USPACOM J6 enterprise IT, mission... ...and development, modernization, secure integration, and operational collaboration across... ...Skills and Abilities Strong communication analytical problem-solving technical writing...Work from homeFlexible hours
$73.45k - $132.78k
...repositories, workflow automation, and data organization to improve... ...Support the development of analytics-driven knowledge management... ...decision advantage and support integrated Common Operational Picture (... ...never ask you to provide payment-related information during any...Contract workLocal areaImmediate start$70.8k - $172.4k
...RE&A), OMB A 123, and financial statement audit initiatives. Support the formulation,... ...development across FM operations through the rapid integration of processes, people, and technology.... ...information, or validating interfaced data. Assist USMC activities with the timely resolution...Local areaRemote work$112k - $179k
...operate around the globe 24x7x365. The Data Engineer will serve as a technical subject... ...expert focused on the visibility and analytics capabilities supporting the enterprise architecture... ...tiering, and compliant telemetry integration to support advanced threat hunting and...Contract workShift work$42 - $48 per hour
...policies Support quarterly accounting activities including purchase commitments and contractual obligation reporting Participate in audit requests and provide support for internal and external audit inquiries Recommend and support improvements to accounting systems,...Weekly payFull timeMonday to Friday$147k - $163k
...team of outstanding professionals. The System Administrator, VDI SME is responsible for the administration of over 300 Virtual... ...classifications. This role ensures the operations, confidentiality, integrity, and availability of information assets in compliance with established...Full timePart timeFor contractorsRemote work- General Dynamics Information Technology is seeking a Cyber Security Analyst SME in Aiea, Hawaii. The role requires extensive experience in cybersecurity and strategic support for mission partner operations. Key responsibilities include collaborating with stakeholders to...Flexible hours
$40 per hour
...Your primary role is to contribute to Workiva's data scientists' efforts within the Data Management and Analytics organization. This is an excellent opportunity to... ...a full-time Machine Learning Engineer Help integrate tools such as LlamaIndex and LlamaParse into existing...Remote jobFull timeSummer workInternshipSummer internshipWork at office$141.5k - $236k
...Data Scientist Opportunity Shape the future of defense with MANTECH! Join a team... ...opportunities in Cybersecurity, IT, Data Analytics and more. Propel your career forward and... ...transition across analytic teams. Support the integration of mission-enabling technologies...Hourly payContract workTemporary workWork experience placementWork at officeLocal areaRemote work$60k - $70k
...Responsibilities Manage day-to-day bookkeeping tasks including data entry, accounts payable, and accounts receivable. Perform bank... ...budgeting processes and prepare financial reports for board meetings or audits. Ensure compliance with all relevant financial regulations and...Full time- ...retirements, depreciation (Internal book and various tax books). Monitor and analyze accounting data to identify trends, variances or areas for improvement. Assist with audits by providing documentation and responding to inquiries Assists with special projects as...
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