Medicaid Compliance Subject Matter Expert (SME)

Overview BerryDunn is seeking a Medicaid Compliance Subject Matter Expert (SME). This position will provide expertise on federal and state Medicaid requirements, compliance monitoring, audit readiness, corrective action planning, risk mitigation, and the operational impacts of Medicaid enterprise systems and related workflows. In this role, the Medicaid Compliance SME will work closely with cross-functional BerryDunn project teams, State stakeholders, Program Integrity staff, audit and TPL subject matter experts, data analysts, vendor partners, and project leadership to interpret requirements, assess risks, document processes, support system and operational improvements, and develop practical recommendations. The SME will help connect Medicaid policy, program operations, business process redesign, issue tracking, training, documentation, and change readiness activities so that project recommendations are actionable, compliant, and aligned our project priorities. Travel expectations: This role may require travel up to 25% of the year. You Will Interpret Medicaid regulatory, Program Integrity, Third-Party Liability (TPL), Payment Error Rate Measurement (PERM), and compliance requirements relevant to the engagement. Support compliance assessments, audit readiness activities, and documentation of risks and gaps. Develop recommendations, corrective action approaches, and process improvements to address compliance findings. Support responses to Centers for Medicare & Medicaid S