Third Party Liability (TPL) Lead

Overview BerryDunn is seeking a Third Party Liability (TPL) Lead to support Hawaiʻi Med-QUEST’s Third Party Liability, Fraud, Waste, and Abuse (FWA), program integrity, and Medicaid TPL initiatives. This role will lead TPL operations, including cost avoidance, recovery, lien-related processes, vendor coordination, reporting, quality assurance, and operational improvements. The TPL Lead will oversee the TPL Subject Matter Expert (SME) and coordinate closely with the Program Integrity Lead and Policy Lead to align TPL work with program integrity, audit, policy, process, and systems priorities. This role will help ensure Medicaid acts as the payer of last resort by supporting coordination and recovery from liable third parties, including commercial insurers, Medicare, and casualty or liability carriers. The TPL Lead will work within our project structure, with close coordination across Integrated IT, Process & Policy, Strategic Project Management, and Learning, Development & Change Management workstreams. Travel expectations: This role may require travel up to 25% of the year. You Will Lead TPL operations and improvements, including cost avoidance, recovery, lien-related processes, vendor coordination, reporting, and quality assurance. Oversee the TPL SME’s work, including analysis, recommendations, documentation, operational support, and quality review. Coordinate with the Program Integrity Lead and Policy Lead to align TPL activities with broader compliance, audit, pol