Back to the board

[Hiring] Medicaid Practice Group Manager - Medicaid Enterprise Systems (MES) @BerryDunn

100% remote Flexible hours Hiring now

Role Description BerryDunn is seeking an experienced Medicaid Practice Group Manager – Medicaid Enterprise Systems (MES) to serve as a trusted advisor and delivery lead for our American Samoa Medicaid client. This role is responsible for guiding the maturation of Medicaid enterprise systems programs and strengthening program and project management (PgMO) capabilities within a complex, evolving territorial Medicaid environment. This position will sit remotely and support American Samoa’s Medicaid modernization efforts, with a primary focus on Eligibility and Enrollment (E&E) and other MES modules as identified. The successful candidate will bring deep MES domain expertise, strong program and project management leadership, and the ability to adapt best practices to the operational realities, scale, and capacity of a U.S. territory Medicaid agency. As an MPG Manager focusing on MES, you will:

  • Support the maturation and standardization of PgMO and project management processes across American Samoa’s Medicaid Enterprise Systems.
  • Lead and contribute to the development of key MES deliverables and artifacts, including:
  • MES IT road-maps/strategic plans
  • MES governance frameworks
  • Program and project metrics and reporting tools
  • Communicate project status, risks, and recommendations clearly and effectively to client leadership, BerryDunn team members, and other stakeholders, including facilitating and leading client meetings.
  • Provide oversight, facilitation, tracking, and management of select MES module implementations, with a primary focus on Eligibility and Enrollment and related system dependencies.
  • Serve as a subject matter expert in member eligibility and enrollment, advising on the impacts of:
  • Federal Medicaid regulations
  • State Plan Amendments (SPAs)
  • Territorial policies and waivers
  • Operational changes and process improvement strategies on proposed or upcoming system changes.
  • Provide systems and implementation expertise, including a strong understanding of the Medicaid vendor marketplace and systems procurement and implementation life-cycles.
  • Deliver subject matter expertise in system integration, with a focus on interfacing with federal data hubs and supporting interoperability across key Medicaid Enterprise Systems, including MMIS and connections to related human services programs (e.g., SNAP, TANF, where applicable).
  • Collaborate closely with client staff, BerryDunn colleagues, and vendor partners to ensure alignment, clear communication, and shared project goals.
  • Lead and project manage Medicaid systems initiatives, including developing high-quality client deliverables such as:
  • Complex analysis and strategy reports
  • Ongoing status and executive reports
  • Data, technical, and systems strategy plans
  • Client-facing presentations and briefings

Qualifications

  • Bachelor’s degree required (four years of applicable experience may be substituted in lieu of a degree).
  • Minimum of 6 years of experience supporting systems implementation projects in a PgMO or project management capacity.
  • Minimum of 4 years of experience supporting a State or Territorial Medicaid Enterprise System (MES) in a PgMO or project management role.
  • Project Management certification (PMP or CAPM) preferred.
  • Experience working within a Program and/or Project Management Office supporting a Medicaid agency.
  • Demonstrated ability to design and implement program and project management governance structures.
  • Strong knowledge of and experience with:
  • Medicaid Management Information Systems (MMIS)
  • Eligibility and Enrollment systems
  • Other applicable HHS or Medicaid-related solutions
  • Proven ability to adapt to shifting priorities and evolving client needs in a fast-paced environment.
  • A collaborative, team-oriented approach and the ability to work effectively with cross-functional stakeholders and vendor partners.
  • Strong active listening skills, with the ability to understand client and team needs, respond with empathy, and incorporate feedback constructively.
  • Ability to manage multiple concurrent workstreams, often with limited notice, while maintaining high-quality standards and meeting critical deadlines.
  • Excellent written and verbal communication skills.
  • Proficiency with Microsoft desktop applications and document repositories such as MS SharePoint.

Requirements

  • Travel up to 25% to support client meetings, planning sessions, and key project milestones in American Samoa.

Benefits

  • The base salary range targeted for this role is $110,000-$140,000.
  • Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being.

Apply tot his job Apply To this Job

Keep exploring

[Remote] Grievances & Appeals Representative 2 - Medicaid

100% remote Flexible hours

Revenue Cycle Medical Billing Medicaid Claim Status Follow-Up

100% remote Flexible hours

EDW Medicaid Subject Matter Expert/Data Specialist

100% remote Flexible hours

Medicare OR Medicaid Actuary

100% remote Flexible hours

Principal Technical Analyst - MMIS - Medicaid Pharmacy

100% remote Flexible hours

Medical Director - Kentucky Medicaid

100% remote Flexible hours

EDW Medicaid Data Subject Matter Expert (SQL / Federal Reporting)

100% remote Flexible hours

Senior IT Project Manager – Medicaid Systems (MMIS / MES)

100% remote Flexible hours

Principal Associate- Medicaid Implementation

100% remote Flexible hours

Ago senior investigator/analyst, medicaid fraud & abuse division, seattle

100% remote Flexible hours

Loyalty Analytics Intern - Global

100% remote Flexible hours

Network System Engineer

100% remote Flexible hours

Part-Time Remote Data Entry Specialist – Content Management for arenaflex Streaming Platform

100% remote Flexible hours

Experienced Full Stack Technical Customer Success Manager – AI-Driven Healthcare Solutions

100% remote Flexible hours

AR/AP Accounting and Billing Analyst

100% remote Flexible hours

[Remote] Account Manager (Data Platforms & Agency)

100% remote Flexible hours

Coding Specialist II, Remote

100% remote Flexible hours

Experienced Patient Care Customer Service Representative – Evening & Weekend Shifts – Remote Opportunity

100% remote Flexible hours

PCI QSA Sr. Consultant - Japan

100% remote Flexible hours

Entry Level Writer - App Tester/Reviewer

100% remote Flexible hours