BerryDunn — Assurance, Tax and Consulting

• Coordinate SDLC and release lifecycle activities, including planning, requirements, design, testing, training readiness, go-live, and post-deployment follow-up. • Develop and maintain business requirement documents, process documentation, decision logs, action item trackers, release materials, testing inputs, and implementation documentation. • Coordinate business requirements review, design review, release planning, and sign-off activities with internal teams, State stakeholders, system teams, and other vendor partners. • Support testing and UAT readiness, including test plans, testing scenarios, test script inventories, UAT communications, validation activities, defect tracking, production validation, and UAT wrap-up. • Partner with operations, policy, and training stakeholders to identify release impacts, operational changes, training needs, screenshots, demos, and staff readiness considerations. • Support deployment and post-deployment activities, including go/no-go readiness, go-live preparation, release report cards, retrospectives, and follow-up with client and vendor partners.

Role Description 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 - 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, policy, process, and systems priorities. - Provide guidance to project teams and stakeholders on Medicaid TPL requirements, best practices, operational considerations, and compliance expectations. - Support daily TPL Unit operations, including coordination with MQD units, vendors, health plans, the Civil Recoveries Division, and other partners. - Lead or support development, tracking, and refinement of TPL lien-related processes and documentation. - Facilitate meetings, manage follow-up actions, track decisions, escalate risks and blockers, and support timely issue resolution. - Review existing TPL processes and lead business process redesign to improve efficiency, compliance, accountability, and recovery outcomes. - Review TPL vendor lead files, verified policy updates, cost avoidance reports, recovery reports, and related operational data. - Follow project ways-of-working standards, including document management, client communication, time entry, internal review cycles, and protection of sensitive information. Qualifications - Experience leading or supporting Medicaid Third Party Liability (TPL), program integrity, recovery, cost avoidance, audit, compliance, policy, or related operations. - Strong knowledge of Medicaid coordination of benefits, third-party payer data, recovery processes, lien-related processes, federal and state TPL requirements, and payer-of-last-resort principles. - Experience coordinating TPL-related work across program, vendor, legal, finance, policy, analytics, claims, eligibility, audit, and project management stakeholders. - Experience interpreting and applying federal and state Medicaid requirements. - Strong project leadership, facilitation, communication, analytical, and stakeholder engagement skills. - Ability to analyze Medicaid claims, eligibility systems, third-party payer data, recovery opportunities, and operational improvements. - Experience leading or supporting business process redesign in a Medicaid, healthcare, claims, eligibility, program integrity, or TPL environment. - Experience overseeing or coordinating the work of subject matter experts, analysts, or project team members. - Ability to collaborate across multidisciplinary workstreams, including strategic project management, integrated IT/process/policy, audit, operations, training, communications, and change management teams. - Minimum three (3) years of experience within the last five (5) years in a comparable Medicaid, healthcare, TPL, program integrity, operations, leadership, or consulting role. Preferred Qualifications/Experience - Experience supporting or leading a state Medicaid agency TPL program, including cost avoidance, recovery, casualty/liability, lien-related processes, audit, compliance, coordination of benefits, or vendor coordination. - Experience supporting implementation activities such as process redesign, reporting, testing, training readiness, release coordination, performance monitoring, or stabilization. - Familiarity with Medicaid eligibility systems, claims systems, integrated eligibility systems, or vendor-managed Medicaid data environments is a plus. Compensation Details The base salary range targeted for this role is $90,000-$120,000. This salary range represents BerryDunn’s good faith and reasonable estimate of the range of possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final salary range may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The salary of the finalist selected for this role will be based on a variety of factors, including but not limited to, years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations. Benefits Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture. Company Description BerryDunn is the brand name under which Berry, Dunn, McNeil & Parker, LLC and BDMP Assurance, LLP, independently owned entities, provide services. Since 1974, BerryDunn has helped businesses, nonprofits, and government agencies throughout the US and its territories solve their greatest challenges. The firm’s tax, advisory, and consulting services are provided by Berry, Dunn, McNeil & Parker, LLC, and its attest services are provided by BDMP Assurance, LLP, a licensed CPA firm.

• Lead and support the delivery of services to clients on time, within scope, and within budget, including assigning and managing staff and creating work products. • Serve as project manager and/or lead client projects across the country, supporting client work and deepening team knowledge. • Develop project deliverables for clients. • Lead and support the development of IT strategies, operating model recommendations, governance structures, process improvements, and implementation roadmaps that support organizational modernization. • Provide project leadership, quality review, and mentorship to project teams, helping apply sound consulting practices, structured analysis, and practical recommendations. • Stay current with public sector IT management practices, emerging technology trends, and industry frameworks, and evaluate their relevance to client environments. • Support business development activities, including proposal development, client presentations, and thought leadership. • Communicate project and delivery status to our clients, team members, and other stakeholders, including the facilitation of client meetings. • Work with BerryDunn contractors to help ensure their proper delivery of project deliverables.

• Collaborate with team members to plan, develop and implement project activities to achieve project and client goals. • Lead and support compliance effort, analyzing requirements, assessing deliverables, communicating findings to client • Lead and support independent validation and verification (IV&V) reviews and reporting • Ability to lead team of consultant to complete project activities, establish procedures, and manage schedule • Prepare and/or edit status reports, executive briefings, and presentations • Interact with team members for preparation of progress report, submission of deliverables, and action items • Identify potential risks and issues to project success • Create and maintain document templates • Facilitate meetings • Develop and present client communications, both written and verbal

• Manage full-cycle recruitment for experienced consulting positions, from intake through offer acceptance. • Partner with hiring managers to develop effective recruiting strategies for specialized and hard-to-fill consulting roles. • Use behavioral interviewing and assessment techniques to identify candidates with the right combination of experience, skills, and cultural fit. • Source and engage candidates through networking, referrals, direct outreach, and other creative sourcing strategies. • Manage candidates throughout the recruiting lifecycle while maintaining accurate documentation in our applicant tracking system (iCIMS). • Represent and communicate BerryDunn's culture, values, employee experience, and career opportunities to prospective candidates.

• Lead and support delivery of Medicaid Enterprise System initiatives for State Medicaid Agencies (SMAs) and other Health and Human Services (HHS) agencies, including system modernization, implementation oversight and program advisory • Serve as a key client interface, providing guidance to agency stakeholders and supporting informed decision-making • Manage and coordinate across complex, multi-stakeholder environments, including vendors, system integrators, and government entities at territory, state, and federal levels • Support vendor oversight, performance monitoring, and implementation activities to help ensure alignment with program objectives • Identify, manage, and communicate project status, risks, and issues driving timely resolution and maintaining stakeholder alignment • Lead and support the development and maturation of program and project governance structures, including PMO- or PgMO-aligned frameworks • Lead and contribute to strategic planning, funding and acquisition, program and project management, and vendor management services • Lead and contribute to the development of key MES deliverables such as Concepts of Operations (ConOps), Advance Planning Documents (APDs), MES Roadmaps, MITA State Self-Assessments (SS-As), Requests for Proposals (RFPs), and engagement and federal reporting artifacts • Provide subject matter expertise in Medicaid domains such as eligibility and enrollment, claims, financial management, and provider management, advising on impacts of federal regulations, State Plan Amendments (SPAs), waivers, policy changes, operations, and process improvements • Provide system and implementation expertise including knowledge of Medicaid and HHS vendor marketplace, procurement processes, and system implementation life cycles • Support system integration and interoperability efforts, including coordination with federal data hubs and integration across MES modulars and related human services programs (e.g. SNAP, TANF) • Lead, develop, and manage staff in support of their professional development journeys and engagement responsibilities • Contribute to business development efforts and practice growth initiatives

• Complete credentialing and/or re-credentialing applications for physicians, ancillary providers and facilities or groups with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner • Perform Primary Source Verification (PSV) services including but not limited to verification of licenses, malpractice and work history; perform PSV file audits as requested. • Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providers • Maintain a Credentialing database in accordance with BerryDunn’s policies and procedures for all participating and non-participating providers with payer identification numbers and effective dates • Partner with client liaisons, including billing departments to update the enrollment status of the providers • Contact payers to follow up on submitted applications within BerryDunn’s policies • Respond to various inquiries and requests for information from participating physicians, staff, hospitals, and managed care companies timely and with professionalism • Communicate with providers or their designees to obtain requisite credentialing information to facilitate timely completion and submission of required documents • Update client regularly on process and communicate any delays • Continuously inform Credentialing leadership of the project status and assist in managing expectations related to deliverables and deadlines • Be responsible for timely and accurately accounting of hours (billable and non-billable) in time and attendance software for proper billing of services rendered

• Collaborate with team members to plan, develop and implement project activities to achieve project and client goals. • Lead and support compliance effort, analyzing requirements, assessing deliverables, communicating findings to client • Lead and support independent validation and verification (IV&V) reviews and reporting • Ability to lead team of consultant to complete project activities, establish procedures, and manage schedule • Prepare and/or edit status reports, executive briefings, and presentations • Interact with team members for preparation of progress report, submission of deliverables, and action items • Identify potential risks and issues to project success • Create and maintain document templates • Facilitate meetings • Develop and present client communications, both written and verbal

• You will join a core team tasked with running multiple client engagements at any one time, and will perform duties such as Controller-to-go services which include maintaining the full general ledger, journal entries, budgets, and client consulting. • Also, you will perform accounting software implementations, providing ongoing accounting software support, assist clients with developing and maintaining internal procedures/processes. • You will also be responsible for helping oversee and review staff work on related jobs. • Gain comprehensive understanding of client operations, processes, and business objectives and utilize that knowledge on engagements. • Oversee and review professional team in preparing workpapers, financial statements (GAAP basis – non-disclosure) and preparing engagement correspondence. • Develop and maintain a great working relationship with clients to enhance customer satisfaction and work with client management and staff at all levels to perform outsourced accounting. • Lead team members to ensure we complete project components and assignment tasks. • Perform duties at a Controller level for clients on an ongoing basis. • Maintain expertise of accounting software, trends, technology to be able to train internal team and external clients. • Develop and communicate recommendations for business and process improvements. • Actively participate in meetings as a key member of the outsourced accounting team. • Assist principals and senior management on proposals and business development calls. • Supervise, train, and mentor seniors, staff and interns on outsourced accounting and assess performance of staff for engagement reviews.

Role Description BerryDunn is seeking a Senior Consultant to join our Medicaid Practice Group (MPG) that will have an initial focus supporting our client in Puerto Rico as a Medicaid Enterprise System (MES) Organizational Change Management (OCM) Subject Matter Expert (SME). As part of our consulting team focused on State Medicaid Agency (SMA) clients, you will leverage your OCM expertise, along with project management and Medicaid knowledge, to help Medicaid agencies improve the health and lives of individuals. You will also be the success partner for Medicaid agencies in building healthier communities and stronger futures. This position can be remotely based or in one of our offices in Portland, Maine, Charleston, West Virginia, San Juan, Puerto Rico, or Phoenix, Arizona. You will report to senior leaders in the MPG and will help clients nationally, with your initial focus being on our client in Puerto Rico. The candidate must be willing to work standard Atlantic Standard Time (AST) business hours to align with client and team schedules. Travel Expectations: - Approximately 25–50% travel may be required to support client engagements, stakeholder workshops, and project milestones. You Will - Provide OCM services to SMA clients as they transform their organization to align with MES strategy. - As a trusted advisor, provide leadership and guidance for clients and internal project teams in the following areas: - Strategy and Planning: - Help develop and execute an OCM strategy appropriate to the client environment. - Support, and at times lead, the development of project deliverables and artifacts such as plans, surveys, and assessments, e.g. Prosci® Change Triangle (PCT), Change Readiness, OCM Maturity, and Training Needs. - Stakeholder Engagement and Communication: - Develop and manage project and stakeholder communications. - Help develop and maintain strong relationships with project stakeholders, including clients, project team members, vendors, and other interested parties. - Facilitate meetings with clients, vendors, and internal teams as needed. - Help manage and report on project status, progress, budget, schedule, quality, and resources. - Project Delivery: - Support, and at times lead, the development of gap analysis and business processes and/or documentation (e.g. reports, standard operating procedures (SOPs), process maps, etc.). - Assist in developing and reviewing project deliverables and artifacts. - Document and escalate action items, issues, and decisions. - Help mentor and develop internal project team members. Qualifications - Bachelor’s degree (a bachelor’s degree can be replaced with an additional four (4) years related experience). - A minimum of five (5) years of experience implementing OCM practices for system implementation projects using an industry standard change management framework. - Three (3) years of demonstrated experience in an OCM lead or SME role supporting a SMA or a large healthcare provider management organization of a similar size. - Familiarity with MES modernization efforts and CMS guidelines. - Demonstrated ability to perform and/or lead change management activities using an industry standard change management framework. - Demonstrated ability to confidently facilitate meetings and present complex concepts to stakeholders. - Demonstrated ability to balance multiple assignments and achieve quality results in a timely manner. - Demonstrated ability to create and sustain positive working relationships with diverse stakeholders. - Demonstrated ability to perform and thrive in an ambiguous and changing environment. - Written and verbal fluency in English. - Proficiency in all Microsoft (MS) applications. - Proficiency in MS Visio a plus. - Spanish fluency is a plus. - Prosci® and/or other industry recognized change management certification strongly desired. - Prior consulting experience is a plus. Requirements - The base salary range targeted for this role is $115,000 - $135,000. - This position may also be eligible for a discretionary annual bonus based on factors such as company and personal performance. - This salary range represents BerryDunn’s good faith and reasonable estimate of the range of possible compensation at the time of posting. - If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final salary range may then be based on those additional qualifications. - Compensation decisions are dependent on the facts and circumstances of each case. - The salary of the finalist selected for this role will be based on a variety of factors, including but not limited to years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations. Benefits - Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. - Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. - Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.