Manager, Medicaid Integrity Operations, Financial Crime and Fraud

Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization.

Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation.

Work You'll Do

As a Manager, Financial Crime Services, you will:


* Oversee delivery across multiple state Medicaid program integrity engagements, including statement of work, milestones, service levels, quality standards, and client commitments.


* Direct operational planning, resource allocation, delivery reviews, risk identification, escalations, and corrective action planning in coordination with project managers and account leaders.


* Directly supervise assigned project managers, auditors, analysts, program integrity specialists, and other delivery personnel as appropriate to the contract portfolio.


* Provide senior expertise in Medicaid provider oversight, claims auditing, prepayment and postpayment review, payment integrity, fraud and abuse detection investigations, and improper payment recovery.


* Guide risk-based audit and review approaches, provider billing assignments, emerging scheme identification, documentation standards, and defensible findings.


* Apply first-hand understanding of state Medicaid agency operations and private sector vendor delivery to align contracted services with agency objectives and operational realities.


* Serve as a senior operational liaison between agency program integrity leaders and internal teams clarifying requirements, resolving issues, and improving execution.


* Define and monitor performance measures for contract delivery, staff productivity, quality, audit effectiveness, prevention, recovery and client satisfaction.


* Maintain appropriate documentation, quality assurance, reporting and operational controls; support responses to audits and oversight reviews.


* Contribute Medicaid program integrity expertise to proposals climate solution demonstrations, client discovery, and new contract operational planning.


* Surface emerging client needs, program integrity risks, and opportunities for product or service improvements to executive and product leadership.

The successful candidate would possess these skills:



* Ability to work independently and collaborate as part of a team


* Effective written and verbal communication skills


* Meticulous attention to detail and quality of work product


* Ability to build and sustain professional relationships


* Ability to lead projects or workstreams


* Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment


* Strong interpersonal skills and professional demeanor


* Ability to meet deadlines


* Ability to provide clear guidance to others

The Team

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