Medicaid Enterprise Systems (MES) Manager

BerryDunn•San Juan,

8d•$150,000 - $180,000•Hybrid

About The Position

The Medicaid Enterprise System (MES) Manager leads and supports delivery of complex MES-related consulting services for HHS agencies. This role primarily supports our U.S. Territory-based clients, combines client leadership, delivery execution, and subject matter expertise to support MES and service-related modernization initiatives. The MES Manager operates across engagements in both lead and supporting roles, driving delivery outcomes while navigating complex stakeholder environments that include government agencies, system integrators, and federal partners. The primary area of focus for the MES Manager role is support of MES initiatives in Puerto Rico, including system modernization efforts, vendor oversight, and program-level advisory. This role will play a key project, program, and at time portfolio manager level role, and in doing so will help ensure delivery quality, stakeholder alignment, and execution consistency across MES initiatives. The role requires the ability to translate policy, operational, and technical requirements into actionable execution, manage delivery risk in high-visibility environments, and provide clear, credible guidance to SMA and federal-partner clients. The successful candidate will bring deep MES domain expertise, strong program and project management leadership, experience operating within a consulting services delivery model, and prior experience interfacing with both federal partners and SMAs. Successful candidates must also possess the ability to adapt best practices to the operational realities, scale, and capacity of a U.S. territory Medicaid agency. This position offers flexibility in work location, with the resource able to sit remotely or in one of BerryDunn’s offices, depending on preference. Regardless of location, the role requires regular collaboration with distributed teams and travel to client sites, generally expected to range from 25–50%, depending on engagement phase and client needs.

Requirements

10-15+ years of experience in Medicaid, Health and Human Services (HHS), or public sector consulting
Significant experience supporting Medicaid Enterprise Systems (MES) initiatives, including large-scale modular system implementations
Demonstrated experience delivering within a consulting services environment, including strategic planning, funding and acquisition, program and project management, and vendor management services
Proven ability to manage complex, multi-stakeholder environments, including government agencies, vendors, system integrators, and federal partners
Experience managing or overseeing vendor performance, accountability for delivery outcomes
Experience engaging with and advising executive-level stakeholders at the HHS and Medicaid territory, state, and/or federal levels, including the ability to influence decisions and communicate effectively
Experience working within structured project, program, or portfolio governance frameworks (e.g. PMO or PgMO)
Demonstrated experience leading project teams including mentoring, coaching, and performance management
Ability to lead cross-functional teams and contribute to a collaborative, high-performing team environment
Strong knowledge of and experience with Medicaid Management Information Systems (MMIS), Eligibility and Enrollment (E&E) Systems, and/or other modular Medicaid and HHS agency-level IT 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

Responsibilities

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