Medicaid Fraud Consulting Manager

Kforce Inc.

New York, NY(remote)

JOB DETAILS
SALARY
$55–$75
SKILLS
Best Practices, Business Development, Communication Skills, Consulting, Cross-Functional, Customer Relations, Data Analysis, Legal, Maintain Compliance, Medicaid, Operations Processes, People Management, Performance Management, Presentation/Verbal Skills, Process Improvement, Regulations, Regulatory Compliance, Regulatory Requirements, Risk, Risk Management, Short Messaging Service (SMS), Team Player, Willing to Travel
LOCATION
New York, NY(remote)
POSTED
2 days ago
Kforce has a client in NYC that is seeking a Medicaid Fraud Consulting Manager. Responsibilities:
  • Provide subject matter expertise to support business development efforts, including proposals and presentations
  • Advise on solution design, operational approaches, and program strategies
  • Collaborate with cross-functional teams to strengthen technical positioning and client solutions
  • Participate in client meetings, workshops, and strategic discussions with key stakeholders
  • Serve as a trusted advisor on program operations, regulatory frameworks, and industry best practices
  • Provide guidance on compliance, risk mitigation, and process improvement initiatives
  • Support implementation efforts and provide ongoing advisory support to internal teams and clients
  • Offer insights on data utilization, operational processes, and performance improvement strategies

Requirements:

  • 10+ years of experience in program operations, consulting, or related environments
  • Strong understanding of regulatory requirements, compliance frameworks, and oversight structures
  • Experience supporting audit, compliance, risk, or investigative functions
  • Demonstrated expertise in areas such as process optimization, compliance, and risk management
  • Familiarity with large-scale data environments and enterprise systems
  • Ability to analyze complex data and translate insights into actionable recommendations
  • Strong communication skills with the ability to present complex concepts clearly to stakeholders
  • Proven ability to operate as a subject matter expert in client-facing settings
  • Comfortable working in a collaborative, fast-paced environment
  • Willingness to travel as needed

The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.

We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.

Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.

This job is not eligible for bonuses, incentives or commissions.

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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About the Company

K

Kforce Inc.

Kforce is a solutions firm specializing in technology, finance and accounting, and professional staffing services. Our KNOWLEDGEforce® empowers top companies to achieve their digital transformation goals. We curate teams of technical experts who deliver solutions custom-tailored to each client’s needs. These scalable, flexible outcomes are shaped by deep market knowledge, thought leadership and our multi-industry expertise.

 

Our integrated approach is rooted in 60 years of proven success deploying highly skilled professionals on a temporary and direct-hire basis. Each year, approximately 18,000 talented experts work with the Fortune 500 and other leading companies. Together, we deliver Great Results Through Strategic Partnership and Knowledge Sharing®.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Financial Services
FOUNDED
1962
WEBSITE
http://www.kforce.com/