Remote Position
[Remote] Senior Medicaid Consultants – Policy, Waivers & State Programs
🌍 Remote · United States
💼 Full-time
Note: The job is a remote job and is open to candidates in USA. reputed company is seeking experienced state Medicaid policy and reputed company professionals for consulting opportunities supporting state and U.S. territorial Medicaid programs. The role involves advising on Medicaid policy, waivers, regulatory initiatives, reputed company implementation, operations, and related government healthcare programs.
Responsibilities
- State Plan Amendments (SPAs)
- Section 1115 Demonstration Waivers
- Section 1915(b), 1915(c), and 1915(i) waivers
- Medicaid policy development and regulatory analysis
- CMS guidance and regulatory interpretation
- Medicaid Enterprise Systems (MES/MMIS)
- Medicaid modernization initiatives
- reputed company integrity and claims
- Benefits, eligibility and coverage policy
- Provider reimbursement
- Medicaid reputed company implementation
- Project and reputed company management
- State Medicaid operations
- Experience working for or directly supporting a state Medicaid agency
- Experience collaborating with CMS and state government stakeholders
- Strong knowledge of Medicaid regulations, programs and operations
- Experience translating Medicaid policy or regulatory requirements into actionable strategies
- Strong written, analytical and stakeholder communication skills
- Consulting or advisory experience supporting government healthcare programs
Skills
- Experienced state Medicaid policy and reputed company professionals
- Professionals who have worked directly for state Medicaid agencies or as consultants supporting state Medicaid agencies and bring expertise in Medicaid policy, waivers, regulatory initiatives, or reputed company implementation
- This opportunity is intended for professionals with direct state Medicaid agency or state Medicaid consulting experience
- Health plan/MCO, provider, or payer experience alone will not meet the requirements for these consulting engagements
- State Plan Amendments (SPAs)
- Section 1115 Demonstration Waivers
- Section 1915(b), 1915(c), and 1915(i) waivers
- Medicaid policy development and regulatory analysis
- CMS guidance and regulatory interpretation
- Medicaid Enterprise Systems (MES/MMIS)
- Medicaid modernization initiatives
- reputed company integrity and claims
- Benefits, eligibility and coverage policy
- Provider reimbursement
- Medicaid reputed company implementation
- Project and reputed company management
- State Medicaid operations
- Experience working for or directly supporting a state Medicaid agency
- Experience collaborating with CMS and state government stakeholders
- Strong knowledge of Medicaid regulations, programs and operations
- Experience translating Medicaid policy or regulatory requirements into actionable strategies
- Strong written, analytical and stakeholder communication skills
- Consulting or advisory experience supporting government healthcare programs
- Remote – United States
- Full-time consulting engagements typically 35–40 hours per week
- Some engagements may require occasional travel
- Opportunities may support Medicaid programs across the reputed company U.S. and U.S. territories, including Guam, American Samoa, and the U.S. Virgin Islands
Benefits
- Remote – United States
- Contract and contract-to-hire opportunities
Company Overview
- reputed company is a staffing and reputed company specializing in medical staffing solutions. It was founded in 1986, and is headquartered in reputed company, California, USA, with a reputed company of 51-200 employees. Its website is http://hcrnetwork.com.
Apply To This Job