Medicaid Senior Consultant, Managed Care, Program and Policy

Overview

Join BerryDunn’s growing Medicaid managed care, program and policy team! In this role, you will have an opportunity to find innovative solutions to strengthening our client’s Medicaid managed care programs. BerryDunn’s Medicaid Practice Group is seeking a Medicaid Senior Consultant, Managed Care, Program and Policy who has experience working at one or a combination of 1) a consulting firm supporting state Medicaid agencies, 2) a managed care organization (MCO), and/or (3) a state Medicaid or health and human services agency.

 

BerryDunn’s Medicaid Practice Group focuses on supporting decision makers in state Medicaid agencies throughout the country in the design, development, financing, implementation, and evaluation of their Medicaid programs. Our team applies our knowledge and skills in the areas of, federal policy and legislative analysis, Medicaid program design and development, and information systems technology. Serving as trusted advisors, our contributions allow policymakers and institutions to focus on their objectives with the information and tools they need to make the right decisions to achieve their program goals.

 

This position can be remotely based or based at BerryDunn’s offices in West Virginia, Maine, Connecticut, Hawaii, Massachusetts, Arizona, New Hampshire, or Puerto Rico. You will report to and partner with senior management in our Medicaid team both for client work and career development. With a growth mindset, you will drive your development with the support of a learning and development culture.

 

Travel Expectation: 30% to 50%

You Will

• Lead client projects and/or initiatives related to Medicaid managed care program oversight and compliance, policy, and federal/ state initiatives.
• Direct the development of concise summaries, reports, and presentations of complex data and information for client leadership.
• Research, review, and analyze a broad spectrum of Medicaid and healthcare data, policy, and financial impacts. Provide functionality and/or technical expertise in resolving inquiries from other teams about solutions within their area of specialization.
• Facilitate meetings and interviews with client stakeholders, including the development of presentations and other materials to support meetings.
• Deliver frequent, clear, and consistent communication to the client, team members, vendor, and direct reports. Support the delivery of services to clients on time, within scope, and within budget.
• Conduct project management tasks such as tracking and reporting project progress, maintaining a project document repository, and reviewing deliverables for quality assurance.
• Analyze, review, and manage vendor supplied documentation.

You Have

• A Bachelor’s Degree.
• At least three years’ experience supporting at least one State Medicaid agency, preferably related to Medicaid managed care.
• Knowledgeable in Medicaid finance, managed care policy and operations, and Medicaid regulations and/or compliance.
• Experience working with managed care organizations, and/or providers to implement new federal/ state initiatives in a managed care setting, including but not limited to new services.
• Strong background in leading projects and initiatives in Medicaid and/or health and human services, along with supporting skills such as meeting facilitation.
• Demonstrated written and verbal communication skills.
• Proven ability to adapt and be resourceful to changing needs of the project and client(s).
• Strong collaboration skills and desire to work in a team setting.
• Excellence in the areas of time management, flexibility, and attention to detail.

Preferred Qualifications/Experience

• Experience working with a national or regional consulting firm, the Centers for Medicare & Medicaid Services (CMS), and/or a Managed Care Organization (MCO) supporting a state Medicaid agency.
• Background in areas such as quality, reporting, finance, reimbursement, regulation, policy analysis, behavioral health services, and/or compliance as it relates to Medicaid managed care.
• Project Management Institute (PMI) and/or Project Management Professional (PMP) certification.

Compensation Details

The base salary range targeted for this role is $110,000 - $135,000. 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