Healthcare Financing & Public Programs Consultant

Public Consulting Group; United States; On-site; USD 70,000 - 85,000; Full time

Job summary

Public Consulting Group in the United States seeks an experienced consultant to manage complex state healthcare programs, public-sector initiatives, reimbursement projects, and healthcare transformation efforts. You will translate policy and program requirements into practical implementation strategies, coordinating with diverse stakeholders to drive outcomes.

Ideal candidates bring 5+ years in public-sector consulting, Medicaid programs, and healthcare transformation, plus strong project

Qualifications

• Ability to understand service delivery systems administered by state and local governments and monitored by federal regulators.
• Ability to develop expertise in complex federal and state regulations, reimbursement methodologies, and program requirements.
• Ability to translate policy, regulatory, financial, and operational requirements into practical implementation strategies and program management approaches.
• Enthusiasm for lifelong learning and staying informed about healthcare, public safety, and government industry trends.

Responsibilities

• Develops subject matter expertise in EMS, fire services, Medicaid financing, reimbursement programs, and public-sector consulting operations.
• Analyzes and interprets federal and state laws, regulations, policies, and reimbursement methodologies.
• Monitors emerging federal and state policy developments and evaluates their impact on client programs and operations.
• Manages or supports the administration of complex state healthcare programs, grant-funded initiatives, provider payment programs, and other public-sector healthcare operations involving multiple stakeholders, funding streams, regulatory requirements, and operational oversight.
• Leads implementation, operational oversight, and continuous improvement activities for complex healthcare financing, reimbursement, and public-sector programs.
• Evaluates client programs and develops recommendations to improve operational effectiveness, financial sustainability, stakeholder engagement, and program outcomes.
• Monitors program performance, identifies operational risks and improvement opportunities, and develops strategies to strengthen program effectiveness and long-term sustainability.
• Coordinates with state agencies, healthcare providers, managed care organizations, community partners, associations, consultants, and other stakeholders to support successful program implementation, compliance, reporting, and operational performance.
• Facilitates client meetings, stakeholder discussions, workshops, and presentations.
• Provides technical assistance, strategic guidance, and practical recommendations based on industry best practices and client needs.
• Manages day-to-day project activities, client communications, stakeholder coordination, implementation planning, program operations, and deliverable development.
• Delegates tasks and responsibilities to project team members and provides oversight of assigned work products.
• Participates in business development, strategic planning, market assessment, relationship management, and sales activities, including opportunity development, conference participation, and thought leadership initiatives.
• Leads proposal development efforts, including writing technical sections, coordinating contributors, reviewing content, and preparing final submissions.
• Conducts research and analysis related to healthcare reimbursement, cost reporting, provider assessment programs, ambulance reimbursement, and related public-sector initiatives.
• Develops and reviews written reports, financial analyses, data analyses, financial models, presentations, recommendations, and other client-facing materials that support client decision-making.
• Manages or supports statewide and multi-jurisdictional public-sector healthcare initiatives, coordinating among state agencies, providers, associations, consultants, and other stakeholders to achieve program objectives.

Skills

Policy understanding

Project management

Client service

Communication

Education

Bachelor's degree

Job description

Public Consulting Group in the United States seeks an experienced consultant to manage complex state healthcare programs, public-sector initiatives, reimbursement projects, and healthcare transformation efforts. You will translate policy and program requirements into practical implementation strategies, coordinating with diverse stakeholders to drive outcomes.

Ideal candidates bring 5+ years in public-sector consulting, Medicaid programs, and healthcare transformation, plus strong project