Managing Consultant - Home and Community Based Services (HCBS) (Remote Eligible)

Mathematica, Inc.; Princeton (NJ); Remote; USD 100,000 - 135,000; Full time

Job summary

Mathematica is seeking a Managing Consultant for Home and Community Based Services (HCBS) to lead state policy and program design with a focus on LTSS and Medicaid, including HCBS waivers such as 1915(c/i/j). You will collaborate with government agencies, providers, and communities to enhance service access, payment strategies, and CMS submissions while mentoring staff and building capacity.

Applicants should hold a master’s in a relevant field and have five+ years managing complex healthcare

Qualifications

• Master's degree in public policy, public administration, public health, healthcare administration, business, or a related field (or equivalent experience)
• At least five years of experience managing complex projects or tasks related to healthcare or health policy
• Strong understanding of LTSS programs including HCBS waivers (1915(c/i/j) and 1915(k)) and Medicaid benefits (PACE, SNFs, ICF-IID) and related regulations
• Experience navigating federal regulations for HCBS LTSS (HCBS waivers, PACE, NF transitions)
• Ability to lead activities and manage tasks through the project lifecycle in a collaborative environment
• Excellent written and oral communication for diverse stakeholder audiences

Responsibilities

• Lead or participate in multidisciplinary teams to improve, implement, monitor, and advise on state policy and programs.
• Provide consulting to state/local clients; support development of health policies and reimbursement policy; assist with CMS submissions; help negotiate new policies and programs.
• Provide energy and organization to keep projects on time and on budget; facilitate communications across stakeholders.
• Author client memos, TA tools, issue briefs, analytic reports, and webinars.
• Conduct research using quantitative or qualitative methods for impartial data collection and reporting.
• Lead and help develop proposals for new projects.
• Represent the company's expertise through publications, conferences, and technical communications.
• Interact with state officials to implement and assess programs.
• Contribute to growth and knowledge of other state health and Medicaid staff

Skills

Project management

Policy analysis

Communication

Stakeholder engagement

Leadership

Education

Master's degree in public policy/public administration/public health/healthcare administration/business

Job description

Managing Consultant - Home and Community Based Services (HCBS) (Remote Eligible)

About Mathematica

Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries, and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company's growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance.

Primary Duties and Responsibilities

Mathematica is seeking a managing consultant who is committed to advancing opportunities for people with disabilities and older adults to live in and actively engage with their communities. The successful candidate should have expertise with long-term services and supports (LTSS) policy and implementation work, including home and community-based services (HCBS), institutional-based long-term care, or both. Through our HCBS practice, we collaborate with government agencies, providers, and community organizations to improve programs for older adults and those with behavioral health needs or intellectual, developmental, or physical disabilities. We work to address a range of LTSS needs: program design and implementation, service access and delivery, Olmstead planning and compliance, payment strategy, community engagement, and more. Our staff are also experts in adjacent programs such as vocational rehabilitation, workforce development, and care integration for individuals who receive both Medicare and Medicaid benefits. We are soliciting candidates with experience with HCBS or LTSS programs within a state's Medicaid or HCBS administrative agencies such as health, human services, area offices on aging, behavioral health, or other appropriate entity. Experience managing public aging, disability, or behavioral health programs within state agencies or applicable managed care, provider, or third-party consultants is preferred. The successful candidate will have a working understanding of federal authorities relevant to HCBS such as section 1915 waivers, 1115 demonstration authorities, and programs such as Program of All Inclusive Care for the Elderly (PACE) and Money Follows the Person. Understanding and engagement with current issues related to HCBS delivery including person-centered planning, community-based housing, the direct care workforce, quality monitoring, and program integrity is also preferred. Experience using Medicaid claims, assessment, case management, housing, experience of care or other programmatic data for monitoring and improvement is preferred, but not required.

Duties of the position

• Lead or participate actively and thoughtfully in multidisciplinary teams to improve, implement, monitor, and advise on state policy and programs.
• Provide consulting services to state and local clients, support the development of new health policies, assist with the development of reimbursement policy to support health objectives, advise on the preparation of submissions to CMS and other approving entities, as appropriate, and support clients with the negotiations of new policies and programs when needed.
• Provide the energy, direction, and organization needed to help keep projects on time and on budget and facilitate communications across and between internal and external stakeholders.
• Author client memos, technical assistance tools, issue briefs, chapters of analytic reports, and webinar presentations.
• Conduct research that applies impartial data collection, analysis, and reporting using quantitative or qualitative techniques.
• Lead and help develop proposals for new projects.
• Represent the company's expertise through various mechanisms, such as publications, conferences, and technical communications.
• Interact directly with state officials to implement and assess programs.
• Contribute to the growth, expertise, and institutional knowledge of other state health and Medicaid staff.

Required Qualifications

• Master's degree in public policy, public administration, public health, healthcare administration, business, or a related field (or equivalent experience)
• At least five years of experience managing complex projects or tasks related to healthcare or health policy
• Strong understanding of community LTSS programs, including HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal laws and regulations governing the programs.
• Experience in/ability to navigate complex federal regulations and requirements for community long-term services and supports (LTSS) programs, including HCBS waivers, PACE, and transitions and diversions from nursing facilities (NF), intermediate care facilities for individuals with intellectual disabilities (ICF-IID), and other institutional settings.
• Demonstrated ability to lead activities and manage tasks through the project lifecycle, including delegation and mentoring in a highly collaborative environment
• Excellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences including program administrators and policymakers

Preferred Qualifications

• Experience working at or with a local, state or federal agency, a foundation, a healthcare provider, a Medicaid managed care plan or another policy research firm is highly desirable.
• Strong analytic skills and ability to make strategic decisions about issues relating to management, such as financial analysis, as well as policy implementation and program operations.
• Experience analyzing state or federal Medicaid claims (e.g., MMIS or T-MSIS/TAF), assessment or case management data, and other programmatic data is also preferred but not required.

Compensation information

This position offers an anticipated annual base salary of $100,000 - $135,000. This position is eligible for an annual bonus opportunity based on individual and company performance.

We are accepting and reviewing applications on a rolling basis and intend to begin contacting and interviewing candidates after the week of September 7.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

At Mathematica, we understand the importance of building relationships with colleagues. If you're not located near one of our offices but would like opportunities to meet up with co-workers, we offer coworking spaces where available. Ask your Talent Acquisition partner for more information about this opportunity and whether it's an option in your area.

Any offer of employment will be contingent upon passing a background check. Various federal agencies with whom we contract require that staff successfully undergo security clearance as a condition of working on the project. If you are assigned to such a project, you will be required to obtain the requisite security clearance. Additionally, if you participate in/complete the application process and are denied, Mathematica may choose to terminate your employment.

We take pride in our employees and in their commitment to excellence. We encourage staff to collaborate in developing creative solutions to difficult problems and to share the responsibility and enjoyment of carrying out complex projects. This collegial spirit has helped us earn our reputation for innovative and high quality work.