Medicaid Certification Consultant

LE04 Public Consulting Group LLC (TC); California; Hybrid; USD 70,000 - 120,000; Full time

Benefits offered by this job

Medical and dental benefits

401k

PTO

Parental leave

Bereavement leave

Job summary

Public Consulting Group LLC (PCG) is hiring an experienced Medicaid Consultant to lead and oversee Medicaid, CMS, SMC/OBC initiatives. The role requires deep Medicaid and MES know-how, strong communication, and the ability to manage stakeholders and projects in a matrixed environment.

The position is hybrid, with travel to client sites as needed, and offers a compensation range based on location and experience.

Qualifications

• 5+ years experience performing project oversight and assessments for a large enterprise IT initiative.
• 4+ years experience performing performance metrics measurements and reporting to management and executive level staff.
• Demonstrated experience working with SMC/OBC
• Demonstrated written and verbal communications skills
• Ability to influence internal and external stakeholders
• Ability to lead/manage others in a matrixed environment
• Proficiency in Microsoft Office applications and data analytics
• Ability to move projects forward within a specific timeline and budget
• Commitment to exceptional client service
• Ability to interact with various levels of management and clients
• Excellent business writing skills and ability to present to audiences

Responsibilities

• Demonstrated understanding and knowledge of Medicaid, CMS, SMC/OBC, and MES
• Conduct Medicaid System Assessments
• Help states plan for and execute SMC/OBC activities
• Help lead and provide expert level guidance on various projects
• Ensure planned results are achieved on time
• Work with clients, vendors, team members to establish and achieve project goals
• Address problems through risk management and contingency planning
• Plan, organize, execute, and monitor and control project activities
• Perform project assessments and report on project progress
• Facilitate meetings and present project information
• Identify, document, and escalate issues to appropriate levels

Skills

Medicaid expertise

CMS experience

MES experience

Stakeholder management

Risk management

Project leadership

Communications skills

Data analytics

Microsoft Office

Schedule & budget management

Education

Bachelor’s degree / 5 years experience

MPA or gov-focused MBA preferred

Tools

Outlook

Word

Excel

PowerPoint

Visio

Project

Access

SQL

SPSS

Job description

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com. Collaborating with our Technology Consulting team, you will help organizations streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance the lives of their user base.

Services:

Strategy, Architecture, Planning, and Procurement Business Enablement Business Solutions Project Assurance

The Medicaid marketplace is changing, and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope, schedule, , quality, , communications, risk, and , stakeholder management activities, all while adding deep Medicaid and Medicaid Enterprise Systems (MES) experience and thought leadership

Specific Responsibilities:

• Demonstrated understanding and knowledge of Medicaid, CMS, SMC/OBC, and MES
• Conduct Medicaid System Assessments
• Help states plan for and execute SMC/OBC activities
• Help lead and provide expert level guidance on various projects
• Ensure planned results are achieved on time
• Work with clients, vendors, team members to establish and achieve project goals
• Address problems through risk management and contingency planning
• Plan, organize, execute, and monitor and control project activities
• Perform project assessments and report on project progress
• Facilitate meetings and present project information
• Identify, document, and/or escape issues to appropriate levels

Qualifications:

• 5+ years experience performing project oversight and assessments for a large enterprise grade information technology initiative
• 4+ years experience performing performance metrics measurements and reporting to management and executive level staff.
• Demonstrated experience working with SMC/OBC
• Demonstrated written and verbal communications skills
• Ability to influence internal and external stakeholders
• Ability to lead/manage others in a matrixed environment
• Proficiency in Microsoft applications (Outlook, Word, Excel, PowerPoint, Visio, Project) and project management tools
• Ability to understand both the service delivery system for programs which are administered by states and monitored by federal regulators.
• Strong Microsoft Office applications skills, especially data analytics (i.e. ACCESS, SQL, SPSS)
• Ability to move projects forward within a specific timeline and budget while working at a detailed level.
• Commitment to exceptional client service.
• Dedication to accomplishing goals and challenges presented by clients and management.
• Ability to interact with various levels of management and with clients.
• Able to follow, critically evaluate, and improve upon current processes.
• Excellent business writing skills and ability to make presentations to various audiences.

Education:

Bachelor’s degree or 5 years’ experience required and Master’s degree (MPA or government focused MBA) preferred

To be successful in a hybrid work role at PCG, you must:

be available during your set working hours have a safe, private, and distraction-free environment in which to complete your work, and be able to give your full attention to the completion of your PCG job duties Some travel to the office or elsewhere may be required for team meetings, client meetings, etc.

This position is hybrid with travel/onsite requirements.

We are accepting applications on an ongoing basis until filled.

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides a reasonable range of compensation for this role.

• medical and dental care benefits
• 401k
• PTO
• parental leave
• bereavement leave

Range: $70,000-120,000

PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com. Click here to access our privacy notice to California job applicants regarding the collection of personal information.