Medicaid Certification Consultant

G. Peterson Consulting Group, Inc.; United States; Hybrid; USD 110,000 - 150,000; Full time

Job summary

Public Consulting Group LLC is seeking an experienced Medicaid Consultant to join our Technology Consulting team. You will oversee Medicaid-related projects, collaborate with CMS and MES stakeholders, and guide SMC/OBC activities to assure timely, high-quality outcomes.

The role requires strong communication, leadership in a matrixed environment, and proven ability to move complex initiatives forward within budgets and timelines. Hybrid work arrangement with travel as needed.

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.

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 escalate issues to appropriate levels

Skills

Project oversight

Stakeholder management

Communication skills

Leadership in matrix

Data analytics

Education

Bachelor's degree

Master's degree preferred

Tools

MS Office

Project mgmt tools

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 ***escalate*** 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

Work Arrangement

This position is hybrid with travel/onsite requirements. 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

#LI-AH1 #LI-remote

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

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 r