Medicaid Certification Consultant

Public Consulting Group; United States; Hybrid; USD 70,000 - 120,000; Full time

Benefits offered by this job

Medical and dental care benefits

401k

PTO

Parental leave

Bereavement leave

Job summary

Public Consulting Group LLC (PCG) is seeking a senior Medicaid Consultant to guide state and federal projects, leveraging CMS, SMC/OBC, and MES experience. You will oversee scope, schedule, quality, risk, and stakeholder communications while coordinating with clients, vendors, and teams to deliver outcomes on time.

Hybrid role with travel/onsite requirements across state programs. The ideal candidate has 5+ years in project oversight, experience with Medicaid systems, and strong communication

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 exec level staff
• Demonstrated experience with SMC/OBC requirements and MES
• Strong written and verbal communications skills
• Ability to influence internal and external stakeholders and lead in a matrixed environment
• Proficiency in Microsoft Office and project management tools; data analytics capabilities

Responsibilities

• Provide oversight and direction for Medicaid projects, ensuring scope, schedule, quality, communications, risk and stakeholder management
• Conduct Medicaid System Assessments and support SMC/OBC activities
• Lead client and vendor collaboration to achieve project goals and timely results
• Facilitate meetings, document issues, and report progress to executives
• Monitor budgets and timelines, escalate risks and develop contingency plans

Skills

Project oversight

Performance metrics

SMC/OBC experience

Written & verbal communication

Stakeholder influence

Team leadership

Microsoft Office

Data analytics

Education

Bachelor’s degree or 5 years’ experience

Master’s degree preferred (MPA or gov't MBA)

Tools

Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio, Project)

SQL

SPSS

ACCESS

Visio

Project

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 AssuranceThe 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 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 dutiesSome travel to the office or elsewhere may be required for team meetings, client meetings, etc. We are accepting applications on an ongoing basis until filled. #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 range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leaveRange: $70,000-120,000PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.