Senior Medicaid Policy Leader (Remote) — Strategy & Compliance

HealthCare Recruiters International; United States; Remote; USD 150,000 - 210,000; Full time

Job summary

HealthCare Recruiters International (HCRI) is seeking an experienced Senior Medicaid Policy Consultant to provide strategic and technical leadership on Medicaid policy, program implementation, and federal compliance for state agencies and CMS interactions. The role emphasizes direct State Medicaid Agency engagement and Medicaid leadership responsibilities.

Location is remote with travel as needed; compensation is commensurate with experience and client engagements across the United States.

Qualifications

• Over 20 years of progressive Medicaid experience within State Medicaid Agency or CMS.
• Senior leadership experience in Medicaid policy, financing, and operations.
• Deep knowledge of Medicaid regulations, waivers, SPAs, 1115/1915 waivers.
• Experience interfacing with CMS and state/federal stakeholders.
• Strong research, analysis, and written communication skills.
• Ability to mentor teams and review work.

Responsibilities

• Advising State Medicaid Agencies on Medicaid policy, strategy, and implementation.
• Interpret federal Medicaid statutes, regulations, CMS guidance, and federal requirements.
• Support the development and implementation of SPAs, 1115 demonstrations, and 1915 waivers.
• Provide expertise related to Medicaid financing and funding, managed care, delivery systems, and federal compliance.
• Research and analyze Medicaid regulations and policy changes and develop recommendations for state clients.
• Develop and review Medicaid policy documents, regulatory analyses, waiver materials, and client deliverables.
• Work with CMS, state leadership, legislators, health plans, providers, and other Medicaid stakeholders.
• Review the work of other consultants for accuracy, quality, and regulatory compliance.
• Mentor and provide technical guidance to Medicaid consulting teams.

Skills

Medicaid policy

Policy research

Stakeholder communication

Mentoring

Education

Extensive Medicaid leadership experience

Job description

HealthCare Recruiters International (HCRI) is seeking an experienced Senior Medicaid Policy Consultant to provide strategic and technical leadership on Medicaid policy, program implementation, and federal compliance for state agencies and CMS interactions. The role emphasizes direct State Medicaid Agency engagement and Medicaid leadership responsibilities.

Location is remote with travel as needed; compensation is commensurate with experience and client engagements across the United States.