Category: Curator- Job Hunter

Clipped from: https://www.ziprecruiter.com/c/State-of-Maine/Job/Medicaid-Program-Analyst/-in-Augusta,ME?jid=ec049c3f58aef348&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Department of Health and Human Services (DHHS)
Management Analyst II
Opening Date: March 1, 2023
Closing Date: March 15, 2023
Job Class Code: 0393
Grade: 04-24 (Pro/Tech)
Salary: $47,340.80 – $63,814.40/year
Position Number: 02000-4000

Core Responsibilities:

The MaineCare Program Analyst helps ensure sustainable, long-term operational efficiency for programs within MaineCare, including but not limited to Alternative Payment Models (APMs) like Accountable Communities and Primary Care Plus. An APM is a health care payment method that uses financial incentives to raise the quality of care, improve health outcomes, and lower costs for patients, purchasers, payers, and/or providers. IAlong with other strategies, APMs are important for advancing policies that improve the quality and value of health care.

This position is responsible for gathering and organizing information, researching best practices, developing materials and reportsand documenting these processes to enhance operational efficiency. Some data analysis is required in this position, as well as the ability to translate information into recommendations for organizational and system changes.

Additionally, the successful candidate will engage with contracted vendors and collaborate with other MaineCare units around data reporting and data management in support of MaineCare members, staff, and health care providers.

The Program Analyst will work collaboratively with staff across DHHS as well as external partners, including health care providers, community-based organizations, and public health entities. The successful candidate will be invigorated by team-based environments, intentional collaboration, and thoughtful communication.

Work is performed under limited supervision. Some in-state travel required.

Minimum Qualifications:

Eight (8) years of education, training, and/or experience analyzing, evaluating, and/or developing improvements to organizational and/or managerial systems, programs, and practices.

Preferred experience includes:
 

• Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income or other at-risk populations
  
• Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage
  

The background of well-qualified candidates will demonstrate the following competencies:
 

1. Ability to think critically and strategically about program operations and their impact on reaching goals such as improved health outcomes or reduced health care costs.
   
2. Basic project management skills, including development and implementation of workplans, quality assurance processes, and methods and techniques used in establishing work standards.
   
3. Knowledge of methods and techniques of analysis, work simplification, and data management used to organize teams and work.
   
4. Minimum of basic competency with statistical methods, especially those used in program planning and monitoring.
   
5. Knowledge of data collection methods, including the ability to gather, assemble, analyze, and devise valid conclusions from different sources of information ranging from general internet-based research on national health care models to analyzing excel data sets for program trends.
   
6. Ability to effectively use verbal and written communication as tools for initiating and completing work.
   

Agency information:

The Department of Health and Human Services (DHHS) provides supportive, preventive, protective, public health and intervention services that help families and individuals meet their needs. DHHS strives to provide these programs and services while respecting the rights and preferences of individuals and families. The Office of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides health insurance coverage for low-income families, adults and children so they can access the important health care services they need to be healthy and be a part of the community through work, caring for family, going to school, and more. OMS works collaboratively within DHHS, with other Departments and the Office of the Governor, with MaineCare members, with providers, and with other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and health outcomes for all low-income Mainers. OMS provides benefit coverage and supports the services that operate in alignment with Department goals, federal mandates and State policy. OMS also provides oversight necessary to ensure accountability and efficient and effective administration.

This position is located within the OMS Delivery System Reform Unit (DSRU) and reports to the DSRU Quality Manager. The DSRU collaborates with internal and external stakeholders to incorporate clinical, social, fiscal, and operational considerations into the design and implementation of new MaineCare initiatives that seek to improve outcomes through changes to health care operations, delivery, and/or payment models. This team focuses on the design and implementation stages of large and small initiatives and works collaboratively with other MaineCare units to ultimately transition these initiatives into our ongoing operations.

Application Information:

Please submit all documents or files in a PDF or Word format.

For additional information about this position, please contact Charyl Malik at (207) 624-4043.

To apply, please upload a resume and cover letter with your application.

To request a paper application, please contact Ashley.Smith@Maine.gov .

Benefits

No matter where you work across Maine state government, you find employees who embody our state motto-“Dirigo” or “I lead”-as they provide essential services to Mainers every day. We believe in supporting our workforce’s health and wellbeing with a valuable total compensation package, including:
 

• Work-Life Balance – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
  
• Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($10,150.80-$11,942.16 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
  

 
 

• Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
  

 
 

• Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).
  

 
 

• Retirement Plan – The State of Maine contributes 13.16%of pay to the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
  
• Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
  
• Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
  
• Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
  
• Living Resources Program – Navigate challenging work and life situations with our employee assistance program.
  

 
 

• Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child-including fathers and adoptive parents-receive four weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.
  
• Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.
  
• Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.
  

There’s a job and then there’s purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.

As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.

If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.

Thinking about applying?

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.

Clipped from: https://lensa.com/managing-consultant-medicaid-operations-jobs/seattle/jd/5adfc04d2665385de86d36573dbe4553?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Position Description:
 

About Mathematica:


Mathematica applies expertise at the intersection of analytics, technology, 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. Learn more about our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance 

One of Mathematica’s core values is a deep commitment to diversity, equity, and inclusion. Our research is more robust because it is informed by a variety of diverse perspectives, and our mission to improve societal well-being is strengthened by a greater understanding of issues and challenges facing the populations we serve. Mathematica’s ongoing commitment to diversity and inclusion is woven into our everyday actions, policies, and practices. We are dedicated to maintaining a work environment in which everyone is treated with respect and dignity. 

About the opportunity: 

Mathematica is searching for self-motivated professionals with a passion for solving clients’ pressing problems with backgrounds in program operations and health care delivery, and a strong interest in our Medicaid project area. Managing consultants often work on or lead more than one project at a time and are matched with projects that align with their interests and skills. In particular, we are looking for individuals who can support current and emerging work across any number of areas related to monitoring and improving Medicaid programs such as: Medicaid managed care programs including payment arrangements and in lieu of services, behavioral health delivery, maternal and child health, equity, Medicaid payment mechanisms including UPL/DSH and state directed payments, value-based purchasing and alternative payment models, long-term services and supports, measures of delivery and quality of services for beneficiaries, and outcomes of innovative programs and policies. It is ideal for a candidate to have past experience at the state, local or provider level in health care operations relevant to Medicaid. 

Managing consultants participate in and lead a range of tasks at Mathematica, from overseeing teams or managing projects and driving to solutions for some of our clients most challenging problems. While the duties of the position vary depending on project assignments, most managing consultants serve in roles that require a blend of policy and operational expertise and management skills. This may include:

• Serving as task leaders, deputy project directors, or project directors on complex, fast-paced projects focused on Medicaid policy, oversight, and program operations
  
• Collaborating with federal, state, and other clients and entities to develop and implement quality improvement strategies or technical assistance plans based on available data and subject matter expertise
  
• Planning and executing of webinars or small group discussions with government clients, healthcare payers, and/or other entities and individuals
  
• Managing diverse perspectives and thinking creatively to design solutions that meet client needs
  
• Authoring memos, standard operating procedures, data dictionaries, implementation guides, webinar slides, and other technical assistance tools to facilitate program improvement
  
• Providing the energy, direction, organization, and quality control needed to help keep projects on time and on budget and to facilitate communications across and between internal and external stakeholders
  

Position Requirements:
 

• Master’s degree in public policy, public administration, public health, healthcare administration, business, or a related field; or equivalent experience
  
• Five or more years of experience managing complex projects or tasks related to healthcare or health policy.
  
• 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.
  
• Demonstrated ability to lead activities, manage tasks through the project lifecycle, and coordinate the work of multidisciplinary teams to deliver high-quality work to our clients on time and budget
  
• Strong analytic skills and ability to think critically about issues relating to management, such as financial analysis, as well as policy implementation and program operations.
  
• Excellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences including program administrators and policymakers
  
• Strong organizational skills and high level of attention to detail as well as the flexibility to manage multiple priorities, sometimes simultaneously, under deadlines
  
• Strong mentorship skills to mentor several junior staff members
  

Depending on experience, candidates may be considered at the Senior Managing Consultant level as well. 

Please submit a cover letter, CV and work product that demonstrates your analytic abilities as well as your understanding of complex policy-related challenges facing the healthcare system.

This position offers an anticipated annual base salary range of $90,000 – $125,000. This position may be eligible for an annual discretionary bonus based on individual and company performance. 

In accordance with Executive Order 14042 and its implementing guidelines, all Mathematica employees must provide documentation that they have been fully vaccinated against COVID-19 or obtain an accommodation through Human Resources by providing documentation from a licensed health care provider that they are unable to be vaccinated against COVID-19 because of a disability (which would include medical conditions) or provide an attestation that they are entitled to an accommodation because of a sincerely held religious belief, practice, or observance.

Available locations:  Princeton, NJ; Washington, DC; Cambridge, MA; Chicago, IL; Ann Arbor, MI; Oakland, CA; Seattle, WA; Remote 

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.

Clipped from: https://www.theladders.com/job/vp-care-management-medicaid-cvshealth-hartford-ct_62356204?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

2d ago

compensation:

$250K — $500K+*

industry:

Healthcare

specialty:

Allied Health Professionals, Medicine, Healthcare Management

experience:

11 – 15 years

This is an exciting time to join CVS Health, as well Aetna’s Health Care Business, as we collectively accelerate upon our strategy to enhance health care delivery for our members across our suite of clinical program offerings and capabilities. Within the Medicaid Care Management organization, we are supporting continued membership growth and are well positioned within the marketplace with a portfolio of strong products. We are seeking top leadership talent that brings their heart to work every day to join forces and create simplicity for our members.

The VP of Medicaid Care Management will support the organization led by the SVP of Clinical Services. This role is responsible for providing leadership and direction to a large team of clinical and non-clinical colleagues supporting over 2.7 million Medicaid members. Leads day to day operations and manages a large annual operating budget to design, deliver and enhance a suite of holistic clinical engagement programs including Integrated Care Management, LTSS, Foster Care, OH Rise Behavioral Health, field-based care management, population health programs, gaps in care communication and behavioral health programs.

• Development, implementation and oversight of people, processes and technology required to engage with Aetna’s Medicaid members using a population health approach to targeted member engagement. Responsible for clinical program outcomes, interventions, compliance and financial value.

• Responsible for Medicaid Care Management program development and monitoring of quality patient standards, patient and payor satisfaction levels and ensuring that patients are receiving prioritized, clinically appropriate and quality services.

• Scaling, strategic enhancement and day to day operations of the clinical operations including supporting significant growth in operations, clinical platform migration, compliance and operational enhancements to drive year over year cost efficiency improvements across 15+ state plans.

• Monitors care management activities to demonstrate prospective compliance with current federal, state and local contracts, standards, guidelines and regulations.

• Active thought leadership and partnership across the full clinical strategy and model of care for the Medicaid line of business, inclusive of CM and UM program design and driving innovation across the clinical functions to improve performance and member outcomes.

• Leads the integration of CVS assets for the benefit of Medicaid member experience, inclusive of a high degree of interaction with Aetna Behavioral Health, Health Hub, Minute Clinic, and serves as a thought leader in the expansion of our home health engagement in light of expanding enterprise capabilities.

• Collaboration with the Government Lines of Business and Medical Affairs organization, as well as across the growing CVS Health portfolio of assets, to transform the health care experience for CVS customers and Medicaid members.

 
 

REMOTE

10-15% travel expected

Required Qualifications

• 10-15 years leading large matrix clinical organizations

• 10+ years proven strategic relationship building in matrix organizations

• Strong knowledge Medicaid products, including contributing to RFPs.

• Proven success with transformational programs that improve outcomes.

• Experience leveraging Digital technology will be highly valued.

• Proven experience with financial budget planning

• Management Consulting services background will be valued.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

• Registered Nurse (RN) or similar clinical background

Education

• Bachelor’s Degree

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Clipped from: https://eriebar.org/job/investigative-attorney-medicaid-fraud-control-unit/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an investigative attorney with experience prosecuting or investigating complex financial wrongdoing to serve as a Special Assistant Attorney General in its Buffalo regional office.

Improper and fraudulent use of Medicaid funds can impact access to critical healthcare services for low-income New Yorkers and costs taxpayers millions of dollars annually. MFCU uses the New York State Penal Law, the False Claims Act, Social Services Law §145-b, the Executive Law, and other New York laws to bring civil actions and criminal proceedings to hold accountable individuals and companies who are responsible for these improper or fraudulent Medicaid billing schemes. Many of MFCUs investigations are conducted in coordination with other state, federal or local government and prosecutorial agencies, and have resulted in revenue generation through the large-scale recovery of taxpayer money.

Additionally, MFCU works to safeguard elderly and disabled New Yorkers by investigating reports of abuse and neglect at nursing homes and other residential health care facilities in the state. The importance of this work is highlighted in the OAG’s report detailing allegations of COVID-19-related neglect of nursing home residents across New York State.

The selected attorney will lead collaborative, team-based investigations with MFCU’s forensic accountants/auditors, detectives and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents of healthcare facilities, including presenting evidence to grand juries, and conduct evidentiary hearings and trials in New York State courts. Several recent matters that highlight MFCU’s important work include suing an Orleans County nursing home for years of fraud and neglect; the conviction of an optician for fraudulently billing Medicaid for services for deceased nursing home residents; and securing over $2 million from a western New York doctor to resolve illegal Medicaid billing findings.

Applicants must possess the following minimum qualifications:

• A minimum of four (4) years of practice experience, which should include either a strong foundation in grand jury and criminal trial experience OR substantial complex business litigation practice;
  
• Candidates with a background that includes both prosecutorial and civil litigation experience are strongly preferred;
  
• Prior experience drafting and overseeing the execution of search and eavesdropping warrants is desirable;
  
• Excellent research, analytical, writing and organizational skills;
  
• Sound judgement with the ability to articulate the critical issues in a case accurately and precisely;
  
• Strong interpersonal skills and the ability to work independently and as a member of a team, including
  

fostering productive and collaborative relationships with staff at all levels of the organization; and

• Technology proficiency that preferably includes a knowledge of and comfort using Microsoft Office
  

applications and case management and eDiscovery platforms.

Applicants must reside in (or intend to soon become a resident of) New York State and be admitted to practice law in New York State. In addition, the Public Officers Law requires that OAG attorneys be citizens of the United

States. A two (2) year commitment upon being hired is a condition of employment.

As an employee of the OAG, you will join a team of dedicated individuals who work to serve the people of our State through a wide variety of occupations. To learn more about Assistant Attorney General compensation, please click here. We offer a comprehensive New York State benefits package, including paid leave, health, dental, vision and retirement benefits, and family-friendly policies. Additionally, the OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules.

Per Office of the Attorney General policy, confirmation of vaccination status is a condition of employment for this position. If you are not fully vaccinated, you may be required to provide regular negative COVID-19 PCR test results at a frequency determined by the agency. The agency will consider religious and reasonable accommodations. For more information, please contact recruitment@ag.ny.gov.

HOW TO APPLY

Applications are submitted online. To apply, please click on the following link: MFCU_BUF_SAAG_3548 To ensure consideration, applications must be received by close of business on April 7, 2023.

Applicants must be prepared to submit a complete application consisting of the following:

• Cover Letter

• −  You may address to Legal Recruitment.
  
• −  Indicate why you are interested in a position with the Medicaid Fraud Control Unit and what
  

makes you a strong candidate.

• Resume

• Writing Sample
  
• List of three (3) references
  
• −  Only submit professional references, supervisory references are preferred.
  
• −  Indicate the nature and duration of your relationship to each reference.
  
• −  Include contact information and email addresses for each reference.
  

 
 

• −  Please note, your references will not be contacted until after you interview for the position.
  

  If you have questions regarding a position with the OAG and the application process or need assistance with submitting your application, please contact Legal Recruitment via email at recruitment@ag.ny.gov or phone at 212-416-8080.
  

  For more information about the OAG, please visit our website: ag.ny.gov
  

Clipped from: https://apply.deloitte.com/careers/JobDetail/Medicaid-SME-Human-Services-Transformation/133048

Management Consulting | Customer & Marketing

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Position Summary

Are you a creative thinker who loves to be on the cutting edge, solving problems though innovative technology solutions? Are you passionate about customer strategy, digital design, marketing, and platform development? Our Customer & Marketing Offering Portfolio integrates the differentiated customer and marketing businesses that support the mission-critical goals of federal, state and local government agencies, and higher education institutions. By joining our team, you will play a vital role in making an impact for our clients and the people they serve through our growth strategy, enhanced user experiences, and engagement through the entire lifecycle of customers’ interactions with the public sector.

 
 

Work you’ll do 

• Perform project tasks independently and may lead workstreams, directing the efforts of others
  
• Provides coaching to junior staff
  
• Participate in and/or lead the development of deliverable content that meets the needs of the client and contract
  
• Review deliverables for accuracy and quality
  
• Use your prior experience to anticipate client needs and formulate solutions to client issues
  
• Contributes to proposal development
  
• Seek out opportunities for professional growth and expansion of your consulting skills and experiences
  

The team 

Deloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.   

 
 

The GPS Human Services Transformation offering designs and implements large, complex systems development and transformation projects to Human Service agencies across federal, state, and local government agencies as well as higher education institutions. With end-users, customers, and workers at the center, we collaborate with our clients to deliver quality human services and work to support individuals in need. Some areas that we focus on include Children Services, Eligibility & Enrollment, Child Support Enforcement, and Labor & Workforce Development.

 
 

Qualifications 

Required: 

• 10+ years experience with Medicaid  
  
• 5+ years experience within Medicaid state-wide operations
  
• Bachelor’s degree required
  
• Ability to travel 20 – 50%, on average, based on the work you do and the clients and industries/sectors you serve.
  

 
 

 Preferred:

• Experience in the following – Operating Model Design, Advising Clients, Medicaid, Medicaid Eligibility, Medicaid Managed Care, Case Management Services, Strategy, Operating Model and Transformation, Operating Model Changes, Eligibility and Enrollment, Business process redesign
  

 
 

Recruiting tips

From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters.

Benefits

At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you.

Our people and culture

Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients’ most complex challenges. This makes Deloitte one of the most rewarding places to work. Learn more about our inclusive culture.

Our purpose

Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. Learn more about Deloitte’s purpose, commitments, and impact.

Professional development

From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

As used in this posting, “Deloitte” means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Deloitte will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws. See notices of various ban-the-box laws where available.

Requisition code: 133048

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Accolades

Clipped from: https://jobs.myflorida.com/job/TALLAHASSEE-68059470-FINANCIAL-SPECIALIST-FL-32308/995890900/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website.

Requisition No: 795659 

Agency: Agency for Health Care Administration

Working Title: 68059470 – FINANCIAL SPECIALIST

Position Number: 68059470 

Salary:  $1,763.39 – $2,292.41 Biweekly 

Posting Closing Date: 03/02/2023 

Agency Overview:

 
 

The Agency for Health Care Administration (AHCA) is Florida’s chief health policy and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.

 
 

Under the direction of the Agency Secretary Jason Weida, AHCA is focused on advancing Governor DeSantis’ vision for Florida’s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. Current Agency initiatives include implementing Florida’s groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida’s healthcare technological ecosystem, and increasing insight in the cost of health care services.

 
 

The Medicaid program provides low-income families and individuals with access to health care.  If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team. As one of Florida’s leading state agencies, AHCA’s diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida.

 
 

Agency Objectives:

 
 

HIGH QUALITY

Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.

 
 

TRANSPARENT

Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.

 
 

COST-EFFECTIVE

Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers.

 
 

Position Overview:

 
 

This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Financial Specialist who desires to work to enhance the delivery of health care services through the Florida Medicaid Program.  This position requires a candidate who is creative, flexible, innovative, and who will thrive in a fast-paced, team-based work environment.

 
 

This position is located in the Bureau of Medicaid Program Finance (MPF).  MPF manages and projects Florida’s $37.6 billion Medicaid Services budget, oversees financial reporting of the Agency’s contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.

 
 

This position is responsible for This is a highly responsible, specialized professional audit, rate setting, and analysis position in the Bureau of Medicaid Program Finance. The incumbent will be responsible for planning, developing, and implementing cost reimbursement analysis activities.

 
 

A person in this position will be responsible for assisting in the planning, developing and implementing of the Medicaid reimbursement policies and procedures; assisting in the development and implementation of short and long range plans for the cost reimbursement analysis subsection; developing and implementing cost reimbursement informational and operational procedures and manuals; assisting in the planning, development and implementation of procedures to audit data submitted by applicants for license to operate nursing homes and determine if applicants are adequately financed lo operate the facility; auditing provider cost reports and establishing provider reimbursement rates; developing procedures to evaluate requests from providers for increases in reimbursement rates to determine if an increase should be granted. The objectives of these activities are to develop and implement a Medicaid reimbursement program which ensures providers that rates established will be in compliance with Medicaid policies and reimbursement plans; to develop, seek funding of and implement provider reimbursement methodologies which assure the provider fair and reasonable compensation for services rendered while also assuring that optimal results are obtained from public funds; to develop cost reimbursement methodologies which result in a positive approach to health care cost containment.

 
 

      Set facility rates in accordance with Medicaid reimbursement plans, policies, and applicable federal and state rules and regulations. Coordinate all the activities necessary for the semi-annual (or annual, if mandated) rate settings for all nursing home providers enrolled in the Medicaid program. Update facility rates as audit and licensure results are made available. Review and analyze requests from Medicaid providers for rate adjustments and determine if a rate increase should be authorized. Calculate and set rates for the settlement of Medicaid interim reimbursement rates when the initial cost report becomes available. Verify that all rate changes are made correctly by the fiscal agent and retro-active payments, or adjustments are made appropriately by the fiscal agent for all rates in which the analyst is responsible.

 
 

      Provide technical assistance and consultation to departmental staff, provider association, and other organizations and interested persons regarding policies and procedures for provider rate setting; assist in the preparation of informational and educational material on Medicaid provider rate setting, assist in the development and implementation of cost reimbursement rate setting training programs. Assist in processing Nursing Homes Changes of Ownership and creating new providers in rate calculation system, as well as responding to requests for liabilities and overpayments from other units within the Agency.

 
 

       Assist in planning, developing, and implementing policies and procedures for provider rate setting and rate analysis. Assist in developing rate setting manuals as appropriate for the application of cost reimbursement plans and principles of reimbursement. Assist in planning for and coordinating the implementation of rate setting policies and procedures with other staff in the Bureau of Medicaid Program Finance, the Bureau of Medicaid Contract Management. the fiscal agent contractor, other departmental offices, districts. Prepare forms and instructions for use by applicants, providers, and provider associations; assist in identifying and resolving any problems in the implementation of rate setting policy and procedure revisions. Review and analyze revisions to CMS Pub. 15-1, federal rules and regulations, and other related materials to determine their impact on rate setting policies and procedures.

 
 

        Assist in identifying the need for and obtain additional information and cost data from providers to set a facilities initial rate. Assist in preparing special reports and analyses on provider costs and the fiscal effect of the primary features of the nursing home cost reimbursement plan including the payment mechanism, rates, grouping criteria, caps, cost projections, inflation allowances. cost allocation, rate revision frequency, geographic differentials, rate appeals, cost reports, allowable costs, depreciation, quality of care incentives, and profit allowances. Perform complex statistical and financial analyses of Medicaid provider costs in long term care and acute care facilities to assess their impact on overall Medicaid costs and for use in future Medicaid cost reimbursement planning. Assist in the development and compilation of various special management or provider cost comparisons from cost report data.

 
 

        Maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent statutes, Florida rules, regulations of the Department of Health and Human Services, provider manuals, and Medicaid billing procedures. Remain informed about Medicaid activities within the Agency for Health Care Administration and about operations of the fiscal agent contractor. Maintain detailed knowledge of Medicaid financial and statistical information at both state and national levels. Maintain detailed knowledge of Medicare and other health care program cost reimbursement principles and the Medicaid cost reimbursement and rate setting methods of other states. Remain informed about health care cost containment issues on the local, state, and national level. Maintain detailed knowledge of accepted accounting and auditing principles, procedures, and techniques.

 
 

        Assist in the development of long-range plans for policy and procedures development, implementation and monitoring of cost reimbursement rate setting and analysis activities. Assist in the development of plans and schedules for the review and analysis of the rate setting and analysis function, provider cost report monitoring, special projects, surveys and studies and provider and staff training. Assist in developing plans for short term cost reimbursement analysis activities including policy revision, analysis of cost report data, provider reimbursement issues, and other areas. Assist in the development of analysis goals. objectives, and priorities. Assist in the development of performance standards and criteria in order to measure the accomplishment of goals and objectives.

 
 

        Review and analyze cost reports in order to determine common errors and provider difficulty in using cost report forms. Assist in the development of revisions to the cost report forms based on these analyses. Assist in the development and implementation of cost report forms that are designed for data entry; assist in the development and implementation of automated provider cost systems. Assist in the development and implementation of revised rate setting policies and procedures designed to increase the efficiency of the rate setting and analysis functions.

 
 

      Perform other duties and responsibilities as required.

 
 

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

 
 

• State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;

• Flexible Spending Accounts;

• State of Florida retirement options, including employer contributions;

• Generous annual and sick leave benefits;

• 9 paid holidays a year and 1 Personal Holiday each year;

• Career advancement opportunities;

• Tuition waiver for courses offered by Florida’s nationally ranked State University System;

• Training and professional development opportunities;

• And more!

 
 

For more information about the Bureau of Medicaid Program Finance, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml.

 
 

Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.”

 
 

#CB

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of accounting principles and procedures.

Be proficient in the use of Excel, Outlook, and Microsoft Word.

Be proficient in the use of a calculator and a computer terminal.

Ability to adequately document work assignments completed.

Knowledge of the principles and techniques of effective written and verbal communications.

Knowledge of basic mathematics and economics.

Knowledge of financial forecasting techniques.

Ability to prepare audit reports.

Ability to conduct research and investigations.

Ability to review, analyze and evaluate financial and operational data.

Ability to audit financial forecasted statements.

Ability to compile statistical data.

Ability to understand and apply laws, rules, regulations, policies, and procedures.

Ability to process and respond to consumer complaints.

Ability to verify the accuracy of numerical data.

Ability to plan, organize and coordinate work assignments.

Ability to communicate effectively verbally and in writing.

Ability to establish and maintain effective working relationships with others.

Ability to prepare financial statements.

Ability to utilize problem solving techniques.

 
 

MINIMUM QUALIFICATIONS REQUIREMENTS

-At least two years’ experience with Microsoft Excel, Word, and Outlook.

-At least two years of work experience with processing, examining, analyzing, or interpreting accounting records or investigative financial information.

-A Bachelor’s degree from an accredited college or university in accounting, finance, mathematics, or economics, is preferred.

Experience can substitute on a year-to-year basis.

 
 

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT:  KATHERINE GHENT (850) 412-4101

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement. 

Clipped from: https://www.salary.com/job/state-of-south-carolina/legal-assistant-medicaid-provider-fraud/j202301270019231130565?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

State of South Carolina

 
 

Columbia, SC Full Time

Job Posting for Legal Assistant- Medicaid Provider Fraud at State of South Carolina

About Medicaid Provider Fraud
This position is located in the Medicaid Provider Fraud section of the Special Prosecution Division; this section is an HHS-OIG certified Medicaid Fraud Control Unit (MFCU) and handles qualified patient abuse cases. Medicaid provider fraud occurs when a Medicaid provider knowingly makes a false or misleading statement to be reimbursed by the Medicaid program. The SCMFCU recovers taxpayer money by identifying, investigating, and prosecuting fraud committed by hospitals, nursing homes, clinical laboratories, pharmacies, doctors, nurses, home and respite care providers, transportation services, and other Medicaid providers.
This position is a member of a multi-disciplined team, consisting of attorneys, investigators, and auditors serving under a federal grant program with joint criminal and civil authority. Most tasks will be related to criminal investigation and prosecution of alleged fraud conducted by Medicaid providers, as well as the abuse, neglect, and exploitation of qualifying vulnerable adults.
In this position, you will primarily serve to support cases post-arrest and through the conclusion of prosecution. Responsibilities include:

• Recording and tracking the development of cases in prosecution, including the occurrence of key case events such as arrest, indictment, hearings, trial, sentencing, etc.
  
• Coordinating grand jury and court schedules, assisting with drafting legal documents and preparing for trial, and reporting case outcomes per federal requirements.
  
• Requesting, saving, and organizing court documents in the Unit’s document management system.
  
• Engaging in case of development by attending team meetings, recording case updates, and completing associated supportive tasks.
  
• Drafting letters and answering correspondence at the direction of the appropriate team member, including notices of prosecution, conviction, and/or sentencing.
  
• Maintaining accurate records of restitution ordered and restitution paid by tracking payments submitted to the Unit, PPP, victim, etc. Submitting monetary recoveries to finance for processing.
  
• Preparing portions of annual state and federal reports.
  
• Assisting with mail, phones, and other administrative tasks as needed.
  

This position also includes an excellent benefits package:

• Public Service Loan Forgiveness eligibility.
  
• Paid parental leave (effective October 1, 2022).
  
• Health, dental, vision, long-term disability, and life insurance for employees, spouses, and children.
  
• Fifteen days of annual (vacation) per year.
  
• Fifteen days of sick leave per year.
  
• Thirteen paid holidays.
  
• State Retirement Plan and Deferred Compensation Programs.
  

Clipped from: https://jobs.gainwelltechnologies.com/job/Topeka-Business-Analyst-Mid-Career-Medicaid-KS-66619-1448/996302000/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

 
 

Summary

As a Business Analyst – Mid Career – Medicaid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

• Serve as the lead policy analyst on assigned areas, to include quarterly updates involving compliance with national code sets, and ensure assigned implementation deadlines are met. Maintains assigned reference files, manuals, and issues updates quarterly
  
• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
  
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact 
  
• Work with the client to develop business specs at the start of a technical project
  
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
  
• Help verify that all requirements have been met by approving and validating test results    
  

 
 

• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work 
  

What we’re looking for

• 5 or more years of experience in a relevant Business Analyst position with 1 or more years of Medicaid and Medicare experience preferred
  
• RHIT coding degree, requiring a knowledge of Anatomy & Physiology, which includes extensive prior healthcare knowledge to apply reimbursements and to revise code
  
• Knowledge and experience to maintain and update national coding systems within the Kansas Modular Medicaid System (KMMS) which include DRG, ICD, and CPT codes.
  
• Serve as a resource for Gainwell Technologies and the State Medicaid Agency on questions related to Health Information Management including but not limited to proper use of code sets, proper reimbursement methodologies and claim payments. Determine appropriate coverage and reimbursement for new and/or revised codes. (Quarterly and Annual)
  
• Monitor the initiation, revision and implementation of external regulations, statutes and standards while facilitating the implementation of regulations and ensuring organizational compliance.
  
• Coordinate and communicate with the State of Kansas Medicaid Agency regarding changes impacting the KMMS. 
  

What you should expect in this role

• Onsite in Topeka, KS
  
• Remote Options may be available from US locations
  
• Research claims for internal users as well as the State of Kansas Medicaid Agency
  

#LI-HC1

#LI-Registered Health Information Technology certification (RHIT)

 
 

The pay range for this position is $63,100.00 – $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 
 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 
 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Clipped from: https://jobs.wane.com/jobs/business-analyst-iimedicaid-claims-experience-remote-tallahassee-florida/924679625-2/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function

• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures

Education/Experience:
Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.

Member & Provider Solutions
Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Advanced knowledge of Microsoft Applications, including Excel and Visio preferred. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Clipped from: https://www.linkedin.com/jobs/view/advisory-services-project-management-analyst-medicaid-at-mathematica-3464692249/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Position Description

 
 

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

 
 

About The Opportunity

 
 

We currently have openings for Advisory Services/Project Management Analysts with a strong interest in project management in our Medicaid project area. This role blends management, research, and technical assistance. As such, we are seeking prospective employees with a passion for project management and an interest in improving government operations and health care delivery. In particular, we are looking for individuals who can support current and emerging work across any number of areas related to monitoring and improving Medicaid programs such as: Medicaid managed care programs, value-based purchasing and alternative payment models, long-term services and supports, measures of delivery and quality of services for beneficiaries, data analytics, and outcomes of innovative programs and policies. Advisory services analysts work on a variety of projects spanning policy and programmatic areas and are likely to be connected to 2-3 projects at a time. These projects range from data analytics to program evaluation to implementation support. Candidates do not need to have experience in all of these areas but should have experience in at least one of them.

 
 

Across all projects, Advisory Services/Project Management Analysts are expected to:

 
 

• Provide the direction and organization needed to help keep Medicaid projects on time and on budget and facilitate communications across and between internal and external stakeholders.
  
• Conduct project management activities, such as helping project directors plan, manage, and close out complex projects and designing, implementing, and monitoring tools and processes to help organize data and manage teams.
  
• Perform complex analyses of projects to monitor and evaluate project performance and progress, including monitoring project costs, assessing earned value, and overseeing subcontractors.
  
• Develop and maintain project collaboration tools, including Microsoft Project schedules, SharePoint websites, Jira trackers, and Excel spreadsheets.
  
• Provide technical assistance to state and federal health agencies or healthcare providers by designing webinars or responding to questions from stakeholders.
  
• Draft client memos, technical documentation, proposals and other contractual deliverables, such as chapters for reports, case studies, and/or data dictionaries.
  

 
 

Position Requirements

 
 

• Master’s degree in public policy, public administration, business, or related field; or commensurate experience in operations or management-oriented positions
  
• Strong management skills, including ability to monitor costs on multimillion-dollar contracts, mentor staff, and oversee small teams to complete work within tight timelines without compromising on quality.
  
• Strong organizational skills and high level of attention to detail; flexibility to manage multiple priorities, sometimes simultaneously, under deadlines.
  
• Excellent oral and written communication skills, for example the ability to write clear and concise technical documentation, and to communicate with clients diplomatically.
  
• Strong analytic and problem-solving skills, and ability to apply critical and creative thinking to identify solutions and respond to client requests in situations where guidance is unclear or absent.
  
• Professional experience in a similar field or position
  
• Interest in improving and researching Medicaid and other government programs, and/or providing technical assistance to health care entities.
  
• Some travel may be required
  

 
 

Desired Skills And Experience

 
 

• Work experience with a state or federal agency, a foundation, or health care. program is highly desirable, as is prior experience working with Medicaid data.
  
• Knowledge of quantitative and/or qualitative research methods.
  
• Experience with management tools, such as Microsoft Project and Jira.
  
• Certifications demonstrating management proficiency and expertise, such as Project Management Professional (PMP) or Lean Six Sigma
  
• Experience engaging a range of client stakeholders by applying a variety of approaches (such as human-centered design).
  
• Experience bridging between business owners and technical staff
  
• Basic knowledge of software development lifecycles, and agile development.
  

 
 

Please submit a cover letter and your resume along with a work product that demonstrates analytic skills and reflects independent analysis and writing, such as a capstone project, analytic report, or a management plan (nothing company confidential, please).

 
 

Various federal agencies with whom we contract require that staff successfully undergo a background investigation or 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.

 
 

This position is open in the following cities and states; however, we are all currently working from home and provide the support and flexibility needed to work from home. We ask the candidates to identify their preferred location for when we return to working in-person.

 
 

Available Locations: Chicago, IL; Ann Arbor, MI; Washington, DC; Princeton, NJ; Woodlawn, MD; Cambridge, MA; Seattle, WA; Oakland, CA; Remote

 
 

This position offers an anticipated annual base salary range of $60,000-$95,000. This position may be eligible for a discretionary bonus based on company and individual performance.

 
 

In accordance with Executive Order 14042 and its implementing guidelines, all Mathematica employees must provide documentation that they have been fully vaccinated or obtain an accommodation through Human Resources by providing documentation from a licensed health care provider that they are unable to be vaccinated against COVID-19 because of a disability (which would include medical conditions) or provide an attestation that they are entitled to an accommodation because of a sincerely held religious belief, practice, or observance.

 
 

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.