Medicaid Eligibility Specialist (36)

Summary

Supporting a state health agency client, the part-time New York Medicaid Subject Matter Expert will design and operationalize a new Medicaid Bureau, taking strategic direction from client leadership and collaborating with a consulting team to shape policy, operational frameworks, and implementation deliverables remotely.Key responsibilitiesDefine the vision and operational approach for the new Medicaid Bureau in alignment with client expectations and policy requirementsFacilitate discussions with state Medicaid agencies and stakeholders to ensure cohesive delivery of program plansDraft and revise policy documents and operational guidance, maintaining detailed project workplans and identifying project risksRequired qualificationsDeep knowledge of state Medicaid policy, including managed care and waiver authoritiesExpertise with New York State Children's Waiver and home and community-based servicesExperience supporting programs for children with medical complexities and high-need pediatric populationsProven track record in developing Medicaid policies and operational guidanceExperience with Medicaid payment reform strategies and alternative payment methodologies

Job Description

Supporting a state health agency client, the part-time New York Medicaid Subject Matter Expert will design and operationalize a new Medicaid Bureau, taking strategic direction from client leadership and collaborating with a consulting team to shape policy, operational frameworks, and implementation deliverables remotely.Key responsibilitiesDefine the vision and operational approach for the new Medicaid Bureau in alignment with client expectations and policy requirementsFacilitate discussions with state Medicaid agencies and stakeholders to ensure cohesive delivery of program plansDraft and revise policy documents and operational guidance, maintaining detailed project workplans and identifying project risksRequired qualificationsDeep knowledge of state Medicaid policy, including managed care and waiver authoritiesExpertise with New York State Children's Waiver and home and community-based servicesExperience supporting programs for children with medical complexities and high-need pediatric populationsProven track record in developing Medicaid policies and operational guidanceExperience with Medicaid payment reform strategies and alternative payment methodologies