Healthcare Consultant - Medicaid Behavioral Health And Hcbs

Milliman's Medicaid Finance and Policy Practice is seeking a Healthcare Consultant to join our team.
We are seeking individuals with interest and experience in Medicaid home and community-based services (HCBS) and behavioral health, with a focus on related payment system design and rate setting.
Typical projects will include reimbursement methodology design, payment rate setting and program funding strategies, and supporting states with implementation of new federal HCBS requirements.
Related experience with stakeholder engagement, workforce issues, individual budgeting, needs assessments, and self-directed care will be considered a plus.About Our PracticeMilliman's Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations, and safety net hospital systems.
The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.ResponsibilitiesLeading significant work streams and/or project teams supporting the development of HCBS and behavioral health payment system design and rate setting for state Medicaid agencies and addressing related policy and operational considerations including compliance with new federal HCBS regulations.Managing data analysis and modeling using administrative claims dataReviewing the analytical work of project teams and ensuring Milliman's quality control processes and procedures are being followedSupporting research and publication of thought leadership on trends and regulatory changes affecting HCBS and behavioral health provider payments in Medicaid programsDrafting client reports and presentation materialsAssisting with external stakeholder engagementSupporting business development efforts and additional growth opportunitiesQualificationsProfessional QualificationsBachelor's Degree, with a preference for candidates with a graduate degree in accounting, healthcare management or other relevant disciplines (e.g., a Master's in Public Health, Social Service Administration, Public Policy, or Healthcare Administration)Experience providing consulting services to state Medicaid or other health and human services agencies.
Alternative experience working for behavioral health and HCBS providers, managed care plans covering long-term services and supports, or other relevant stakeholders may also be considered.10+ years of HCBS and/or behavioral health funding/finance/reimbursement experience 10+ years of experience analyzing health care administrative dataWorking knowledge of Medicaid program rules and regulations for HCBSPersonal QualificationsInterest and aptitude for performing and managing detail-oriented analytical workAbility to effectively communicate technical information and concepts, both verbally and in writingTo be considered for this position, please upload a resume and cover letter.No recruiters, please.
LocationThis position is based out of the Milliman offices in Seattle, Indianapolis, Chicago, and Milwaukee.
While it is preferred for employees to work onsite in one of the Milliman offices, the option to work remotely anywhere in the US is available.CompensationThe salary range for this role is $87,000 - $177,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc.
Employees are also eligible for a bonus under our practice's bonus policy, which can be a significant portion of total compensation.BenefitsAt Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual and their family.
We offer competitive benefits which include the following based on plan eligibility:Medical, dental and vision coverage for employees and their dependents, including domestic partnersA 401(k) plan with matching program, and profit-sharing contributionEmployee Assistance Program (EAP)A discretionary bonus programPaid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours workedFamily building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month periodCommuter Program, which allows you to use pre-tax dollars to pay for your parking or public transit expenses to get to and from work.
You may utilize this benefit any time throughout the year and funds will be available the first of the month following your first contributionA minimum of 8 paid holidaysMilliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverageFlexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needsWho We AreIndependent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide.
Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.This job posting is expected to close on October 29, 2024.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR 60-1.35(c)