BPM Advisors, LLC · 1 day ago
Medicaid Financing & Waiver SME – BHIDD Systems Initiative
United States
Contract
Remote
Senior Level
5+ years expBPM Advisors, LLC is seeking a contract Medicaid Financing & Waiver Subject Matter Expert to lead funding mechanism analysis for a statewide BHIDD initiative. The role involves analyzing various Medicaid and waiver funding streams and designing sustainable financing strategies for BHIDD services.
ConsultingInformation TechnologyManagement Consulting
Hiring Manager
Ahmad Iqbal
Responsibilities
Lead development of a comprehensive funding inventory across Medicaid (state plan, HCBS waivers, EPSDT), Medicare, state programs, and local/philanthropic sources
Map funding rules, transitions, and 'cliff points' across the lifespan (early childhood, school age, transition-age youth, adults, aging)
Analyze billing rules (what can/cannot be billed concurrently), rate structures, and financial incentives affecting BHIDD service delivery
Provide concise policy briefs on relevant federal and state Medicaid updates, and their implications for BHIDD
Collaborate with the state’s actuarial / rate-setting partners to test scenarios for optimizing 1915(c) waivers, CCBHC models, and other financing approaches
Translate complex policy and financing issues into clear, actionable recommendations for state leadership
Contribute to cost-benefit and sustainability analyses for proposed BHIDD service and system changes
Qualification
Required
5+ years of experience in Medicaid policy, reimbursement, or rate-setting, preferably in behavioral health and/or IDD
Deep working knowledge of Medicaid state plans, HCBS waivers, CCBHC payment models, and related financing mechanisms
Demonstrated experience analyzing program funding and developing financing recommendations for state agencies or large provider systems
Strong analytic and writing skills; ability to produce policy memos, funding matrices, and presentation materials for non-technical audiences
Comfortable collaborating with actuaries, data analysts, and program leaders
Preferred
Experience with cross-system initiatives involving child welfare, education, justice, and disability services
Prior consulting or advisory experience with state Medicaid agencies or large MCOs
Advanced degree in public policy, public administration, health services research, economics, law, or related field
Company
BPM Advisors, LLC
BPM Advisors, LLC, is a management consulting and corporate turnaround firm focused on delivering comprehensive business solutions governed by a simple premise: address dynamic organizational challenges with realistic and sustainable solutions.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase