Senior Consultant - Medicaid Reimbursement @ Health Management Associates | Jobright.ai
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Health Management Associates · 1 day ago

Senior Consultant - Medicaid Reimbursement

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Responsibilities

Client management
Meets with clients and colleagues to understand requirements.
Gathers and organizes information about the issue to be solved or the procedure to be improved.
Analyzes data to identify and understand issues to be addressed.
Presents findings to internal colleagues, and clients.
Provides advice, implementation plans, and/or suggestions for improvement, according to project objectives.
Evaluates client needs, as warranted, and adjusts as appropriate.
Ensures that all deliverables are high-quality in all aspects (content, grammar, presentation, etc.).
Serves as a subject matter expert on projects.
Project management
Undertakes internal and external short-term and/or long-term project management to address identified issues and needs.
Develops and documents tools, analysis, frameworks, tracking tools, road maps, dashboards, and/or other approaches to manage a variety of large and small projects.
Business development
Supports firm business development activities to expand funded work from existing clients and/or new clients.
Develops and maintains a pipeline of future work
Participates in competitive and/or non-competitive proposal development and submission.
Leadership
Leads and manages teams, provides developmental feedback, and advances internal initiatives.
Serves as a mentor for other staff members, as requested.
Performance metrics
Ensures performance meets or exceeds HMA expectations in the following areas:
Billable hour target attainment.
Manages to budget/project caps established at the outset or assists in negotiating additional fees.
Meets quality and operational standards.
Participates in internal activities related to business strategies, forecasts, adoption of new technologies/platforms/approaches, and other process improvements.
Completes administrative requirements of the role in a punctual manner, including training, reporting, timesheets, expense reports, forecasting, and all other time-sensitive administrative duties.
All other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicaid policyCMS regulationsProject managementData analysisHealthcare researchTechnical assistanceGrant writingPolicy analysisStrategic planningFinancial strategiesReimbursement strategiesQuality improvementOperational supportProduct developmentNetworking skillsCurrent trends knowledge

Required

Bachelor’s degree in Business Management, Public Health, or a related discipline is required.
At least 5 years of progressively increasing prior experience in work involving publicly-funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, or evaluation.
Strong project management skills.
Solid time management skills.
Excellent attention to detail.
Ability to multi-task and adhere to strict deadlines.
Capable of handling confidential information in a discreet manner.
Ability to work extended hours when deadlines are approaching.
Excellent internal and excellent professional networking skills.
Excellent critical thinking skills.
Exceptional oral and written communication skills.
Superior interpersonal skills, including leadership, contribution to culture, and acceptance of accountability.
Demonstrated thought leadership and deep expertise in more than one critical healthcare area.
Ability to maintain an approach to stay current in trends in areas of subject matter expertise.

Preferred

A Master’s degree in a related discipline is strongly preferred.
Experience modeling and analyzing CMS Medicaid upper payment limit demonstrations.
Experience designing and implementing Medicaid supplement payment programs (Examples include: Medicaid DSH and graduate medical education payments).
Experience designing and modeling Medicaid provider taxes for state Medicaid agencies or providers.
Prior experience working on state directed payment programs including understanding CMS policy governing such programs.
Experience completing and analyzing CMS preprints.
Experience drafting and/or reviewing Medicaid state plan amendments.

Company

Health Management Associates

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Health Management Associates is an independent research and consulting firm specializing in publicly funded healthcare.

H1B Sponsorship

Health Management Associates has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (18)
2022 (21)
2021 (25)
2020 (40)

Funding

Current Stage
Late Stage
Total Funding
unknown
2018-01-01Series Unknown· Undisclosed

Leadership Team

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Douglas Elwell
Chief Executive Officer
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Charles Milligan
Chief Operating Officer
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Company data provided by crunchbase
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