Healthcare Consultant – Medicaid Behavioral Health And Hcbs

Who We Are
Milliman’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.
We are seeking individuals with interest and experience in Medicaid behavioral health services and/or home and community-based services (HCBS), 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. Related experience with stakeholder engagement, workforce issues, person-centered care, conflict-free case management, individual budgeting, and self-directed care will be considered a plus.
Responsibilities

• Supporting research and publication of thought leadership on trends and regulatory changes affecting HCBS and behavioral health provider payments in Medicaid programs
• Drafting client reports and presentation materials
• Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed
• Managing data analysis and modeling using administrative claims data
• Leading significant work streams and/or project teams supporting HCBS and behavioral health payment system design and rate setting for state Medicaid agencies, including the administration and analysis of provider surveys
• Assisting with external stakeholder engagement
• Supporting business development efforts and additional growth opportunities

Qualifications

• 3+ years of experience analyzing health care administrative data
• This position will be based out of either Milliman’s Seattle, Chicago, or Indianapolis office, with some flexibility for working at home or in the office.
• Working knowledge of Medicaid program rules and regulations for provider payments preferred
• Ability to effectively communicate technical information and concepts, both verbally and in writing
• Experience providing consulting services to state Medicaid or other health and human services agencies, or to other types of public or private sector healthcare-related entities. 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.
• Interest and aptitude for performing and managing detail-oriented analytical work
• 3+ years of HCBS and/or behavioral health funding/finance/reimbursement experience
• Bachelor’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)

Location
This 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.
Compensation
The salary range for this position is $85,000 to $160,000, 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.
Milliman Benefits
At 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:

• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Family 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 period
• Employee Assistance Program (EAP)
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue
• A minimum of 8 paid holidays
• 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• A discretionary bonus program
• A 401(k) plan with matching program, and profit sharing contribution
• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

To be considered for this position, please upload a resume and cover letter.
No recruiters, please.
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.