Senior Healthcare Consultant Jobs

Who We Are

Milliman’s Medicaid Finance and Policy Practice serves a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including state Medicaid agencies, 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 experience leading payment transformation engagements with Medicaid programs to join our team. This position is ideal for experienced healthcare professionals interested in facilitating practice growth through business development, managing projects, and contributing to internal operations in a rapidly growing consulting practice.

Responsibilities

• Leading project teams supporting payment system design and rate setting for state Medicaid agencies in the following areas:
• Managing data analysis and modeling using administrative claims and cost survey data
• Supplemental payment design, including managed care state directed payment arrangements, fee-for-service (“UPL”) supplemental payments, and disproportionate share hospital (DSH) payments
• Leading development of client reports and presentation materials
• Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed
• Facilitating external stakeholder engagement
• Value-based purchasing initiatives and strategy
• Federal financing options and related compliance
• Supporting business development efforts and additional growth opportunities
• Payment methodology design and rate development for hospitals, physicians, nursing facilities, home and community-based services and other healthcare providers
• Producing thought leadership on trends and regulatory changes affecting healthcare provider payments in Medicaid programs

Qualifications

• 5+ years' experience providing consulting services to state Medicaid agencies
• Strong organization skills with attention to detail to manage multiple projects at the same time
• Knowledge of and experience working with medical claims and managed care plan encounter data
• Ability to communicate with all levels within the organization
• This position is based out of Milliman’s Seattle, Chicago, Milwaukee, or Indianapolis offices.
• Bachelor’s Degree required, with preference for advanced degree or relevant industry credential
• Ability to work within a team environment and independently manage own work
• Ability to assist with directing analytical processes and interpreting analytical results to support client engagement teams
• Experience leading external stakeholder meetings
• Experience researching, analyzing, and summarizing Federal and state regulations related to Medicaid program funding and payments to healthcare providers
• Proficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPoint
• 10+ years’ experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes
• Strong written and verbal communication skills

Milliman Benefits

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual. We offer a competitive benefits package which includes:

• ORCA Pass unlimited rides (Seattle only)
• Medical, dental, and vision coverage for employees and their families, including eligible domestic partners
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason
• Paid Parental Leave up to 12 weeks
• Best Doctor - Medical second opinion, in-depth expert medical review, access to expert physicians, critical care support, and referral services at no cost
• Profit sharing as a discretionary contribution to employees’ retirement accounts
• Teladoc and nurse advice line
• Computer, software, and mobile phone discount programs
• A 401(k) plan with matching program
• Adoption assistance
• Corporate Social Responsibility and Giving programs
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
• Employee Assistance Program (counseling and support on everyday life issues, financial tools and calculators, discount tax preparation, legal forms, wellness coaching, interactive e-learning programs)
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage

Qualifications

Education

Required

Bachelor’s Degree

Preferred

Graduate degree in accounting, healthcare management, public policy, or healthcare-related disciplines

Experience

Required

10+ years of experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes

5+ years of experience providing consulting services to state Medicaid agencies

Compensation

The base salary range for this position is $140,000-$225,000, depending on relevant factors, including, but not limited to, education, work experience, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice’s bonus policy, which can be significant portion of total compensation.

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.

Milliman Benefits

We offer competitive benefits which include the following based on plan eligibility:

• A 401(k) plan with matching program, and profit sharing contribution
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• A minimum of 8 paid holidays
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue
• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• 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
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
• 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)

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.

Preferred

Preferred

Required

Required