Healthcare Consultant – Medicaid Payment And Financing Jobs

3+ years of HCBS and/or behavioral health funding/finance/reimbursement experience

3+ years of experience analyzing health care administrative data

Working knowledge of Medicaid program rules and regulations for provider payments preferred

Managing data analysis and modeling using administrative claims data

Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed

Drafting client reports and presentation materials

5+ years of experience designing payment systems and setting reimbursement rates for institutional health care providers

Working knowledge of Medicaid program rules and regulations for provider payments preferred, but not required

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Prospective payment systems for inpatient and outpatient hospital services

Acuity-adjusted payment methodologies for nursing facilities

Supplemental payments, including state, directed payment arrangements, UPL payments, and disproportionate share hospital (DSH) payments