Director of Medicaid Strategy and Sustainability

Location: Remote | Contract | Hourly Pay Range: $65-$82.50

About the role

This role is ideal for an experienced Medicaid policy leader with a deep understanding of healthcare policy, federal funding, and program implementation. The position focuses on developing sustainable Medicaid funding mechanisms to support healthcare transformation initiatives, ensuring federal compliance, and securing long-term program viability.

Responsibilities

• Lead Medicaid policy initiatives supporting the Rural Health Transformation Program and other healthcare transformation efforts.
• Develop long-term strategies to sustain healthcare initiatives through Medicaid financing mechanisms and federal funding opportunities.
• Evaluate the feasibility of maintaining healthcare programs using Medicaid authorities, reimbursement models, and federal funding programs.
• Identify, develop, and secure federal Medicaid authorities, including Section 1115 Waivers and State Plan Amendments.
• Ensure compliance with all applicable federal and Medicaid regulations, policies, and reporting requirements.
• Lead policy development and budget initiatives supporting Medicaid-funded programs, including legislative, regulatory, and federal approval processes.
• Maximize Federal Financial Participation (FFP) for Medicaid benefits, administrative activities, and agency operations.
• Collaborate with CMS, healthcare providers, agencies, and community stakeholders to develop and implement Medicaid policy initiatives.
• Conduct complex policy research, financial analysis, and regulatory assessments to support executive decision-making.
• Prepare policy briefs, legislative materials, regulatory submissions, and CMS documentation.
• Serve as the agency’s subject matter expert on Medicaid policy, financing, reimbursement, and healthcare transformation strategies.
• Monitor changes in federal and Medicaid regulations and recommend policy updates to ensure continued compliance and sustainability.
• Provide strategic guidance to leadership on Medicaid funding opportunities, healthcare policy trends, and long-term program sustainability.

Requirements

• Bachelor’s degree in Public Policy, Public Administration, Public Health, Healthcare Administration, Law, Business Administration, or a related field.
• Minimum of eight (8) years of experience in Medicaid policy, healthcare policy, public health administration, or government healthcare programs.
• Demonstrated experience developing Medicaid policy recommendations, regulatory submissions, and federal approval documents.
• Strong understanding of Medicaid regulations, reimbursement methodologies, financing structures, and federal funding authorities.
• Proven ability to manage complex policy initiatives involving multiple agencies and stakeholder groups.
• Excellent analytical, strategic thinking, written communication, and presentation skills.
• Ability to collaborate effectively with executive leadership, government agencies, healthcare organizations, and federal partners.

Preferred Qualifications

• Master’s degree in Public Health (MPH), Public Administration (MPA), Healthcare Administration (MHA), Law (JD), or a related field.
• Experience working directly with the Centers for Medicare & Medicaid Services (CMS).
• Experience developing or managing Medicaid waivers, State Plan Amendments (SPAs), or other federal Medicaid authorities.
• Knowledge of Medicaid financing, Federal Financial Participation (FFP), administrative claiming, cost allocation, and reimbursement methodologies.
• Experience supporting healthcare transformation initiatives, grant-funded programs, or large-scale public sector projects.

About Delphi-US

Delphi-US is a national IT Services firm based in Newport, Rhode Island. Delphi attracts our nation’s best and brightest Technical & Professional Talent and positions our nation’s finest employers to further their competitive advantages. Delphi’s core technical focus includes Data Sciences & Analytics, Modern AI/ML Model Monetization, Cloud Engineering, Cyber Security, ERP Rescue; serving domains from sensitive national energy sectors to critical financial services, biomed, life sciences & pharma, major government & municipal institutions, and much of the USA's Fortune 500 corporations.

Delphi Associates are deployed on critical IT Projects where their consultative business acumen, comprehensive technical expertise, and committed service mission drives our client’s success. Our proprietary skill-based and cultural matching process results in higher qualified project teams, custom curated for our client’s specific technical & functional goals. We are supremely experienced, friendly, professional, and ready to advocate on your behalf. Delphi has an indelible understanding of employer expectations, a track record of project success, and we deliver lasting results.