Government Healthcare Provider Rate Setting Consultant

What can you expect?

We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues.

Responsibilities

• Partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organizations.
• Interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently.
• Provides opportunities to work in a team environment to ensure client recommendations contain multiple points of view.
• Includes in-depth training and immediate inclusion on client teams to provide unique learning opportunities and contribute to client success.
• Works with client and team project managers to clearly define the scope, timelines, and deliverables of the project; ensures development and proposes essential project documents, including the budget and work plans.
• Translates actuarial results and medical cost trends into policy and reimbursement recommendations.
• Reviews cost trend and utilization analysis, financial forecasting, and revenue adequacy analysis using advanced Excel financial modeling skills.

Qualifications

• Bachelor’s Degree (BA/BS)
• 10+ years of healthcare financial analysis experience, including Medicaid managed care, rate analysis, and provider payment modeling.
• Advanced Excel financial modeling skills.

Benefits

• Competitive total rewards package including health and welfare benefits, tuition assistance, 401K savings and other retirement programs, and employee assistance programs.

Pay

• The applicable base salary range for this role is $115,200 to $230,400.

Schedule

• Flexible work arrangements including the option to work remotely and collaborate with colleagues in the office.