Health Consultant

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector.

About the role

The Consultant helps State Medicaid agencies strengthen their Medicaid Program Integrity efforts by contributing to project management and business development activities for current and future engagements. This role leads project workstreams, partners with state agencies to identify and implement innovative solutions to improve fraud, waste, abuse, compliance, and operational performance, and supports and leads major business development activities. Successful candidates combine strong operational consulting skills with an interest in Medicaid policy, operations, data analytics, and client relationship management.

Responsibilities

• Provides implementation and project management support across multiple client engagements.
• Manages small projects, staff and tasks with limited supervision while meeting and exceeding performance expectations.
• Reviews and be the expert in the business operations for service and efficiency improvements.
• Analyzes and interprets federal and state law and regulation.
• Assesses best practices and provide technical assistance to clients.
• Facilitates client discussions.
• Delegates tasks and responsibilities to team members.
• Supports business development activities, including researching industry trends, contributing to team discussions, and identifying new and emerging opportunities.
• Leads proposal writing teams, including writing sections, coordinating efforts, and preparing proposal submissions.
• Prepares other written reports, major deliverables, and other materials for clients.
• Other project and business development responsibilities as necessary.

Requirements

• Ability to understand both the service delivery system for programs which are administered by states and monitored by federal regulators.
• Ability to understand and be an expert in complex federal regulations and requirements specifically related to Medicaid Program Integrity, Medicaid managed care and Medicaid provider oversight.
• Strong Microsoft Office applications skills.
• Ability to use sound judgment in completing tasks and to seek guidance when needed.
• Attention to detail and ability to work with large data sets with accurate results.
• Ability to move projects forward within a specific timeline and budget while working at a detailed level.
• Commitment to exceptional client service.
• Creative problem-solving ability and a consultancy mindset.
• Dedication to accomplishing goals and challenges presented by clients and management.
• Ability to interact with various levels of management and with clients.
• Flexible, self-starter possessing intellectual curiosity.
• Enthusiasm for life-long learning and staying well-informed about current business issues.
• Able to follow, critically evaluate, and improve upon current processes.
• Excellent business writing skills and ability to make presentations to various audiences.
• Ability to recognize issues and identify solutions.

Qualifications

• Bachelor’s degree or 5 years’ experience required; Master’s degree (MPA or government focused MBA) preferred.
• 5+ years of Medicaid oversight, program integrity, or public sector consulting experience preferred.

Supervisory Responsibility

Business Analysts

Working Conditions

Some travel required.

Pay

Range: $70,100 - $80,000

Benefits

• Medical and dental care benefits.
• 401k.
• Paid time off (PTO).
• Parental leave.
• Bereavement leave.