Lead Consultant – Medicaid

Job Duties and Responsibilities

The Lead Consultant provides strategic operational, policy, and program advisory support to public-sector clients. Consulting services may include:

• Policy & Regulatory Analysis – Evaluate and assess the operational, financial, and strategic impact of federal and state policy, regulatory, and legislative changes.
• Program Design & Reform – Support clients in the design, modernization, and implementation of complex public programs and reform initiatives.
• Financial & Performance Consulting – Conduct financial and operational reviews, including funding models, cost reporting, and program sustainability analyses.
• Program Operations & Transformation – Advise clients on improving program administration, service delivery, eligibility/enrollment processes, and customer experience.
• Quality & Outcomes Analysis – Assess and enhance program performance, quality outcomes, and accountability frameworks across delivery models.

Client Advisory & Thought Partnership

Lead executive-level conversations with state and local Medicaid agencies on program strategy, operational improvement, governance, and oversight. Apply deep knowledge of federal Medicaid policies and regulations to support and guide client initiatives. Advise clients on topics including business process redesign, program readiness, risk management, and performance improvement. Build long-term, trusted relationships with Medicaid directors, deputy directors, program leaders, and other state and local staff. Leverage deep expertise in Medicaid policy, federal regulations, and state operations to deliver actionable, credible recommendations.

Consulting Engagement Leadership

Manage consulting engagements that result from advisory discussions, from initial scoping through delivery and client outcomes. Develop consulting workplans, governance structures, and deliverables that are objective, independent, and aligned to client needs. Provide senior oversight to ensure delivery quality, manage risk, and maintain strong client satisfaction. Recruit team members to support Medicaid consulting opportunities. Partner with internal stakeholders on joint Medicaid consulting and operational opportunities to strengthen go-to-market strategies. Partner with Business Development, Sales, and Capture teams to shape win strategies, value propositions, and client messaging.

Cross-Functional Collaboration

Work closely with internal teams already delivering Medicaid enrollment, eligibility, and operational services to state clients. Collaborate across consulting, delivery, BD, capture, and executive leadership to present a coordinated and credible Medicaid advisory presence. Contribute to market-facing thought leadership that reinforces the organization’s position as a trusted Medicaid consulting partner.

Minimum Requirements

• Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience.
• Bachelor’s degree required; advanced degree in public policy, public administration, healthcare administration, or a related field preferred.
• 7+ years of hands-on experience working in senior-level positions for state Medicaid programs and/or consulting to state Medicaid programs.
• Demonstrated experience leading or advising on Medicaid consulting engagements.
• Proven ability to engage credibly with senior Medicaid executives and agency leadership.
• Solid understanding of federal and state law and rules governing the Medicaid program as well as Medicaid financing.
• Experience supporting or leading responses to consulting-focused Medicaid procurements.
• Strong executive communication, facilitation, and relationship-building skills.