Medicaid Managed Care Contracting Consultant

About the role

Pediatric Dental Anesthesia Associates (PDAA) is seeking an experienced Medicaid Managed Care Contracting Consultant or firm to help expand participation with Medicaid Managed Care Organizations (MCOs) across multiple states. PDAA is a national leader in providing pediatric anesthesia services in pediatric dental offices. The consultant will identify, pursue, negotiate, and secure Medicaid MCO contracts to expand access to services for children.

Responsibilities

• Identify Medicaid MCOs and health plans appropriate for PDAA’s services
• Develop and execute a strategy for obtaining MCO contracts
• Identify key decision-makers within Medicaid health plans
• Initiate and manage payer contracting discussions
• Assist with provider enrollment, credentialing, and contracting requirements
• Support reimbursement and rate negotiations
• Navigate state-specific Medicaid managed care requirements
• Develop relationships with MCO contracting, network development, and provider relations teams
• Track contracting opportunities, applications, negotiations, and outcomes
• Advise PDAA leadership on Medicaid payer strategy and market opportunities

Requirements

• Demonstrated success in Medicaid managed care contracting, preferably with healthcare provider organizations, physician groups, anesthesia, dental, or other specialty healthcare services
• Established relationships with Medicaid MCOs and health plans
• Strong knowledge of Medicaid managed care contracting
• Experience negotiating provider agreements and reimbursement rates
• Knowledge of Medicaid requirements across multiple states
• Excellent communication and negotiation skills
• Proven ability to move opportunities from initial contact to executed contract
• Results‑oriented, entrepreneurial approach
• Experience working with multiple Medicaid MCOs across states is highly preferred