Healthcare Consultant – Medicaid Behavioral Health and HCBS

Milliman’s Medicaid Finance and Policy Practice is seeking a Healthcare Consultant to join our team. We are seeking individuals with interest and experience in Medicaid home and community-based services (HCBS) and behavioral health, with a focus on related payment system design and rate setting. Typical projects will include reimbursement methodology design, payment rate setting and program funding strategies, and supporting states with implementation of new federal HCBS requirements. Related experience with stakeholder engagement, workforce issues, individual budgeting, needs assessments, and self-directed care will be considered a plus.

About Our Practice

Milliman’s Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations, and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.

Responsibilities

• Leading significant work streams and/or project teams supporting the development of HCBS and behavioral health payment system design and rate setting for state Medicaid agencies and addressing related policy and operational considerations including compliance with new federal HCBS regulations.


• Managing data analysis and modeling using administrative claims data


• Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed


• Supporting research and publication of thought leadership on trends and regulatory changes affecting HCBS and behavioral health provider payments in Medicaid programs


• Drafting client reports and presentation materials


• Assisting with external stakeholder engagement


• Supporting business development efforts and additional growth opportunities

Qualifications

Professional Qualifications

• Bachelor’s Degree, with a preference for candidates with a graduate degree in accounting, healthcare management or other relevant disciplines (e.g., a Master’s in Public Health, Social Service Administration, Public Policy, or Healthcare Administration)


• Experience providing consulting services to state Medicaid or other health and human services agencies. Alternative experience working for behavioral health and HCBS providers, managed care plans covering long-term services and supports, or other relevant stakeholders may also be considered.


• 10+ years of HCBS and/or behavioral health funding/finance/reimbursement experience 


• 10+ years of experience analyzing health care administrative data


• Working knowledge of Medicaid program rules and regulations for HCBS

Personal Qualifications

• Interest and aptitude for performing and managing detail-oriented analytical work


• Ability to effectively communicate technical information and concepts, both verbally and in writing

To be considered for this position, please upload a resume and cover letter.

No recruiters, please. 

Location

This position is based out of the Milliman offices in Seattle, Indianapolis, Chicago, and Milwaukee. While it is preferred for employees to work onsite in one of the Milliman offices, the option to work remotely anywhere in the US is available.

Compensation

The salary range for this role is $87,000 - $177,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice’s bonus policy, which can be a significant portion of total compensation.

Benefits

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:

• Medical, dental and vision coverage for employees and their dependents, including domestic partners


• A 401(k) plan with matching program, and profit-sharing contribution


• Employee Assistance Program (EAP)


• A discretionary bonus program


• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue


• 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked


• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period


• Commuter Program, which allows you to use pre-tax dollars to pay for your parking or public transit expenses to get to and from work. You may utilize this benefit any time throughout the year and funds will be available the first of the month following your first contribution


• A minimum of 8 paid holidays


• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage


• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

Who We Are

Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

This job posting is expected to close on November 6, 2024.