Senior Healthcare Consultant

: Job Details

Description

Milliman's Medicaid Finance and Policy Practice is seeking a Senior Healthcare Consultant to join our team. We are seeking individuals with experience leading payment transformation engagements with Medicaid programs to join our team. This position is ideal for experienced healthcare professionals interested in facilitating practice growth through business development, managing projects, and contributing to internal operations in a rapidly growing consulting practice.

About Our Practice

Milliman's Medicaid Finance and Policy Practice serves a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including state Medicaid agencies, 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 project teams supporting payment system design and rate setting for state Medicaid agencies in the following areas:
  • Payment methodology design and rate development for hospitals, physicians, nursing facilities, home and community-based services and other healthcare providers
  • Value-based purchasing initiatives and strategy
  • Supplemental payment design, including managed care state directed payment arrangements, fee-for-service (“UPL”) supplemental payments, and disproportionate share hospital (DSH) payments
  • Federal financing options and related compliance
• Managing data analysis and modeling using administrative claims and cost survey data
• Reviewing the analytical work of project teams and ensuring Milliman's quality control processes and procedures are being followed
• Producing thought leadership on trends and regulatory changes affecting healthcare provider payments in Medicaid programs
• Leading development of client reports and presentation materials
• Facilitating external stakeholder engagement
• Supporting business development efforts and additional growth opportunities

Qualifications

Professional Qualifications

• Bachelor's Degree required, with preference for advanced degree or relevant industry credential
• 15+ years' experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes
• 5+ years' experience providing consulting services to state Medicaid agencies
• Experience researching, analyzing, and summarizing Federal and state regulations related to Medicaid program funding and payments to healthcare providers
• Experience leading external stakeholder meetings
• Knowledge of and experience working with medical claims and managed care plan encounter data

Personal Qualification

• Proficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPoint
• Strong organization skills with attention to detail to manage multiple projects at the same time
• Strong written and verbal communication skills
• Ability to communicate with all levels within the organization
• Ability to work within a team environment and independently manage own work
• Ability to assist with directing analytical processes and interpreting analytical results to support client engagement teams

Preferred Qualifications

• Graduate degree in accounting, healthcare management, public policy, or healthcare-related disciplines

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 $120,000-$243,000, depending on relevant factors, including, but not limited to, education, work experience, 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
• 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

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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)