Senior Medicaid Consultants - Policy, Waivers & State Programs

Senior Medicaid Consultants – Policy, Waivers & State Programs

The following information aims to provide potential candidates with a better understanding of the requirements for this role.

United States (Remote) | Contract & Contract-to-Hire Opportunities

HealthCare Recruiters International is seeking experienced state Medicaid policy and program professionals for current and upcoming consulting opportunities supporting state and U.S. territorial Medicaid programs.

We are particularly interested in professionals who have worked directly for state Medicaid agencies or as consultants supporting state Medicaid agencies and bring expertise in Medicaid policy, waivers, regulatory initiatives, or program implementation.

This opportunity is intended for professionals with direct state Medicaid agency or state Medicaid consulting experience. Health plan/MCO, provider, or payer experience alone will not meet the requirements for these consulting engagements.

Areas of Experience May Include

• State Plan Amendments (SPAs)
• Section 1115 Demonstration Waivers
• Section 1915(b), 1915(c), and 1915(i) waivers
• Medicaid policy development and regulatory analysis
• CMS guidance and regulatory interpretation
• Medicaid Enterprise Systems (MES/MMIS)
• Medicaid modernization initiatives
• Program integrity and claims
• Benefits, eligibility and coverage policy
• Provider reimbursement
• Medicaid program implementation
• Project and program management
• State Medicaid operations

We Are Particularly Interested in Professionals Who Have

• Experience working for or directly supporting a state Medicaid agency
• Experience collaborating with CMS and state government stakeholders
• Strong knowledge of Medicaid regulations, programs and operations
• Experience translating Medicaid policy or regulatory requirements into actionable strategies
• Strong written, analytical and stakeholder communication skills
• Consulting or advisory experience supporting government healthcare programs

Potential Backgrounds

Candidates may come from backgrounds such as:

• Medicaid Consultant / Senior Medicaid Consultant
• Medicaid Policy Director or Manager
• Senior Medicaid Policy Analyst
• Medicaid Waiver Specialist
• Medicaid Program Manager
• Medicaid Project Manager
• MES/MMIS xhyhwjd Consultant or Project Manager
• Program Integrity / Claims SME
• State Medicaid Agency Leadership

Opportunity Details

• Remote – United States
• Contract and contract-to-hire opportunities
• Full-time consulting engagements typically 35–40 hours per week
• Compensation varies based on role, experience, and scope
• Some engagements may require occasional travel
• Opportunities may support Medicaid programs across the continental U.S. and U.S. territories, including Guam, American Samoa, and the U.S. Virgin Islands

If you have significant Medicaid experience and are interested in current or future consulting opportunities supporting state and territorial Medicaid programs, we welcome the opportunity to connect.