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Medicaid Consultant Jobs (NOW HIRING)

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

The Medicaid/Medicare Consultant will support Barrow Wise's Illinois DHS project and perform the following duties: * Serves as the Medicare/Medicaid consulting expert * Provide and manage consulting ...

Maximus

Lead Consultant - Medicaid

VA · On-site +1

General information Job Posting Title Lead Consultant - Medicaid Date Tuesday, June 9, 2026 City Remote Country United States Working time Full-time Description & Requirements We are seeking a Lead ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX

$65K/yr

What You Bring - Prior experience as a Medicaid caseworker with HHSC or in a private elder law or Medicaid consulting firm -- specifically with nursing home Medicaid (MEPD) and STAR+PLUS Waiver ...

BerryDunn

Senior Consultant, Medicaid Policy - HCBS

$110K - $125K/yr

As part of our consulting team focused on supporting state Medicaid agencies, you will work within Medicaid policy to help agencies implement new programs and administer their current program. You'll ...

BerryDunn

Senior Consultant, Medicaid Policy - HCBS

$110K - $125K/yr

As part of our consulting team focused on supporting state Medicaid agencies, you will work within Medicaid policy to help agencies implement new programs and administer their current program. You'll ...

Unicon Pharma Inc.

Claims Analyst I

Parsippany, NJ · On-site

$50 - $70/hr

... Medicaid consultant or equivalent work experience - Minimum 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets ...

Deloitte

Medicaid Actuarial Senior Consultant

Tempe, AZ · On-site

Provide strategic and technical consulting services to public sector clients * Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee ...

BerryDunn

Senior Medicaid Program and Policy Consultant

$100K - $130K/yr

As part of our consulting team focused on supporting state Medicaid agencies, you will work within Medicaid policy to help agencies implement new programs and administer their current program. You'll ...

BerryDunn

Senior Medicaid Program and Policy Consultant

$100K - $130K/yr

As part of our consulting team focused on supporting state Medicaid agencies, you will work within Medicaid policy to help agencies implement new programs and administer their current program. You'll ...

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Medicaid Consultant information

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$10

$49

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How much do medicaid consultant jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medicaid consultant in the United States is $49.72, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $62.50 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to be a Medicaid consultant?

To thrive as a Medicaid Consultant, you need deep knowledge of Medicaid policies, healthcare regulations, and reimbursement procedures, typically supported by a relevant degree and industry experience. Familiarity with healthcare management software, claims processing systems, and possibly Certified Professional Coder (CPC) credentials is highly valuable. Strong analytical abilities, attention to detail, and excellent communication skills set top candidates apart in this field. These skills are crucial for accurately navigating complex regulations and effectively advising clients or organizations on compliance and optimization.

What does a Medicaid consultant do?

A Medicaid consultant advises healthcare providers, insurance companies, or individuals on Medicaid policies, eligibility, and compliance requirements. They analyze regulations, assist with application processes, and help optimize Medicaid-related services, often using knowledge of state and federal guidelines.

What is a Medicaid consultant?

A Medicaid Consultant helps healthcare organizations, providers, or government agencies navigate Medicaid policies, compliance, and reimbursement processes. They analyze regulations, provide strategic guidance, and assist with program implementation to ensure adherence to federal and state Medicaid guidelines. Their role may involve auditing claims, optimizing billing practices, and improving efficiency in Medicaid-related operations.

What are some typical challenges Medicaid consultants face in their daily work?

Medicaid Consultants often encounter challenges such as keeping up with frequent changes in healthcare laws and regulations, ensuring accurate and compliant billing practices, and resolving complex eligibility or reimbursement issues. They may also have to balance the needs of multiple clients or departments, requiring strong organizational and time-management skills. Additionally, collaborating with healthcare providers, administrative staff, and state agencies can involve navigating differing priorities and perspectives. Overcoming these challenges is key to providing effective guidance and ensuring successful Medicaid program management for clients or organizations.

How do I become a Medicaid consultant?

To become a Medicaid consultant, you typically need a background in healthcare, social work, or public policy, along with knowledge of Medicaid regulations and policies. Gaining relevant experience through working in healthcare administration or insurance can be beneficial, and some roles may require certification or licensing depending on the state or organization. Strong analytical, communication, and regulatory compliance skills are also important for success in this field.
More about Medicaid Consultant jobs
What cities are hiring for Medicaid Consultant jobs? Cities with the most Medicaid Consultant job openings:
What are the most commonly searched types of Medicaid Consultant jobs? The most popular types of Medicaid Consultant jobs are:
What states have the most Medicaid Consultant jobs? States with the most job openings for Medicaid Consultant jobs include:
What job categories do people searching Medicaid Consultant jobs look for? The top searched job categories for Medicaid Consultant jobs are:
Medicaid Consultant jobs near you
Infographic showing various Medicaid Consultant job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 7% Part Time, and 5% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $103,425 per year, or $49.7 per hour.

Medicaid/Medicare Consultant

Barrow Wise Consulting

MD • On-site

$90K - $150K/yr

Full-time

Re-posted 26 days ago

Job description

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.
Responsibilities:
The Medicaid/Medicare Consultant will support Barrow Wise's Illinois DHS project and perform the following duties:
  • Serves as the Medicare/Medicaid consulting expert
  • Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities
  • Provide revenue maximization services for Medicare A, B, D, and Medicaid
  • Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and compliance with recommendations and implementation of training, new systems, processes, and automation
  • Provide and manage services to process Medicare D claims and collection as required by Federal Medicare D rules and requirements; ensure a streamlined and compliant billing and collection function, including an electronic accounts receivable system specific to pharmacy claiming
  • Review and assess the current Medicare Part A & B, Medicaid, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
  • Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
  • Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
  • Implement processes to improve billing and claiming with the transition to State staff
  • Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue
  • Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
  • Work as a mediator between the State and the Fiscal Intermediary NGS (National Government Services), which requires them to answer questions related to the Medicare cost reports, billings and claims
  • Assist the IDHS Office of Fiscal Services with the submission of Medicare bad debt claiming
  • Assist the IDHS Office of Fiscal Services with the submission of annual Medicare cost reports
  • Identify additional revenue maximization opportunities for IDHS
  • Develop project reports and present data to the State

An ideal candidate has the following:
  • U.S. Citizenship
  • Bachelor's degree
  • 10 years of experience with Medicare and Medicaid claims processing systems and revenue maximization services
  • Knowledge of automation in healthcare claims
  • Proficient in Project Management and Business Analysis practices, principles, and tools
  • Excellent written and verbal communication skills

Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply.
Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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