Medicaid Program Integrity Jobs in Utah (NOW HIRING)

US

Full time

JR102072

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com .

The Consultant helps State Medicaid agencies strengthen their Medicaid Program Integrity efforts by contributing to project management and business development activities for current and future engagements. This role leads project workstreams, partners with state agencies to identify and implement innovative solutions to improve fraud, waste, abuse, compliance, and operational performance, and supports and leads major business development activities.

Successful candidates combine strong operational consulting skills with an interest in Medicaid policy, operations, data analytics, and client relationship management.

Duties and Responsibilities

• Provides implementation and project management support across multiple client engagements.

• Manages small projects, staff and tasks with limited supervision while meeting and exceeding performance expectations.

• Reviews and be the expert in the business operations for service and efficiency improvements

• Analyzes and interprets federal and state law and regulation.

• Assesses best practices and provide technical assistance to clients.

• Facilitates client discussions.

• Delegates tasks and responsibilities to team members.

• Supports business development activities, including researching industry trends, contributing to team discussions, and identifying new and emerging opportunities.

• Leads proposal writing teams, including writing sections, coordinating efforts, and preparing proposal submissions.

• Prepares other written reports, major deliverables, and other materials for clients.

• Other project and business development responsibilities as necessary.

Required skills

• Ability to understand both the service delivery system for programs which are administered by states and monitored by federal regulators.

• Ability to understand and be an expert in complex federal regulations and requirements specifically related to Medicaid Program Integrity, Medicaid managed care and Medicaid provider oversight.

• Strong Microsoft Office applications skills

• Ability to use sound judgment in completing tasks and to seek guidance when needed.

• Attention to detail and ability to work with large data sets with accurate results.

• Ability to move projects forward within a specific timeline and budget while working at a detailed level.

• Commitment to exceptional client service.

• Creative problem-solving ability and a consultancy mindset.

• Dedication to accomplishing goals and challenges presented by clients and management.

• Ability to interact with various levels of management and with clients.

• Flexible, self-starter possessing intellectual curiosity.

• Enthusiasm for life-long learning and staying well-informed about current business issues.

• Able to follow, critically evaluate, and improve upon current processes.

• Excellent business writing skills and ability to make presentations to various audiences.

• Ability to recognize issues and identify solutions.

Qualifications

• Bachelor’s degree or 5 years’ experience required; Master’s degree (MPA or government focused MBA) preferred

• 5+ years of Medicaid oversight, program integrity, or public sector consulting experience preferred.

Supervisory Responsibility

• Business Analysts

Working Conditions

• Some travel required

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides a reasonable range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

Range: $70,100 - $80,000

PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com.

Click here (https://publicconsultinggroup.com/privacy-policy/ccpa-employee-and-applicant-privacy-notice/) to access our privacy notice to California job applicants regarding the collection of personal information.

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.