Medicaid Jobs in Raleigh, NC (NOW HIRING)

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 Regional Medicaid Lead is a senior leadership role accountable for the growth, operational performance, and strategic oversight of school-based Medicaid programs across the Southeast region. This role owns regional business outcomes, including client success, program quality, financial performance, and alignment to organizational priorities, while engaging external stakeholders such as state Medicaid agencies, departments of education, and other relevant agencies or organizations.
Working in close partnership with the School Based Services (SBS) Center of Excellence (COE) and regional leadership, this leader sets direction for regional Medicaid strategy, drives execution against performance goals, and ensures consistent delivery standards, compliance, and operational discipline.
In addition to leading high-quality client delivery across the region, the Regional Medicaid Lead represents the organization with state and local agencies, identifies opportunities for market expansion, and partners with regional and functional leaders to advance growth, innovation, and long-term client value.

Duties & Responsibilities:

Regional Program Leadership

• Provide oversight for all school-based Medicaid programs within the assigned region.
• Ensure successful delivery of Fee-for-Service Medicaid services and related SBS programs.
• Own regional program performance and client outcomes, with clear accountability for service quality, operational consistency, and execution against strategic priorities.
• Provide leadership across regional and COE stakeholders to align initiatives, allocate resources, and remove barriers to regional performance.

Regional Growth and Opportunity Development

• Identify and advance opportunities to expand Medicaid services within existing accounts and across the regional market, including through engagement with external stakeholders such as state Medicaid agencies, departments of education, and other relevant agencies.
• Partner with regional leadership and business development teams to shape pursuit strategy, strengthen market positioning, and cultivate relationships with external stakeholders, including state Medicaid agencies, departments of education, and other relevant entities.
• Lead regional Medicaid strategy discussions around market shifts, policy changes, and program expansion, informed by active engagement with state and local agencies and other key external partners.

Client Success and Stakeholder Engagement

• Oversee client success delivery for Medicaid programs within the region, ensuring strong relationships with state agencies, school districts, and strategic partners.
• Serve as a senior escalation point for complex client issues or program challenges.
• Implement best practice models for client communication, project management, and stakeholder engagement.
• Identify opportunities to optimize program performance and client outcomes.

Team Leadership and Staff Oversight

• Supervise (directly or indirectly) and support regional Medicaid staff.
• Provide coaching, guidance, and professional development opportunities for regional team members.
• Establish clear expectations and accountability structures to ensure high performance across the team.
• Partner with cross-functional leadership to ensure consistent standards, processes, and service delivery models.

Financial Management and Forecasting

• Lead regional financial planning for SBS programs, including revenue forecasting, budgeting, and resource allocation aligned to growth and delivery priorities.
• Monitor regional financial performance and drive actions to improve contribution margin, scalability, and operating efficiency.
• Work with leadership to ensure appropriate staffing models aligned with program growth and sustainability.

Cross-Functional Collaboration

• Serve as the primary liaison between the region and COE functional areas.
• Collaborate with internal teams to address policy changes, compliance questions, and operational challenges.
• Support the implementation of new systems, processes, and program improvements across regional clients

Qualifications:

• Bachelor degree or 10 years' experience required, graduate degree a plus

• At least five years' experience with a state agency and/or Medicaid

Working Conditions

• Must be located in the southeast region of the U.S. Ideally in FL, GA, NC or SC.

• Travel to client sites, business conferences and PCG meetings required 25-50%

This position is remote with travel/onsite requirements. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company's success. To be successful in a remote work role at PCG, you must:

• be available during your set working hours
• have a safe, private, and distraction-free environment in which to complete your work, and
• be able to give your full attention to the completion of your PCG job duties

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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: $88,900 - $150,000

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.