Lead Consultant - Medicaid

Job Duties and Responsibilities

The Lead Consultant provides strategic operational, policy, and program advisory support to public‑sector clients.

• Policy & Regulatory Analysis – Evaluate and assess the operational, financial, and strategic impact of federal and state policy, regulatory, and legislative changes.
• Program Design & Reform – Support clients in the design, modernization, and implementation of complex public programs and reform initiatives.
• Financial & Performance Consulting – Conduct financial and operational reviews, including funding models, cost reporting, and program sustainability analyses.
• Program Operations & Transformation – Advise clients on improving program administration, service delivery, eligibility/enrollment processes, and customer experience.
• Quality & Outcomes Analysis – Assess and enhance program performance, quality outcomes, and accountability frameworks across delivery models.

• Serve as a senior advisor to executive‑level leaders within public‑sector organizations on strategy, governance, oversight, and operational improvement.
• Apply deep knowledge of public policy, regulatory frameworks, and government operations to guide client initiatives.
• Advise clients on business process redesign, program readiness, risk management, and performance improvement.
• Build long‑term, trusted relationships with senior government leaders and stakeholders.
• Deliver actionable, credible recommendations grounded in policy, operational, and financial expertise.

• Lead consulting engagements from initial advisory discussions through scoping, execution, and delivery.
• Develop workplans, governance structures, and objective deliverables aligned to client needs.
• Provide senior oversight to ensure delivery quality, manage risk, and maintain high client satisfaction.
• Identify, recruit, and oversee consulting team members to support engagements.
• Partner with internal stakeholders to strengthen go‑to‑market strategies and expand advisory offerings.
• Support business development efforts, including proposal development, win strategies, and executive presentations.

• Collaborate closely with internal delivery teams supporting client operations and services.
• Coordinate across consulting, delivery, business development, and executive leadership to present an integrated advisory presence.
• Contribute to market‑facing thought leadership that reinforces organizational credibility and expertise.

• Lead executive‑level conversations with state and local Medicaid agencies on program strategy, operational improvement, governance, and oversight.
• Apply deep knowledge of federal Medicaid policies and regulations to support and guide client initiatives.
• Advise clients on topics including business process redesign, program readiness, risk management, and performance improvement.
• Build long‑term, trusted relationships with Medicaid directors, deputy directors, program leaders, and other state and local staff.
• Leverage deep expertise in Medicaid policy, federal regulations, and state operations to deliver actionable, credible recommendations.

• Manage consulting engagements that result from advisory discussions, from initial scoping through delivery and client outcomes.
• Develop consulting workplans, governance structures, and deliverables that are objective, independent, and aligned to client needs.
• Provide senior oversight to ensure delivery quality, manage risk, and maintain strong client satisfaction.
• Recruit team members to support Medicaid consulting opportunities.
• Partner with internal stakeholders on joint Medicaid consulting and operational opportunities to strengthen go‑to‑market strategies.
• Partner with Business Development, Sales, and Capture teams to shape win strategies, value propositions, and client messaging.
• Participate in proposal reviews, oral presentations, and executive briefings.

• Work closely with internal teams already delivering Medicaid enrollment,…