Manager,Medicaid Policy and Model Implementation - Remote Job Jacksonville Florida USA,Healthcare

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.

In the wide-ranging field of health human services consulting, OSC/Lewin provides both depth and breadth of expertise. Currently, OSC/Lewin has more than 250 consultants drawn from industry, government and academia. They all share a solid commitment to OSC/Lewin's core values of objectivity, integrity, analytical innovation, vision, and dedication to client satisfaction.

At OSC/Lewin, we help federal decision-makers strengthen health and human services programs, make informed policy choices, and implement critical initiatives. OSC/Lewin also works with foundations and associations to research and evaluate complex health care and human services needs. By delivering objective, data-driven research, program planning and development, technical assistance, implementation, post-implementation analytics, and evaluations, OSC/Lewin supports current program activities, informs future program investments and supports strategic decision processes that improve the health and well-being of the nation's citizens.

The Senior Consultant will serve as the Lewin-side Medicaid lead/counterpart to CMMI staff for the AHEAD model, moving Medicaid policy, technical assistance, and operational work forward across task teams. This person should be an experienced individual contributor who can independently structure ambiguous work, advise CMS, coordinate SMEs, and deliver high-quality work.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Schedule:

Monday - Friday, daylight shift in your time zone

Primary Responsibilities:

Serve as a senior Medicaid policy and implementation advisor supporting the AHEAD Model, working closely with CMS Innovation Center staff and Lewin task leads to advance Medicaid-related priorities
Lead and coordinate Medicaid work across AHEAD task teams, establishing work plans, clarifying responsibilities, identifying dependencies, and driving activities through completion
Provide policy consultation, structured analysis, and thought partnership to CMS on Medicaid payment and delivery-system reforms, including alternative payment models, value-based care, hospital global budgets, advanced primary care, and multi-payer alignment
Analyze federal and state Medicaid policies, authorities, programs, and implementation approaches, including state plan and waiver considerations, and translate findings into clear options, recommendations, and decision materials
Support the development and refinement of Medicaid policies and operational approaches that account for differences in state delivery systems, including Medicaid fee-for-service and managed care environments
Design and lead technical assistance strategies that help states and other stakeholders implement Medicaid payment and delivery-system reforms and improve health and human service delivery programs
Develop and review high-quality technical assistance products, including policy memos, issue briefs, implementation roadmaps, guidance documents, presentations, webinars, frequently asked questions, and other stakeholder-facing materials
Facilitate discussions with CMS, state partners, subject-matter experts, contractors, and internal teams to resolve open policy and operational questions and build alignment around recommended approaches
Translate complex Medicaid policy and payment issues for technical and non-technical audiences, clearly distinguishing policy decisions, operational implications, risks, dependencies, and unresolved questions
Identify implementation risks, policy gaps, and emerging issues; develop options and recommendations; and elevate decisions requiring CMS direction
Review deliverables for accuracy, consistency, policy alignment, and practical usability, maintaining a high degree of quality and attention to detail
Support and mentor colleagues across task teams by…

Manager, Medicaid Policy and Model Implementation - Remote