Medicaid Managed Care Contracting Consultant

Pediatric Dental Anesthesia Associates (PDAA) is seeking an experienced Medicaid Managed Care Contracting Consultant or firm to help expand our participation with Medicaid Managed Care Organizations (MCOs) across multiple states.

PDAA is a national leader in providing pediatric anesthesia services in pediatric dental offices. We are looking for a knowledgeable and well-connected professional who can help us identify, pursue, negotiate, and secure Medicaid MCO contracts that expand access to our services for children who need them.

• Identify Medicaid MCOs and health plans that are appropriate for PDAA’s services
• Develop and execute a strategy for obtaining MCO contracts
• Identify key decision-makers within Medicaid health plans
• Initiate and manage payer contracting discussions
• Assist with provider enrollment, credentialing, and contracting requirements
• Support reimbursement and rate negotiations
• Navigate state-specific Medicaid managed care requirements
• Develop relationships with MCO contracting, network development, and provider relations teams
• Track contracting opportunities, applications, negotiations, and outcomes
• Advise PDAA leadership on Medicaid payer strategy and market opportunities

We are looking for someone with demonstrated success in Medicaid managed care contracting
, preferably with experience in healthcare provider organizations, physician groups, anesthesia, dental, or other specialty healthcare services.

The ideal partner will have:

• Established relationships with Medicaid MCOs and health plans
• Strong knowledge of Medicaid managed care contracting
• Experience negotiating provider agreements and reimbursement rates
• Knowledge of Medicaid requirements across multiple states
• Excellent communication and negotiation skills
• A proven ability to move opportunities from initial contact to executed contract
• A results-oriented, entrepreneurial approach

Experience working with multiple Medicaid MCOs across states is highly preferred.

PDAA is open to working with an individual consultant, independent contractor, or established healthcare contracting firm
.

Compensation structure can be discussed based on experience, scope of work, and level of involvement.