Medicaid Certification Consultant

Public Consulting Group•US CA Remote, CA
•$70,000 - $120,000•Hybrid

About The Position

Public Consulting Group (PCG) is seeking an experienced Medicaid Consultant to support its Technology Consulting team and help lead growth in the Medicaid marketplace. The role requires deep knowledge of Medicaid, Medicaid Enterprise Systems (MES), the Centers for Medicare and Medicaid Services (CMS), and streamlined modular certification (SMC) and outcomes-based certification (OBC). The consultant provides oversight and expert guidance across project scope, schedule, quality, communications, risk, and stakeholder management, helping clients achieve strategic goals and improve public services. The position involves advising state clients on Medicaid system assessments and SMC/OBC planning and execution, while leading project activities and monitoring delivery against objectives, timelines, and budgets. The role is hybrid, with some travel or onsite work for office, team, or client meetings. PCG accepts applications on an ongoing basis until the position is filled.

Requirements

  • At least 5 years of experience performing project oversight and assessments for a large enterprise-grade information technology initiative.
  • At least 4 years of experience measuring performance metrics and reporting to management and executive-level staff.
  • Demonstrated experience working with SMC/OBC.
  • Demonstrated written and verbal communication skills.
  • Ability to influence internal and external stakeholders.
  • Ability to lead or manage others in a matrixed environment.
  • Proficiency with Microsoft applications, including Outlook, Word, Excel, PowerPoint, Visio, and Project, as well as project management tools.
  • Ability to understand service delivery systems for programs administered by states and monitored by federal regulators.
  • Strong Microsoft Office skills, especially data analytics tools such as Access, SQL, and SPSS.
  • Ability to move projects forward within a specified timeline and budget while working at a detailed level.
  • Commitment to exceptional client service.
  • Dedication to accomplishing goals and challenges presented by clients and management.
  • Ability to interact with various levels of management and with clients.
  • Ability to follow, critically evaluate, and improve current processes.
  • Excellent business writing skills and ability to make presentations to varied audiences.
  • Bachelor’s degree or 5 years of experience required.

Nice To Haves

  • Master’s degree, preferably an MPA or government-focused MBA.

Responsibilities

  • Demonstrate knowledge of Medicaid, CMS, SMC/OBC, and MES.
  • Conduct Medicaid system assessments.
  • Help states plan for and execute SMC/OBC activities.
  • Lead projects and provide expert-level guidance.
  • Ensure planned results are achieved on time.
  • Work with clients, vendors, and team members to establish and achieve project goals.
  • Address problems through risk management and contingency planning.
  • Plan, organize, execute, monitor, and control project activities.
  • Perform project assessments and report on project progress.
  • Facilitate meetings and present project information.
  • Identify, document, and escalate issues to appropriate levels.

Benefits

  • Medical care benefits
  • Dental care benefits
  • 401(k)
  • PTO
  • Parental leave
  • Bereavement leave
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