Medicare/Medicaid Dual-Eligible Program Architect Rural & Frontier Health

Artemis Connection • Seattle, WA

1d • Hybrid

About The Position

This role involves helping the State of Montana design a pilot program for dual-eligible members (those qualifying for both Medicare and Medicaid) in rural and frontier communities. The work encompasses integrated care model design, payment reform, workforce strategy, and governance, directly supporting Montana’s Rural Health Transformation Program (RHTP) and the DPHHS Senior and Long-Term Care and Behavioral Health Divisions. It is a policy and program design role focused on assisting state agency teams in moving towards sustainable, outcomes-driven models that are tailored to the realities of rural Montana.

Requirements

• 5+ years in Medicaid/Medicare program design, integrated care delivery, managed care policy, or a closely related field.
• Deep knowledge of dual-eligible program structures (Medicare-Medicaid alignment initiatives, D-SNPs, PACE, and related models).
• Demonstrated experience with rural or frontier health systems, including their workforce, infrastructure, and access barriers.
• Hands-on familiarity with LTSS, HCBS waivers, and the populations they serve.
• Experience working with state Medicaid agencies, CMS, or managed care organizations.
• Strong written communication skills, capable of distilling complex policy options into decision-ready memos for senior state officials.

Nice To Haves

• MPH, MPA, MSW, JD, or advanced degree in health policy, public administration, or a related field.
• Direct experience supporting state Medicaid duals or integrated care initiatives, particularly in rural states.
• Familiarity with Montana’s Medicaid program, tribal health infrastructure, or DPHHS structure.
• Experience with dementia care, caregiver support programs, or HCBS expansion in underserved communities.
• Familiarity with telehealth platforms or care coordination tools deployed in low-bandwidth environments.

Responsibilities

• Assess the needs of the highest-need dual-eligible subpopulations in rural and frontier settings, identifying drivers of poor outcomes and high costs.
• Design integrated care models suitable for rural dual-eligible populations, evaluating feasibility for Montana and recommending priorities.
• Develop or evaluate payment models with rural-specific adjustments, identifying critical unreimbursed services and advising on alignment trade-offs.
• Recommend approaches to care delivery that address workforce shortages, long distances, and low provider density, including roles for telehealth and remote monitoring.
• Structure governance and accountability mechanisms for shared responsibility across various entities.
• Assess technology-enabled care management tools and advise on data utilization for proactive member needs management.

Benefits

• Market-rate compensation based on outcomes delivered and hours/weeks leading project work.
• Bonuses for bringing in new clients.
• Flexibility in work location (remote-friendly with periodic travel).
• Flexibility in working hours (varied hours ranging from 10 to 55 hours/week).
• Potential for a more permanent employment arrangement after a trial-to-hire period.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior