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

Artemis Connection•Seattle, WA

1d•Remote

About The Position

Artemis Connection is a strategic management consultancy that helps clients identify and solve pressing strategic issues. They work across the for-profit, public, and social sectors, focusing on bespoke innovation, sales, and marketing strategy, purpose-driven transformation, and embedded strategy and operations roles. The firm was founded by Christy Johnson and includes advisors and team members with experience from top consulting firms and educational institutions. Artemis Connection offers flexibility in work location and hours, catering to experienced consultants who need a better work-life balance. Team members are spread across the country, working remotely with occasional on-site client needs, and varying hours from 10 to 55 per week. Compensation is market-rate, based on outcomes and project hours, with bonuses for client acquisition. New team members are typically brought on in a "trial-to-hire" capacity as independent contractors for discrete projects, with the potential for a more permanent employment arrangement after successful completion and mutual fit assessment.

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 and their associated barriers (workforce, infrastructure, access)
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—able to distill 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 Population Needs: Analyze the highest-need dual-eligible subpopulations (older adults, LTSS users, individuals with disabilities or serious mental illness, and those with multiple chronic conditions) and identify primary drivers of poor outcomes and high costs in rural and frontier settings.
Design Integrated Care Models: Evaluate models suited to rural duals populations (e.g., PACE, D-SNPs) and assess feasibility for Montana, recommending prioritization based on resource constraints.
Develop Payment Model Recommendations: Design or evaluate payment models with rural-specific adjustments for travel time, low volume, and workforce incentives, advising on trade-offs between financial alignment and care coordination.
Address Care Delivery and Workforce Constraints: Recommend approaches to care delivery that account for workforce shortages, long distances, and low provider density, defining roles for telehealth, remote monitoring, in-home care, and community paramedicine.
Structure Governance and Accountability: Recommend governance and contracting structures for shared accountability, assess technology-enabled care management tools, and advise on proactive data utilization for member needs management.