Senior Health Policy Consultant (Medicaid) - CMH Health

Milliman•Brookfield, WI

1d•$165,100 - $313,145•Remote

About The Position

Milliman’s CMH Health Practice is seeking a Senior Health Policy Consultant with strong Medicaid expertise and experience to support the growth and continued profitability of the Practice. We are looking for someone who can serve as a subject matter expert, build a policy team, and lead the overall success of client relationships. Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry. Within a project team, consultants, managers, and analysts coordinate their efforts to deliver client reports and deliverables. Consultants are responsible for building relationships with clients, directing projects, and presenting results. Project managers work directly with analysts by reviewing work, answering questions, and developing client correspondence. Analysts are responsible for the majority of the technical work, which may include analyzing data, completing actuarial calculations, developing and utilizing actuarial models, and implementing software solutions. Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Requirements

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.
Bachelor’s degree required; graduate degree in health policy or law degree preferred
15+ years of health experience and broad understanding of health policy
Experience building a team and a block of business in a consulting environment
Able to achieve Milliman Signature Authority within 18 months
Basic proficiency in Microsoft Excel, Microsoft Word, and Power Point
Client Focus – Understands and considers needs of clients. Monitors client satisfaction. Establishes partner relationship with clients. Visible, accessible, and responsive to clients and peers.
Intelligence / Quick Study – Acquires understanding and absorbs information rapidly.
Analysis Skills / Pragmatism – Identifies significant problems and opportunities. Analyzes problems in depth.
Judgment / Decision Making – Consistent logic, rationality, and objectivity in decision making.
Business Acumen – Knowledge and ability to make sound business decisions.
Creativity – Generates new approaches to problems or innovations to established approaches.
Strategic Skills – Determines opportunities and threats through comprehensive analysis of current and future trends. Comprehends the big picture.
Integrity – Does not ethically cut corners. Earns trust of co-workers and clients.
Communication – Communicates well one on one, in small groups, and public speaking. Fluent, quick on feet, command of language.
Listening – Tunes in accurately to opinions, feelings, and needs of people. Empathetic. Patient. Let’s others speak. Listens actively.
Resourcefulness – Finds ways to surmount barriers. Finds solutions to unusual problems even without prior examples.
Organization / Planning – Plans, organizes, schedules, and budgets in efficient, organized manner. Focuses on key priorities.
Leadership – Inspires people to follow lead. Minimizes intimidation. Takes charge. Motivates by pushing appropriate hot buttons of individuals.
Energy / Passion / Ambition – Exhibits energy, strong desire to achieve, high dedication level. Enthusiasm, excitement, positive can-do attitude. Desires to grow in responsibility and authority.
Emotionally Intelligent – Able to manage emotions when responding to difficult situations. Shows empathy for others, is generally aware of situations or actions that may cause staff concerns, and approaches such situations appropriately.

Responsibilities

Understand Medicaid client needs and problems, project implications, and potential solutions, and communicate understanding of these issues to effectively facilitate client action
Design and outline proposals to help existing and prospective Medicaid clients meet their health policy objectives, effectively communicate approaches, and refine them, as appropriate, based on discussions with clients
As proposals are won and work needs require, recruit and manage additional staff with appropriate levels of experience and skill
Develop recommendations and propose solutions to client issues, including preparing and presenting reports summarizing results, describing analyses and methods, and discussing limitations
Build and sustain strong relationships with clients and become a trusted advisor to clients’ senior leadership team
Manage annual net client charges of at least 1,700 times the Senior Consultant hourly billing rate, part of which is self-developed
Effectively manage project staff, budgets, deadlines, and billing (charge off ratio less than 5% of gross charges on client work)
Provide internal and external insight and guidance regarding health policy analysis and proposals
Review work product developed by project teams and prepare/approve final client communications
Understand financial models, healthcare data, and other pertinent information supporting policy and analytical results
Delegate and teach effectively; perform less than 10% of the technical work on a project
Provide effective peer review of colleagues’ work product
Assure compliance with the firm and practice quality standards and other applicable policies
Delegate technical project work to less experienced staff while providing strategic and technical guidance and feedback throughout the project
Facilitate staff development through knowledge and idea sharing
Develop staff by providing timely project feedback on every project
Support the Development of New Sales Revenue (at least 200 hours annually)
Support the development of new clients and health policy projects through marketing and networking activities
Expand existing client relationships into new markets or lines of business
Participate on multiple market segment committees
Complete at least two activities per year to promote the Milliman Brand externally (speaking, articles, etc.)
Support the General Management of the Practice
Spend at least 50 hours annually on general management activities (recruiting, serving on committees, supervising, quality, administration, etc.)
Contribute to Milliman Research (Spend at least 100 hours per year on non-billable health policy research)
Meet or exceed annual client billable hour expectations (1,200 hours)

Benefits

Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
401(k) Plan – Includes a company matching program and profit-sharing contributions.
Discretionary Bonus Program – Recognizing employee contributions.
Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
Holidays – A minimum of 10 observed holidays per year.
Family Building Benefits – Includes adoption and fertility assistance.
Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria.
Life Insurance & AD&D – 100% of premiums covered by Milliman.
Short-Term and Long-Term Disability – Fully paid by Milliman.