LS Point is seeking a consultant to lead client engagements in Medicaid strategy, financing, managed care, and reimbursement policy. This role provides consulting services, offering advice, expertise, and specialized skills in healthcare policy, strategy, and management, with the goal of delivering value, fostering growth, and enhancing client business performance.
The consultant will collaborate closely with our gowing team to deliver consulting services, drawing on knowledge of Medicaid budgeting, financing, reimbursement, regulatory compliance, and managed care. They will manage senior-level client relationships and oversee all policy and technical aspects of projects.
Key responsibilities include advising senior-level executives, analyzing reimbursement methodologies, interpreting financial data, and identifying alternative Medicaid financing strategies. The role also involves developing recommendations in response to evolving state and federal regulatory, and building dynamic models based on current and proposed program structures.
Qualifications
• Demonstrated expertise in developing and designing Medicaid payment programs, including managed care state directed payment programs, graduate medical education programs, and fee-for-service Upper Payment Limit (UPL) programs.
• Proven ability to assess and address Medicaid payment program limitations, such as hospital-specific limits under the Medicaid Disproportionate Share Hospital program, 1115 Waiver budget neutrality, average commercial rate limits, and UPL calculations.
Strong e
• xperience in developing and maintaining statewide and local provider assessments, including knowledge of federal submission processes and waiver requirements.
• Expertise in interpreting and applying federal rules and guidelines related to permissible non-federal share sources, including intergovernmental transfers, provider assessments, and certified public expenditures.
Location: Anywhere
Posted: Oct. 10, 2024, 7:27 p.m.
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