Medicaid Children's Behavioral Health Policy, Senior Consultant

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com . Our Human Services team helps state and municipal human services and economic development agencies keep their promises—responsibly and sustainably—to the children, adults, and families they serve. Join us and use your professional skills to build stronger communities and better serve populations in need by making meaningful and lasting changes in government organizations. Services: Program Consulting Finance Consulting and Billing Services Applied Technology Outsourcing and Operations Strategy Project and Grants Management Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children’s behavioral health services and child welfare and juvenile justice services. This role requires strong Medicaid policy and reimbursement experience along with a strong understanding of CMS regulations governing Medicaid reimbursement, including the rehabilitation option, EPSDT, managed care, state plan amendments, Medicaid waivers and experience leveraging multiple funding sources. Your primary focus will be on growing and delivering a portfolio of consulting projects, driving sales efforts, managing teams, and ensuring the highest standards of excellence in project delivery. Including conducting research, technical assistance, proposal writing, policy analysis, strategic planning, procurements, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation, product development and a range of other tasks. This individual should have insight into how to motivate state Medicaid programs to adopt innovative approaches designed to improve child and family well-being and to coordinate with child and family service programs including child welfare, juvenile justice, early childhood, childcare, children’s disability services, and children’s behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children’s behavioral health services and child welfare and juvenile justice services. This role requires strong Medicaid policy and reimbursement experience along with a strong understanding of CMS regulations governing Medicaid reimbursement, including the rehabilitation option, EPSDT, managed care, state plan amendments, Medicaid waivers and experience leveraging multiple funding sources. Your primary focus will be on growing and delivering a portfolio of consulting projects, driving sales efforts, managing teams, and ensuring the highest standards of excellence in project delivery. Including conducting research, technical assistance, proposal writing, policy analysis, strategic planning, procurements, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation, product development and a range of other tasks. This individual should have insight into how to motivate state Medicaid programs to adopt innovative approaches designed to improve child and family well-being and to coordinate with child and family service programs including child welfare, juvenile justice, early childhood, childcare, children’s disability services, and children’s behavioral health services. Key responsibilities include: Project Management Lead the planning, execution, and monitoring of Medicaid consulting projects from inception to completion. Define project scope, objectives, deliverables, and timelines in collaboration with clients and internal teams. Oversee project budgets, resource allocation, and risk management to ensure projects are completed on time and within budget. Provide regular updates and reports on project progress to stakeholders, addressing any issues or concerns promptly. Assiststates to work across systems to integrate funding streams and programs, Business Development Identify new business opportunities and cultivate relationships with potential clients with a particular focus on state Medicaid agencies, children’s behavioral health, child welfare and juvenile justice Agencies, HHS agencies, and large employer organizations. Lead sales efforts, including prospecting, proposal development, and presentations to secure new consulting engagements. Identify new and emerging opportunities in growth industries related to Medicaid. Leadership Provide leadership, guidance, and mentorship to junior consultants and project teams to foster professional growth and development. Delegate tasks effectively, monitor team performance, and provide feedback to ensure high-quality project outcomes. Foster a collaborative and inclusive team environment that encourages knowledge sharing and innovation. Project Execution Ensure the delivery of high-quality consulting services that meet or exceed client expectations and industry standards. Conduct regular reviews and assessments of project deliverables to ensure alignment with client objectives and best practices. Proactively identify opportunities for process improvement and drive initiatives to enhance service delivery effectiveness and efficiency. Qualifications Bachelor degree or 10 years’ experience required; graduate degree preferred 10 years’ relevant work experience. Preferred Experience Strong familiarity with the Medicaid system (e.g.1115 and other waivers,residential rehabilitation, targeted case management, state plan amendments, demonstration projects, managed care) Strong grasp of key Medicaid concepts, present-day challenges, and emerging solutions. Experience with providing advisory/consulting services to employers, government organizations, industry organizations, etc. Participation in and connections to national associations, philanthropic organizations, research organizations, and other groups of leaders committed to improving outcomes for children and families. Prior leadership or management experience in work involving publicly funded healthcare including policy, administration, operations, compliance, research, consulting, and/or evaluation. This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company’s success. To be successful in a remote work role at PCG, you must: be available during your set working hours. have a safe, private, and distraction-free environment in which to complete your work, and be able to give your full attention to the completion of your PCG job duties. Some travel to the office or elsewhere may be required for team meetings, client meetings, etc. We are accepting applications on an ongoing basis until filled. This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company’s success. To be successful in a remote work role at PCG, you must: be available during your set working hours. have a safe, private, and distraction-free environment in which to complete your work, and be able to give your full attention to the completion of your PCG job duties. Some travel to the office or elsewhere may be required for team meetings, client meetings, etc. We are accepting applications on an ongoing basis until filled. PCG provides the following reasonable range of compensation for this role: $79,500 - $128,000 #LI-MB1 #LI-Remote Compensation: Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave. EEO Statement: Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work. Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.