• Advise clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings.

• Advise clients on assessing current reimbursement approaches andidentifyingopportunities to improve reimbursement adequacy, strengthen incentives, and support provider sustainability.

• Develop recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches.

• Translate complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps.

• Manage day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications.

• Work across finance, policy, analytics, and operations teams to develop integrated recommendations.

• Build relationships with senior client stakeholders,facilitateworking sessions, and helpidentifyfollow-on opportunities in reimbursement and payment transformation.

• Travel: As required, up to 80%

Hereswhat you need:

• Minimum of 5 years of experience with Medicaid payment strategy, provider reimbursement, payment reform, or provider finance.

• Minimum of 2 years of experience assessing reimbursement adequacy, provider incentives, and financial sustainability across hospitals, rural providers, FQHCs, behavioral health providers, or other safety-net settings.

• Minimum of 2 years of experience translating state or federal priorities intoviablereimbursement structures or implementation approaches.

• Bachelor's Degree

Bonus points if you have:

• Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider contracting approaches.

• Payment reform implementation leadership: Experience designing and implementing valuebased purchasing, quality incentives, withholds, episode/bundle models, and performance measurement that align incentives without destabilizing providers.

• Regulatory and waiver familiarity: Working knowledge of Medicaid policy mechanisms such as State Plan Amendments (SPAs), 1115/1915 waivers, directed payments, supplemental payment programs, and quality strategies.

• Strong command of fee-for-service, capitation, bundled payment, and shared savings or risk models.

• Ability to benchmark and compare payment approaches across states, markets, and provider types producing decision-ready recommendations for executives.