Consultant

• Conduct complex analysis to support of Medicaid eligibility and program integrity projects in and out of state.
• Perform research & development analysis relevant to Medicaid eligibility and/or program integrity revenue management/cost savings projects as assigned.
• Contribute to the development of program and project expansion plans.
• Contribute to the development of presentations and the preparation of marketing materials to clients.
• Provide on-site support to senior staff during client visits and meetings
• Participate in the development of agreements between public entities and the University.
• Participate in the development of Medicaid systems on behalf of the client Medicaid agency: Serve as a Supporting Subject Matter Expert (SME) in Medicaid eligibility regulations, operations, and processes to support the design, development, and implementation of changes to Medicaid MAGI and non-MAGI eligibility systems.
• Assist with presenting Medicaid agency business needs and strategic vision in systems development activities and ensure they align with agency objectives.
• Participate in multi-agency workgroups supporting the development of a common eligibility application.
• Participate in meetings with the systems’ upstream and downstream stakeholders to assess needs and provide solutions.
• Attend business and system design sessions
• Review, provide feedback and approve appropriate business system design requirements
• Attend regularly scheduled and ad hoc meetings virtually and onsite; and
• Assist with testing and resolution of system defects.
• Support procurement processes such as Request for Information (RFI) and Request for Proposal (RFP) development.
• Contribute to project forecasting and complete assigned cost analysis tasks in support of financial planning and savings initiatives.
• Participate in presentations to staff regarding success, merits of initiative, etc.
• Independently research, develop, and prepare work and implementation plans in support of project and initiatives.
• Complete assigned projects from start to finish.

Medicaid Eligibility Consultant II

Consultant Pharmacist IV