Medicaid Physician Consultant - Payment Policy & Rate Development
I'm partnering with a leading healthcare consulting organization seeking a physician leader with deep Medicaid expertise to support complex payment policy, rate development, financing, and program design initiatives.
This is a unique opportunity for someone who wants to influence Medicaid strategy at a broader level while working alongside states, health plans, and other key stakeholders.
What they're looking for:
✅ Current or former Medical Director
✅ Deep experience with Medicaid program operations
✅ Experience supporting rate setting, payment policy, financing, and program design
✅ Strong understanding of healthcare reimbursement and Medicaid delivery systems
✅ Experience evaluating clinical trends, pharmacy programs, quality metrics, and cost drivers
✅ Background monitoring program performance to ensure quality outcomes and effective care delivery
✅ Clinical background as a Primary Care Provider, OB/GYN, or Behavioral Health clinician preferred
✅ MD or DO required
Ideal Background
This opportunity is particularly well-suited for physicians who have served in leadership roles within:
- State Medicaid agencies
- Medicaid managed care organizations
- Health plans with significant Medicaid populations
- Organizations focused on Medicaid payment reform and program strategy
Why Consider It?
🔹 Opportunity to shape Medicaid policy and reimbursement strategy
🔹 Work on high-profile state and payer initiatives
🔹 Influence program design, financing, and quality improvement efforts
🔹 Collaborate with healthcare leaders across the country
🔹 Strong visibility and long-term growth potential
Important: This role requires both Medical Director experience and significant Medicaid expertise. Candidates without a Medicaid background AND physician leadership experience will not be considered.
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