Healthcare Consultant (Technical Lead) - Medicaid Finance & Policy

Milliman’s Medicaid Finance and Policy Practice is seeking individuals to serve as analytical leads in Medicaid payment policy and reimbursement methodologies, with a primary focus on providing deep technical expertise to support complex healthcare consulting engagements. Engagements typically involve overseeing reimbursement methodology design, rate setting, and program funding efforts across a broad range of provider services, including hospital, physician, nursing facility, behavioral health, and home and community‑based services. About Our Practice Milliman’s Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 600+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.

Responsibilities

In this role, you will have the opportunity to:

• Serving as a technical lead for Medicaid reimbursement and rate‑setting initiatives across multiple provider types.
• Providing technical direction and review of analytical work products, ensuring methodological soundness and policy compliance.
• Supporting the development of client reports, policy documentation, and presentations that clearly explain technical findings and implications.
• Collaborating with project managers and analytical teams to translate complex reimbursement concepts into clear client deliverables.
• Interpreting federal and state Medicaid policy, regulations, and guidance to inform analytical approaches and client recommendations.
• Leading the design, evaluation, and refinement of payment methodologies, fee schedules, and funding models.
• Reviewing team outputs for quality, consistency, and adherence to Milliman’s quality control standards.
• Contributing subject matter expertise to business development efforts, including proposal development, thought leadership, and client discussions.

To be successful in this role, you will have the following qualifications:

Qualifications

• Experience: Minimum of 7 years of professional experience in Medicaid finance, reimbursement policy, rate setting, or state government healthcare programs, or 5 years combined with a relevant graduate degree (MPH, MPA, MBA, or MHA).
• Domain Expertise: Demonstrated depth of knowledge in Medicaid payment systems, reimbursement methodologies, and healthcare policy across one or more provider sectors.
• Advanced Technical Proficiency: Demonstrated expertise working with large healthcare datasets using tools such as SAS, SQL, Databricks, and related analytics platforms to support Medicaid claims analysis, reimbursement modeling, and policy evaluation.
• Consulting Background: Previous experience in a professional services or consulting firm is highly preferred.
• Communication: Ability to clearly explain complex technical and policy concepts to both technical and non‑technical stakeholders.

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. To be considered for this position, please upload a resume and cover letter. Location This position is remote, although being located in Seattle or Chicago is a plus. The expected application deadline for this job is March 23, 2026.

Compensation

The overall salary range for this role is $93,700 - $177,675. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Newark, San Jose, San Francisco, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $107,755 - $177,675.
• All other locations the salary range is $93,700 - $154,500.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. Employees are also eligible for a bonus under our standard bonus policy.

Benefits

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners
• Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges
• 401(k) Plan – Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program – Recognizing employee contributions
• Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses
• Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis
• Holidays – A minimum of 10 paid holidays per year
• Family Building Benefits – Includes adoption and fertility assistance
• Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria
• Life Insurance & AD&D – 100% of premiums covered by Milliman
• Short-Term and Long-Term Disability – Fully paid by Milliman

Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Milliman invests in skills training and career development, and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, inclusion, and sustainability. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance. Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran. Apply tot his job Apply To this Job