Location: Providence, Rhode Island

Key Responsibilities

Lead Medicaid policy efforts supporting strategic initiatives and program sustainability.
Develop strategies to sustain funded programs through Medicaid funding mechanisms, including evaluating federal Medicaid authorities and funding opportunities.
Identify and secure federal Medicaid authorities, including waivers and State Plan Amendments (SPAs).
Ensure compliance with federal and state Medicaid regulations.
Lead policy and budget initiatives for Medicaid programs, including state legislative, budgetary, and federal approval processes.
Maximize federal financial participation (FFP) opportunities for benefits, administrative functions, and agency operations.
Collaborate with CMS, state agencies, and key stakeholders on policy development and implementation.
Conduct policy analysis and provide recommendations to executive leadership.
Prepare briefing materials, policy documents, and regulatory submissions.
Serve as a subject matter expert on Medicaid policy, financing, and program sustainability.

Bachelor’s degree in public policy, Public Administration, Public Health, Healthcare Administration, Law, or a related field.
8+ years of experience in Medicaid policy, healthcare policy, or public-sector healthcare programs.
Experience developing policy recommendations and regulatory submissions.
Strong analytical, communication, and stakeholder engagement skills.
Ability to manage complex projects and collaborate across multiple agencies.

Master’s degree (MPH, MPA, MHA, JD, or related field).
Experience working directly with CMS and Medicaid waiver programs.
Knowledge of Medicaid financing, administrative claiming, and federal reimbursement methodologies.
Experience supporting healthcare transformation or grant-funded initiatives.
Strong understanding of Medicaid regulations, waivers, SPAs, and federal funding mechanisms.