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Medicaid Managed Care Associate

Abt Global Inc.

Cambridge, MA(remote)

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JOB DETAILS
SALARY
$106,000–$130,000 Per Year
SKILLS
Agile Programming Methodologies, Atlassian JIRA, Automation, Best Practices, Budgeting, Business Development, Business Intelligence Software, Business Model, Business Processes, Centers for Medicare and Medicaid Services (CMS), Change Management, Child Development, Communication Skills, Content Management Systems (CMS), Customer Relations, Customer Support/Service, Customer/Client Research, Data Analysis, Data Management, Data Warehousing, Department of Health and Human Services, Documentation, Federal Government, Health Insurance, Healthcare, Information Technology & Information Systems, Leadership, Maintain Compliance, Managed Care, Medicaid, Microsoft Office, Microsoft SharePoint, Multitasking, Performance Analysis, Policy Development, Policy Implementation, Power BI, Presentation/Verbal Skills, Process Modeling, Product Development, Program Planning, Progress Reports, Project Management Professional (PMP), Project/Program Management, Quality Metrics, Reconciliation, Regulations, Regulatory Requirements, Reporting Dashboards, Sales Management, Salesforce.com, Strategic Planning, Tableau, Time Management, Writing Skills
LOCATION
Cambridge, MA
POSTED
8 days ago
The Opportunity


As a Medicaid Managed Care Associate you will support the maintenance and development of Medicaid and Children’s Health Insurance Program (CHIP) programmatic tools using Transformed Medicaid Statistical Information System (T-MSIS) data. The Associate will demonstrate strong SME with Medicaid data sources and data management best practices to oversee the ingestion, reconciliation, and distribution of managed care programmatic data across multiple systems including tools and dashboards. You will also be responsible for supporting the development of new tools that meet client and stakeholders’ needs and align with available data sources.


The successful candidate will play a supportive, client facing role on Centers for Medicare & Medicaid Services (CMS) and state-funded Medicaid policy and IT transformation projects. You will also have Medicaid data and policy experience. This position may be fully remote (based in the US), hybrid, or onsite at Abt offices.


Core Responsibilities:


+ Support existing and new tools and dashboard by leading documentation of existing tools and dashboards, including requirements and data sources, identify staffing and other resource needs to meet requirements and timely delivery that meets client’s expectations.

+ For new tools, support the centralized program and plan databases that feed into tool and dashboard development, coordinating with CMS systems to confirm access to required data sources, and applying intelligent automation tooling and business intelligence.

+ Demonstrate strong written and oral communication skills to gather requirements from multiple client representatives, executive leaders, policymakers, and stakeholders and report out on progress and mitigation strategies.

+ Coordinate across interdisciplinary teams, including subcontractors and consultants, and oversee task performance to align with project timelines and task budgets.

+ As a Medicaid Data SME, monitor compliance with federal and state Medicaid data mandates and reporting requirements (e.g., T-MSIS, MACBIS) and collaborate with state and federal agencies, including CMS, to ensure reporting and data usage aligns with current regulations.

+ Support the development of strategic plans and frameworks like data use strategies aligned with state and federal healthcare priorities.

+ Support business development efforts and contribute to proposals related to health policy implementation work, particularly in the Medicaid domain.


What We Value


+ Master’s Degree + Seven years of relevant experience, or PhD + Four years of relevant experience

+ Knowledge of state and federal Medicaid and CHIP managed care regulations, program implementation, and monitoring (e.g., reporting, quality measurement, federal authorities, and network access and adequacy).

+ Proven data and technology expertise, particularly with understanding CMS’s Medicaid and CHIP programs, systems (e.g., Salesforce, DataConnect, Databricks, QuickSight), and data sources (e.g., T-MSIS, MBES, MCPAR), and regulatory requirements.

+ Demonstrated experience in business process modeling, project management methodologies (e.g., Agile, PMP-certified preferred) and tools (e.g., Microsoft Office, Jira, Confluence, SharePoint), tool or product development, and change management.

+ Experience with federal healthcare data standards and tools (e.g., FHIR, CMS IT systems including Salesforce), data warehousing, analytics platforms (e.g., Databricks, Snowflake), and business intelligence tools (e.g., QuickSight, Tableau, PowerBI).

+ US work authorization required and ability to obtain and maintain clearance access for HHS information systems. Active credentials to work on CMS’s systems is strongly preferred.

+ Experience in managing multiple tasks, client management activities, and clearly communicating complex, technical topics to clients and executive agency leadership.

+ Prior experience supporting business development activities.


What We Offer


We foster an environment where you can Thrive Your Way. Our innovative total rewards programs are designed to help balance your work and personal life. The approach toward your wellbeing centers around comprehensive benefits, flexible schedules, and professional development.


Abt Global Inc. is an Equal Opportunity employer committed to fostering an inclusive work environment. Abt provides market-competitive salaries and comprehensive employee benefits.


This position offers an anticipated annual base salary range of approximately $106,000 to $130,000 and may vary down by ten percent depending on candidate geographic location.  Salary offers are made based on internal equity and market analysis.  


_Disclaimer: Abt will never ask candidates for money in exchange for an offer of employment._


#LI-REMOTE #LI-BK1


Abt Global is a mission-driven, global leader in research and program implementation in the fields of health, social and environmental policy, and international development. Known for its rigorous approach to solving complex challenges, Abt Global is regularly ranked as one of the top global research firms and one of the international development innovators. The company has multiple offices in the U.S. and program offices in more than 40 countries.

About the Company

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Abt Global Inc.