Medicaid Managed Care Associate

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 Medcaid 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.

Company