See all roles

Senior/Principal Researcher, Medicaid Policy and Program (Remote Eligible)

Work from home Full-time role Hiring

About Mathematica Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company’s growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our benefits here: Benefits at a Glance . Primary Duties And Responsibilities Mathematica is searching for a seasoned professional with experience leading Medicaid and CHIP programs and guiding policy development and implementation at the state level. This person will bring expertise focused on one or several of the following areas: Medicaid and CHIP and/or Marketplace eligibility and enrollment; Medicaid managed care; Medicaid health systems finance; operations, data, and systems; and/or provider reimbursement. Ideally, this person will have prior experience as a senior state health official or comparable role in Medicaid program design and implementation at a public or private entity such as Medicaid director, disability services director, deputy director for programs, chief finance officer, chief medical officer, chief public health official, state epidemiologist, or similar position within a related program such as a Medicaid Managed Care organization or University. The successful candidate will play leadership roles in engagements for the Center for Medicaid and CHIP Services, Medicaid and CHIP Payment Access Commission, state Medicaid agencies, and other federal and state clients. The candidate may represent Mathematica externally at conferences, on technical expert panels, and/or as an expert witness; develop thought leadership that is based on evidence; lead technical teams as project director or subject matter expert; assure quality by performing rigorous reviews of technical proposals or final deliverables; and serve as mentor and senior advisor at Mathematica developing ways to engage staff and share knowledge. For this opportunity, we will consider applicants at either the Senior Researcher or Principal Researcher level, depending on qualifications and experience. Candidates considered for the Principal Researcher level will typically bring deeper overall experience, a track record of leading large and complex projects or teams, and demonstrated success in business development, including client relationship management, proposal leadership, and growth activities. Candidates at the Senior Researcher level will have substantial research and project leadership experience and the potential to grow into broader strategic and business development responsibilities.

Responsibilities

  • Direct multidisciplinary teams to provide technical assistance, implementation support, and monitoring for projects supporting federal and state Medicaid agencies in areas of their relevant expertise.
  • Within their appropriate area of expertise, provide consulting services to state and federal clients, support the development of new health policies, assist with the development of reimbursement policy to support health objectives, advise on the preparation of submissions to CMS and other approving entities, as appropriate, and support clients with the negotiations of new policies and programs when needed.
  • Engage with state and federal clients to understand the challenges they face and work collaboratively with them to develop innovative solutions
  • Apply rigorous analytic thinking to the collection and interpretation of quantitative data, most commonly leveraging Medicaid and CHIP administrative data
  • Direct business development efforts and lead proposals for new projects
  • Author project reports, memos, issue briefs, and webinar presentations and represent Mathematica to policy and professional audiences
  • Contribute to the growth, expertise, and institutional knowledge of staff working in the Medicaid and CHIP area, including active mentorship

Required Qualifications

  • Senior state Medicaid leader with at least 10 years of experience (Sr. Res

Apply tot his job Apply To this Job

You might like

Senior Claims Specialist / Insurance Follow-Up - Physicians Billing (REMOTE - WA

Work from home Full-time role

Director, Large Fleet and Sharing Economy Claims - Remote

Work from home Full-time role

Claims Auditor – Medical Stop Loss

Work from home Full-time role

Senior Casualty Claims Specialist - Southeast

Work from home Full-time role

Director of Claims Operations

Work from home Full-time role

Accounts Payable Representative (Hybrid Remote - Overland Park, KS)

Work from home Full-time role

(NON-REMOTE) Accounts Payable/Payroll Clerk-Specialist

Work from home Full-time role

PART-TIME Accounts Payable Analyst - CarepathRx

Work from home Full-time role

Accounts Receivable / Accounts Payable Specialist

Work from home Full-time role

Accounts Receivable Specialist- Remote

Work from home Full-time role

LCSW, LPC, LMFT – Remote, up to $75/hour, Work with students!

Work from home Full-time role

Experienced Customer Service Representative – Work from Home Opportunity with arenaflex

Work from home Full-time role

Experienced Virtual Customer Care Representative – Remote Customer Service and Support

Work from home Full-time role

Sales Effectiveness Specialist

Work from home Full-time role

Remote Data Entry Specialist – Airline Operations & Travel Data Management

Work from home Full-time role

Part Time Evening Remote Data Entry Specialist – Flexible Work Schedule at arenaflex

Work from home Full-time role

Provider Enrollment Supervisor - Remote US

Work from home Full-time role

Experienced Data Entry Specialist – Entry-Level Opportunity at arenaflex

Work from home Full-time role

Sr. SAS Programmer

Work from home Full-time role

REMOTE: Regional Marketing Program Manager, EMEA (Western Europe)

Work from home Full-time role