[Remote] Regional Medicaid Lead – Southeast Region

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. The Regional Medicaid Lead is a senior leadership role responsible for the growth, operational performance, and strategic oversight of school-based Medicaid programs across the Southeast region, engaging with external stakeholders and ensuring client success and program quality.ResponsibilitiesProvide oversight for all school-based Medicaid programs within the assigned regionEnsure successful delivery of Fee-for-Service Medicaid services and related SBS programsOwn regional program performance and client outcomes, with clear accountability for service quality, operational consistency, and execution against strategic prioritiesProvide leadership across regional and COE stakeholders to align initiatives, allocate resources, and remove barriers to regional performanceIdentify and advance opportunities to expand Medicaid services within existing accounts and across the regional market, including through engagement with external stakeholders such as state Medicaid agencies, departments of education, and other relevant agenciesPartner with regional leadership and business development teams to shape pursuit strategy, strengthen market positioning, and cultivate relationships with external stakeholders, including state Medicaid agencies, departments of education, and other relevant entitiesLead regional Medicaid strategy discussions around market shifts, policy changes, and program expansion, informed by active engagement with state and local agencies and other key external partnersOversee client success delivery for Medicaid programs within the region, ensuring strong relationships with state agencies, school districts, and strategic partnersServe as a senior escalation point for complex client issues or program challengesImplement best practice models for client communication, project management, and stakeholder engagementIdentify opportunities to optimize program performance and client outcomesSupervise (directly or indirectly) and support regional Medicaid staffProvide coaching, guidance, and professional development opportunities for regional team membersEstablish clear expectations and accountability structures to ensure high performance across the teamPartner with cross-functional leadership to ensure consistent standards, processes, and service delivery modelsLead regional financial planning for SBS programs, including revenue forecasting, budgeting, and resource allocation aligned to growth and delivery prioritiesMonitor regional financial performance and drive actions to improve contribution margin, scalability, and operating efficiencyWork with leadership to ensure appropriate staffing models aligned with program growth and sustainabilityServe as the primary liaison between the region and COE functional areasCollaborate with internal teams to address policy changes, compliance questions, and operational challengesSupport the implementation of new systems, processes, and program improvements across regional clientsSkillsBachelor degree or 10 years' experience required, graduate degree a plusAt least five years' experience with a state agency and/or MedicaidMust be located in the southeast region of the U.STravel to client sites, business conferences and PCG meetings required 25-50%BenefitsMedical and dental care benefits401kPTOParental leaveBereavement leaveCompany OverviewPublic Consulting Group is a consulting company offering management consulting services to public sector organizations and entities. It was founded in 1986, and is headquartered in Boston, Massachusetts, USA, with a workforce of 1001-5000 employees. Its website is http://www.publicconsultinggroup.com/.

Apply Now →
← Back