Medicare/Medicaid Dual-Eligible Program Architect – Rural & Frontier Health
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Job Description
Medicaid/Medicare Program Architect designing a pilot program for dual-eligible members in Montana. Focused on integrated care delivery and addressing barriers in rural health systems.
Responsibilities:
- Help the State of Montana design a pilot program for dual-eligible members
- Assess Population Needs
- Analyze the highest-need dual-eligible subpopulations and identify the primary drivers of poor outcomes and high costs
- Design Integrated Care Models
- Evaluate models suited to rural duals populations and assess feasibility for Montana
- Develop Payment Model Recommendations
- Design or evaluate payment models with rural-specific adjustments
- Address Care Delivery and Workforce Constraints
- Recommend approaches to care delivery that account for workforce shortages
- Structure Governance and Accountability
- Recommend governance and contracting structures for shared accountability across plans, providers, and regional entities
Requirements:
- 5+ years in Medicaid/Medicare program design, integrated care delivery, managed care policy, or a closely related field
- Deep knowledge of dual-eligible program structures: Medicare-Medicaid alignment initiatives, D-SNPs, PACE, and related models
- Demonstrated experience with rural or frontier health systems and the workforce, infrastructure, and access barriers that define them
- Hands-on familiarity with LTSS, HCBS waivers, and the populations they serve
- Experience working with state Medicaid agencies, CMS, or managed care organizations
- Strong written communication skills—able to distill complex policy options into decision-ready memos for senior state officials.
Benefits:
- market-rate compensation based on the outcomes that you deliver and the number of hours and weeks that you will be leading project work
- bonuses for bringing in new clients
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