Medicare/Medicaid Dual-Eligible Program Architect
A
Artemis ConnectionHealthcare Policy
Currently, our team members are spread across the country, engaging with clients remotely (occasionally on-site, as client needs dictate)ContractSenior
Salary not disclosed
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Job Details
- Experience
- 5+ years
Requirements
- 5+ years in Medicaid/Medicare program design, integrated care delivery, or managed care policy.
- Deep knowledge of dual-eligible program structures including Medicare-Medicaid alignment, D-SNPs, and PACE.
- Experience with rural or frontier health systems and associated infrastructure or workforce barriers.
- Familiarity with LTSS, HCBS waivers, and the populations they serve.
- Direct experience working with state Medicaid agencies, CMS, or managed care organizations.
- Strong written communication skills for distilling complex policy.
Responsibilities
- Assess subpopulations of dual-eligible members and identify primary drivers of poor outcomes and high costs in rural settings.
- Evaluate and recommend integrated care models like PACE or D-SNPs suitable for rural Montana.
- Design payment models that account for rural-specific challenges such as travel time, low volume, and workforce shortages.
- Recommend care delivery approaches including telehealth, remote monitoring, and community paramedicine.
- Structure governance and contracting for accountability across plans and providers.
- Create decision-ready memos and policy options for senior state officials.
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