Medicaid Provider Solutions Senior Manager, Consulting - Medicaid Care Delivery and Operations

Remote, USA Full-time Posted 2026-05-04
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About the position

    Responsibilities
  • Lead and oversee the development, implementation, and management of a comprehensive provider network strategy.
  • Build and maintain strong relationships with healthcare providers and associations.
  • Ensure compliance with regulations and optimize network performance to enhance access to quality care for Medi-Cal beneficiaries.
  • Collaborate with cross-functional teams to drive initiatives that improve provider satisfaction and streamline operations.
  • Manage a team of consultants to ensure alignment and coordination of diverse stakeholders for successful business initiatives.
  • Empower the development and implementation of business initiatives, systems, and processes to a desired future state.
  • Oversee the development of multiple business strategies and ensure alignment with organizational objectives.
  • Manage complex projects or project components and change management plans.
  • Guide team members in performing complex data analyses to drive business initiatives.
  • Direct vendor management as required and monitor compliance with relevant policies and procedures.
    Requirements
  • Minimum five (5) years experience in a leadership role with or without direct reports.
  • Bachelor's degree from an accredited college or university and minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Master's degree in Business, Public Health, or a directly related field and minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR minimum eleven (11) years experience in consulting, project management, data analytics, operations or a directly related field.
  • Knowledge of business acumen, change management, negotiation, creativity, applied data analysis, financial acumen, conflict resolution, managing diverse relationships, process validation, project management, risk assessment, service focus, requirements elicitation & analysis.
    Nice-to-haves
  • Two (2) years supervisory experience.
  • Four (4) years data analytics experience.
    Benefits
  • Health insurance coverage
  • Dental insurance coverage
  • Vision insurance coverage
  • 401k benefit for retirement savings plan
  • 401(k) matching benefit
  • Paid holidays
  • Flexible scheduling options
  • Professional development opportunities
  • Employee discount programs
  • Wellness programs

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