Director Government Programs – Medicare and Medicaid (MedInsight)

Company Overview:

Leading with our core values of Quality Integrity and Opportunity MedInsight is one of the healthcare industrys most trusted solutions for healthcare companys purpose is to empower easy data-driven decision-making on important healthcare questions. Through our products education and services MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management. MedInsight has been ranked #1 for Payer Quality Analytics by clients for the last three years in the Best in KLAS report.

MedInsight is a subsidiary of Milliman; a global employee-owned consultancy providing actuarial consulting retirement funding and healthcare financing enterprise risk management and regulatory compliance data analytics and business transformation as well as a range of other consulting and technology solutions.

Position Summary:

As the Director Government Programs Medicare & Medicaid you will lead the strategic expansion of MedInsights footprint in the Medicare Advantage and Medicaid Managed Care this highly visible role you will drive opportunity identification shape go-to-market strategy and champion the value of our data analytics solutions across the government payer landscape. You will represent MedInsight at national conferences influence product innovation and guide teams through complex RFPs and procurement cycles. Your efforts will help establish a culture of accountability metrics-based storytelling and client-centered success across our government initiatives.

Primary Responsibilities:

• Lead strategic growth initiatives to position MedInsights software and services within Medicare Advantage and Medicaid Managed Care markets.
• Identify assess and respond to federal and state-level government opportunities including RFPs and pre-acquisition activities.
• Collaborate cross-functionally to define and package government-specific solutions such as Network Optimizer for Government and MA Insights.
• Refine product positioning of integrations such as ProData MACVAT MANI and the Quality Engine to align with government priorities.
• Serve as a thought leader on value-based care contracting continuously assessing the evolving needs of government payers and adapting strategy accordingly.
• Represent MedInsight at key industry conferences client meetings and policy forums to build and strengthen relationships with decision-makers.
• Define client ROI and ensure value delivery through data-driven frameworks and storytelling.
• Foster a performance culture of trust accountability and innovation within the team.
• Establish partnerships with internal and external stakeholders to build influence and grow MedInsights credibility in the public payer space.
  
  

Requirements:

• 6 years of experience in the U.S. government healthcare sector including Medicare Advantage and/or Medicaid Managed Care
• Proven ability to lead cross-functional teams integrating business development product and technical workstreams
• Strong working knowledge of CMS programs procurement cycles and government contracting vehicles
• Demonstrated success with enterprise sales strategies and pre-RFP positioning in the public sector
• Expertise in identifying and quantifying client ROI and value realization
• Excellent communication and relationship-building skills with experience engaging senior stakeholders
• Data-savvy with comfort using analytics tools to support decision-making and proposal development
• Strategic thinker with hands-on execution capabilities
• Personality traits: highly curious honest adaptable resilient competitive humble and solutions-oriented
  
  

Preferred Skills:

• Experience developing or launching data analytics or healthcare software products for government clients
• Familiarity with Medicaid waiver programs dual-eligible strategies and state innovation models
• Background in government affairs regulatory strategy or public health policy a plus
• Prior experience collaborating with or working within CMS state Medicaid agencies or MCOs

What makes this a great opportunity

• Join an innovative high growth company with a solid industry track record
• Bring your expertise and ideas to directly impact and help build the next generation of MedInsight products and solutions
• Enjoy significant visibility in your work and be recognized for your wins
• Work for a company that values your wellbeing and professional growth offering a flexible work environment generous benefits package and investment in the development of your career

Location

This is a remote role. The expected application deadline for this job is October 15 2025.

Compensation

The overall salary range for this role is $131600 - $260640.

For candidates residing in:

• Alaska California Connecticut Illinois Maryland Massachusetts New Jersey Pennsylvania Virginia Washington or the District of Columbia the salary range is $144760 - $238920.
• New York City Newark San Jose or San Francisco the salary range is $157920 - $260640.
• All other locations the salary range is $131600 -217200.

A combination of factors will be considered including but not limited to education relevant work experience qualifications skills certifications etc. This role can be located remotely within the United States.

Milliman Benefits:

We offer a comprehensive benefits package designed to support employees health financial security and well-being. Benefits include:

• Medical Dental and Vision Coverage for employees dependents and domestic partners.
• Employee Assistance Program (EAP) Confidential support for personal and work-related challenges.
• 401(k) Plan Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program Recognizing employee contributions.
• Flexible Spending Accounts (FSA) Pre-tax savings for dependent care transportation and eligible medical expenses.
• Paid Time Off (PTO) Begins accruing on the first day of work. Full-time employees accrue 15 days per year and employees working less than full-time accrue PTO on a prorated basis.
• Holidays A minimum of 10 paid holidays per year.
• Family Building Benefits Includes adoption and fertility assistance.
• Paid Parental Leave Up to 12 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability Fully paid by Milliman.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation national origin disability or status as a protected veteran.

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Required Experience:

Director