Senior Health Policy Consultant (Medicaid) CMH Health

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Millimans CMH Health Practice isseeking a Senior Health Policy Consultant with strong Medicaid expertise and experience to support the growth and continued profitability of the Practice. We are looking for someone who can serve as a subject matter expert build a policy team and lead the overall success of client relationships.

Who We Are

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issuesfrom assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted comprehensive set of cost guidelines in the industry.

The Team

Within a project team consultants managers and analysts coordinate their efforts to deliver client reports and deliverables. Consultants are responsible for building relationships with clients directing projects and presenting results. Project managers work directly with analysts by reviewing work answering questions and developing client correspondence. Analysts are responsible for the majority of the technical work which may include analyzing data completing actuarial calculations developing and utilizing actuarial models and implementing software solutions.

Job Responsibilities

• Understand Medicaid client needs and problems project implications and potential solutions and communicate understanding of these issues to effectively facilitate client action
• Design and outline proposals to help existing and prospective Medicaid clients meet their health policy objectives effectively communicate approaches and refine them as appropriate based on discussions with clients
• As proposals are won and work needs require recruit and manage additional staff with appropriate levels of experience and skill
• Develop recommendations and propose solutions to client issues including preparing and presenting reports summarizing results describing analyses and methods and discussing limitations
• Build and sustain strong relationships with clients and become a trusted advisor to clients senior leadership team
• Manage annual net client charges of at least 1700 times the Senior Consultant hourly billing rate part of which is self-developed
• Effectively manage project staff budgets deadlines and billing (charge off ratio less than 5% of gross charges on client work)
• Provide internal and external insight and guidance regarding health policy analysis and proposals
• Review work product developed by project teams and prepare/approve final client communications
• Understand financial models healthcare data and other pertinent information supporting policy and analytical results
• Delegate and teach effectively; perform less than 10% of the technical work on a project
• Provide effective peer review of colleagues work product
• Assure compliance with the firm and practice quality standards and other applicable policies
• Delegate technical project work to less experienced staff while providing strategic and technical guidance and feedback throughout the project
• Facilitate staff development through knowledge and idea sharing
• Develop staff by providing timely project feedback on every project
• Support the Development of New Sales Revenue (at least 200 hours annually)
• Support the development of new clients and health policy projects through marketing and networking activities
• Expand existing client relationships into new markets or lines of business
• Participate on multiple market segment committees
• Complete at least two activities per year to promote the Milliman Brand externally (speaking articles etc.)
• Support the General Management of the Practice
• Spend at least 50 hours annually on general management activities (recruiting serving on committees supervising quality administration etc.)
• Contribute to Milliman Research(Spend at least 100 hours per year on non-billable health policy research)
• Meet or exceed annual client billable hour expectations (1200 hours)

Minimum requirements

• Bachelors degree required; graduate degree in health policy or law degree preferred
• 15 years of health experience and broad understanding of health policy
• Experience building a team and a block of business in a consulting environment
• Able to achieve Milliman Signature Authority within 18 months
• Basic proficiency in Microsoft Excel Microsoft Word and Power Point

Competencies and Behaviors that Support Success in this Role

• Client Focus Understands and considers needs of clients. Monitors client satisfaction. Establishes partner relationship with clients. Visible accessible and responsive to clients and peers.
• Intelligence / Quick Study Acquires understanding and absorbs information rapidly.
• Analysis Skills / Pragmatism Identifies significant problems and opportunities. Analyzes problems in depth.
• Judgment / Decision Making Consistent logic rationality and objectivity in decision making.
• Business Acumen Knowledge and ability to make sound business decisions.
• Creativity Generates new approaches to problems or innovations to established approaches.
• Strategic Skills Determines opportunities and threats through comprehensive analysis of current and future trends. Comprehends the big picture.
• Integrity Does not ethically cut corners. Earns trust of co-workers and clients.
• Communication Communicates well one on one in small groups and public speaking. Fluent quick on feet command of language.
• Listening Tunes in accurately to opinions feelings and needs of people. Empathetic. Patient. Lets others speak. Listens actively.
• Resourcefulness Finds ways to surmount barriers. Finds solutions to unusual problems even without prior examples.
• Organization / Planning Plans organizes schedules and budgets in efficient organized manner. Focuses on key priorities.
• Leadership Inspires people to follow lead. Minimizes intimidation. Takes charge. Motivates by pushing appropriate hot buttons of individuals.
• Energy / Passion / Ambition Exhibits energy strong desire to achieve high dedication level. Enthusiasm excitement positive can-do attitude. Desires to grow in responsibility and authority.
• Emotionally Intelligent Able to manage emotions when responding to difficult situations. Shows empathy for others is generally aware of situations or actions that may cause staff concerns and approaches such situations appropriately.

The Team

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issuesfrom assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted comprehensive set of cost guidelines in the industry.

Through a team of professionals ranging from actuaries to clinicians technology specialists to plan administrators we offer unparalleled expertise in employee benefits investment consulting healthcare life insurance and financial services and property and casualty insurance.

Salary: The overall salary range for this role is $181400 - $370080. A combination of factors will be considered including but not limited to education relevant work experience qualifications skills certifications etc.

For candidates residing in:

• Alaska California Connecticut Illinois Maryland Massachusetts New Jersey Pennsylvania Virginia Washington or the District of Columbia the salary range is $199540 - $339240
• New York City Newark San Jose or San Francisco the salary range is $217680 - $370080
• All other states the salary range is $181400 - $308400

Location:It is preferred that candidates work on-site at our Chicago IL Milwaukee WI or Hartford CT office. Remote candidates will be considered.

The expected application deadline for this job is January 25 2026.

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 observed 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.

#LI-CS1 #LI-REMOTE

Required Experience:

Senior IC