Health Consultant
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AI Summary
Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com.
About the Provider Payment Modeling (PPM) TeamThe Provider Payment Modeling (PPM) team partners with state Medicaid agencies and other public‑sector health and human services organizations to design, analyze, and implement complex provider payment and financing programs. The team supports initiatives across the full payment lifecycle, including policy analysis, financial modeling, implementation support, and ongoing program operations. PPM projects are analytically rigorous, policy‑driven, and highly collaborative, often spanning multiple states and provider types.
PPM Product Line Offerings
The PPM team delivers services across several core product areas:
Cost Reporting & Supplemental Payments: Design and administration of Medicaid cost reports, desk reviews and audits, and modeling of supplemental payment programs such as UPL and directed payments.
Rate Setting: Development and evaluation of provider reimbursement methodologies, including cost and utilization analysis and documentation to support regulatory and federal approval.
Payment Innovation: Analysis and support for alternative and performance‑based payment approaches that promote quality, efficiency, and program sustainability.
Actuarial Services: Provides actuarially sound financial modeling and analysis to support Medicaid and other public‑sector health programs, including medical benefit consulting, cost‑driver and risk analysis, self‑funded plan reporting, and integration of actuarial insights into rate setting and other provider payment initiatives.
Role Overview
Consultants on the PPM team support both the technical and operational components of provider payment initiatives. Consultants work as part of project teams and are expected to manage defined workstreams, contribute to high‑quality client deliverables, and collaborate closely with senior staff and clients.
Typical Responsibilities
Support data collection, validation, and analysis related to provider payment models, cost reporting, or rate‑setting initiatives
Develop and maintain financial models, analytical tools, trackers, and supporting documentation
Draft client‑ready materials, including reports, exhibits, spreadsheets, and written summaries
Participate in client meetings and internal project meetings, including note‑taking, action‑item tracking, and follow‑up coordination
Work with project managers and senior team members to meet project milestones, quality standards, and client expectations
Contribute to internal process improvement efforts, documentation, and onboarding resources
Qualifications
Bachelor’s degree required (Master’s degree in public policy, public health, economics, finance, or a related field preferred)
Experience or strong interest in Medicaid, healthcare finance and policy, or public‑sector consulting
Strong analytical, quantitative, and problem‑solving skills
Proficiency in Excel and comfort working with large or complex datasets
Excellent written and verbal communication skills
Ability to manage multiple tasks and deadlines in a collaborative, team‑based environment
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The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.
Compensation:
Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides a reasonable range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.
Range: $70,100 - $85,000
PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.
EEO Statement:
Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.
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