Principal Consultant, Medicaid Medical Economics, Cost Management

Other Jobs To Apply

Job Description:

  • Lead and track specific clinical, BH, and Rx cost management initiatives across the Medicaid portfolio.
  • Synthesize cost, utilization, and outcomes data to drive strategic decision-making, ensure initiative execution, and supports enterprise-wide cost management and medical economics strategies.
  • Project manage best practices to drive execution, measure progress, and ensure timely delivery.
  • Develop, represent, and integrate a medical cost management plan into annual and multi-year business plans.
  • Collaborate with leaders across Clinical, Pharmacy, Network, Product, and Claims teams.
  • Act as the primary business partner to Finance, translating clinical and operational insights into actionable financial impact.
  • Analyze historical, predicted, and competitive market data to recommend benchmarks and KPIs.
  • Research industry standards, vendor solutions, and build requirements for internal solutions.
  • Lead as business accountability champion for quarterly reviews with Trend Stewardship Committee.

Requirements:

  • Bachelor’s degree in Economics, Statistics, Public Health, Healthcare Administration, or related field.
  • 10+ years of healthcare industry experience (payer, medical economics, analytics, cost management, or related).
  • Demonstrated experience leading cross-functional teams and executing complex, large-scale transformation initiatives.
  • Advanced analytic acumen; proficiency in Excel and data visualization tools.
  • Strong understanding of healthcare reimbursement models, managed care, and principles of medical cost management.
  • Proven organizational, planning, and prioritization skills.
  • Highly collaborative mindset, with excellent stakeholder engagement and executive-level communication skills.
  • Ability to synthesize data into actionable business insights and drive measurable improvements.

Benefits:

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
  • many other opportunities
Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...