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Medicaid Policy & Program Analyst

Roles & Responsibilities

  • 5+ years of experience supporting Medicaid eligibility, public assistance programs, healthcare policy, or human services programs.
  • Strong knowledge of Medicaid eligibility processes, notices, appeals, hearings, and federal compliance requirements.
  • Experience translating policy and operational requirements into business requirements and functional specifications.
  • Experience conducting policy analysis, gap assessments, and requirements validation.

Requirements:

  • Conduct detailed reviews of existing Medicaid and public assistance notices to identify policy, regulatory, operational, and compliance gaps.
  • Analyze federal and state Medicaid regulations, CMS requirements, eligibility policies, and DCF business rules impacting notice content and delivery.
  • Develop business and policy requirements for eligibility determinations, adverse actions, appeal rights, hearing processes, deadlines, and documentation requirements.
  • Support creation of the Notice Inventory Validation and Classification Matrix, including notice categorization, prioritization, risk assessment, and impact analysis.

Job description

Job Title: Medicaid Policy & Program Analyst

Job Type:

 

Part-Time

 

Job Location:

 

Remote

 

Job Summary:

 

GenesisConsulting is seeking a Medicaid Policy & Program Analyst to support astate agency. This initiative is focused on transforming eligibility andbenefits notices across Medicaid and public assistance programs to achievefederal compliance, improve client understanding, and support successfulimplementation of a modernized notice framework.

 

The MedicaidPolicy & Program Analyst will serve as the primary liaison between policy,operations, legal, and program stakeholders to ensure notices accuratelyreflect federal and state regulations, eligibility actions, appeal rights,documentation requirements, and client responsibilities.

Duties andResponsibilities:

 

·        Conduct detailed reviews of existing Medicaid and public assistancenotices to identify policy, regulatory, operational, and compliance gaps.

·        Analyze federal and state Medicaid regulations, CMS requirements,eligibility policies, and DCF business rules impacting notice content anddelivery.

·        Develop business and policy requirements for eligibilitydeterminations, adverse actions, appeal rights, hearing processes, deadlines,and documentation requirements.

·        Support creation of the Notice Inventory Validation and ClassificationMatrix, including notice categorization, prioritization, risk assessment, andimpact analysis.

·        Collaborate with legal, operations, and technical teams to ensurenotice requirements are complete, accurate, and traceable.

·        Define notice-level content requirements, business rules, reason codeexplanations, and program-specific language.

·        Participate in stakeholder workshops, requirements sessions, governancemeetings, and validation reviews.

·        Support development of implementation sequencing recommendations andtraceability documentation.

·        Ensure notice designs align with federal compliance requirements,accessibility standards, and language access obligations.



Requirements

·        5+ years of experience supporting Medicaid eligibility, publicassistance programs, healthcare policy, or human services programs.

·        Strong knowledge of Medicaid eligibility processes, notices, appeals,hearings, and federal compliance requirements.

·        Experience translating policy and operational requirements intobusiness requirements and functional specifications.

·        Experience conducting policy analysis, gap assessments, andrequirements validation.

·        Excellent facilitation, documentation, and stakeholder engagementskills.

 

Preferred Qualifications:

·        Experience supporting Medicaid Enterprise Systems (MES), eligibilitysystems, or integrated eligibility modernization initiatives.

·        Experience working with CMS, SNAP, TANF, or public assistance programs.

·        Experience supporting state government health and human servicesagencies.

 

Minimum Education:

 

·        Bachelor’s Degree in Public Policy, Public Administration, PublicHealth, Health Administration, Human Services, Social Work, Government, or arelated field. Master's degree preferred. Equivalent combination of educationand Medicaid/public assistance experience may be substituted.

 

 

 



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