Find a job 
Featured Companies 
Featured Universities 
For Companies At a Glance
- Tasks: Assist in developing contracts and conducting complex analysis for Medicaid eligibility projects.
- Company: Join UMass Chan Medical School, a recognised leader in medical education and diversity initiatives.
- Benefits: Enjoy a full-time role with opportunities for professional growth and impactful work.
- Why this job: Make a difference in healthcare while working with a supportive team and innovative projects.
- Qualifications: Bachelor's degree and 3-5 years of experience in business or health policy required.
- Other info: Opportunity to travel and engage with various stakeholders in the Medicaid system.
The predicted salary is between 36000 - 60000 £ per year.
Explore the Possibilitiesand Advance with Us.
You can view all open jobs by clicking here or use the following search form to find jobs that suit your specificcareer interests.
Medicaid Eligibility Consultant II Job Number : 2025-48325
Category: Administrative Professional
Location : Shrewsbury, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: ForHealth Consulting
Department: ForHealth Consulting – Third Party Liability – W401920
Job Type: Full-Time
Salary Grade: 46
Union Code: Non Union Position -W60- Non Unit Professional
Num. Openings : 1
Post Date : June 27, 2025
Under the general direction of the Senior Associate or designee, the Medicaid Eligibility Consultant II will assist in the development of contracts with state agencies; both in and out of state. The Medicaid Eligibility Consultant II should be an insightful, detail-oriented professional with Medicaid-related experience, excellent analytical and organizing skills who is able to apply that skill set to support both Medicaid Eligibility and Program Integrity Initiatives as well as the design, development and implementation of Medicaid eligibility systems.
Conduct complex analysis to support of Medicaid eligibility and program integrity projects in and out of state.
Perform research & development analysis relevant to Medicaid eligibility and/or program integrity revenue management/cost savings projects as assigned.
Contribute to the development of program and project expansion plans.
Contribute to the development of presentations and the preparation of marketing materials to clients.
Provide on-site support to senior staff during client visits and meetings
Participate in the development of agreements between public entities and the University.
Participate in the development of Medicaid systems on behalf of the client Medicaid agency:
· Serve as a Supporting Subject Matter Expert (SME) in Medicaid eligibility regulations, operations, and processes to support the design, development, and implementation of changes to Medicaid MAGI and non-MAGI eligibility systems.
· Assist with presenting Medicaid agency business needs and strategic vision in systems development activities and ensure they align with agency objectives.
· Participate in multi-agency workgroups supporting the development of a common eligibility application.
· Participate in meetings with the systems upstream and downstream stakeholders to assess needs and provide solutions.
· Attend business and system design sessions;
· Review, provide feedback and approve appropriate business system design requirements;
· Attend regularly scheduled and ad hoc meetings virtually and onsite; and
· Assist with testing and resolution of system defects.
Support procurement processes such as Request for Information (RFI) and Request for Proposal (RFP) development.
Contribute to project forecasting and complete assigned cost analysis tasks in support of financial planning and savings initiatives.
Participate in presentations to staff regarding success, merits of initiative, etc.
Independently research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish.
- Bachelor\’s Level Degree or equivalent in a business, health policy, social service, or public administration related field
- 3 to 5 years of experience in a business related field
- Extensive and in-depth knowledge of Medicaid policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.
- Familiarity working with complex technical, systems and/or programs issues affecting Medicaid and its services to members.
- Strong verbal and written communication skills.
- Must have knowledge of state and federal regulations as they apply to public assistance programs
- Demonstrated experience in Microsoft Word, Excel and PowerPoint
- Demonstrated project management skills
- Ability to travel to the client and/or off- site locations weekly
UMass Chan Medical School was among 23 companies that stood out as 2023 “DEI champions,” according toThe Boston Globe.
Named a U.S. News & World Report
“2023 BEST MEDICAL GRAD SCHOOL”
for Primary Care and Research
#J-18808-Ljbffr
Medicaid Eligibility Consultant II employer: University of Massachusetts Medical School
Contact Detail:
University of Massachusetts Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Medicaid Eligibility Consultant II
✨Tip Number 1
Familiarise yourself with the latest Medicaid policies and regulations. Understanding the nuances of these regulations will not only help you in interviews but also demonstrate your commitment to the role.
✨Tip Number 2
Network with professionals in the Medicaid field. Attend relevant workshops or webinars where you can meet current employees or industry experts who can provide insights into the role and the company culture.
✨Tip Number 3
Prepare to discuss specific projects you've worked on that relate to Medicaid eligibility or program integrity. Be ready to explain your analytical approach and how it contributed to successful outcomes.
✨Tip Number 4
Showcase your project management skills by discussing any relevant experiences where you led a project from start to finish. Highlight your ability to manage timelines, resources, and stakeholder communications effectively.
We think you need these skills to ace Medicaid Eligibility Consultant II
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in Medicaid policies and programs. Emphasise your analytical skills and any project management experience that aligns with the job description.
Craft a Strong Cover Letter: Write a cover letter that specifically addresses the responsibilities of the Medicaid Eligibility Consultant II role. Mention your familiarity with Medicaid regulations and how your background makes you a suitable candidate for this position.
Showcase Relevant Skills: In your application, clearly outline your strong verbal and written communication skills, as well as your proficiency in Microsoft Word, Excel, and PowerPoint. Provide examples of how you've used these skills in previous roles.
Highlight Your Experience: Detail your 3 to 5 years of experience in a business-related field, focusing on any specific projects or roles that involved Medicaid eligibility or program integrity initiatives. This will demonstrate your capability to handle the responsibilities of the position.
How to prepare for a job interview at University of Massachusetts Medical School
✨Know Your Medicaid Inside Out
Make sure you have a solid understanding of Medicaid policies, programs, and procedures. Brush up on both state and federal regulations that apply to public assistance programmes, as this knowledge will be crucial during your interview.
✨Showcase Your Analytical Skills
Prepare to discuss your experience with complex analysis and how you've applied it in previous roles. Be ready to provide examples of how your analytical skills have contributed to Medicaid eligibility or program integrity projects.
✨Demonstrate Project Management Experience
Highlight your project management skills by discussing specific projects you've completed from start to finish. Be prepared to explain your approach to managing timelines, resources, and stakeholder communication.
✨Prepare for Technical Discussions
Since the role involves working with IT systems, be ready to discuss any technical challenges you've faced and how you resolved them. Familiarise yourself with common issues affecting Medicaid services and think about potential solutions you could propose.
