[Remote] Regional Medicaid Lead – Southeast Region

Note: The job is a remote job and is open to candidates in USA. 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. The Regional Medicaid Lead is a senior leadership role responsible for the growth, operational performance, and strategic oversight of school-based Medicaid programs across the Southeast region, engaging with external stakeholders and ensuring client success and program quality.

Responsibilities

• Provide oversight for all school-based Medicaid programs within the assigned region
• Ensure successful delivery of Fee-for-Service Medicaid services and related SBS programs
• Own regional program performance and client outcomes, with clear accountability for service quality, operational consistency, and execution against strategic priorities
• Provide leadership across regional and COE stakeholders to align initiatives, allocate resources, and remove barriers to regional performance
• Identify and advance opportunities to expand Medicaid services within existing accounts and across the regional market, including through engagement with external stakeholders such as state Medicaid agencies, departments of education, and other relevant agencies
• Partner with regional leadership and business development teams to shape pursuit strategy, strengthen market positioning, and cultivate relationships with external stakeholders, including state Medicaid agencies, departments of education, and other relevant entities
• Lead regional Medicaid strategy discussions around market shifts, policy changes, and program expansion, informed by active engagement with state and local agencies and other key external partners
• Oversee client success delivery for Medicaid programs within the region, ensuring strong relationships with state agencies, school districts, and strategic partners
• Serve as a senior escalation point for complex client issues or program challenges
• Implement best practice models for client communication, project management, and stakeholder engagement
• Identify opportunities to optimize program performance and client outcomes
• Supervise (directly or indirectly) and support regional Medicaid staff
• Provide coaching, guidance, and professional development opportunities for regional team members
• Establish clear expectations and accountability structures to ensure high performance across the team
• Partner with cross-functional leadership to ensure consistent standards, processes, and service delivery models
• Lead regional financial planning for SBS programs, including revenue forecasting, budgeting, and resource allocation aligned to growth and delivery priorities
• Monitor regional financial performance and drive actions to improve contribution margin, scalability, and operating efficiency
• Work with leadership to ensure appropriate staffing models aligned with program growth and sustainability
• Serve as the primary liaison between the region and COE functional areas
• Collaborate with internal teams to address policy changes, compliance questions, and operational challenges
• Support the implementation of new systems, processes, and program improvements across regional clients

Skills

• Bachelor degree or 10 years' experience required, graduate degree a plus
• At least five years' experience with a state agency and/or Medicaid
• Must be located in the southeast region of the U.S
• Travel to client sites, business conferences and PCG meetings required 25-50%

Benefits

• Medical and dental care benefits
• 401k
• PTO
• Parental leave
• Bereavement leave

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