Medicaid Functional Lead - Human Services Transformation

Our Deloitte Customer team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Generative AI, transformative technologies, and creative design.

We can enhance customer experiences and drive sustained growth and customer value creation and capture, through customer and commercial strategies, digital products and innovation, marketing, commerce, sales, and service.

We are a team of strategists, data scientists, operators, creatives, designers, engineers, and architects.

Our team balances business strategy, technology, creativity, and ongoing managed services to solve the biggest problems that affect customers, partners, constituents, and the workforce.

Work you'll do

As a Medicaid Functional Lead - Senior Consultant on the GPS HST Technology team, you will be responsible for:


* Provide functional production support for Medicaid eligibility, enrollment, managed care, notices, and HIPAA transaction processing by investigating incidents, triaging defects, analyzing requirements, and articulating solutions.


* Coordinate with stakeholders to deliver operational enhancements and support release readiness, including functional validation and issue resolution.


* Support analysis and documentation of eligibility policies, business rules, and operational processes for public sector health and human services programs, including Medicaid, SNAP, TANF, and related benefit programs.


* Collaborate with eligibility workers, policy staff, and program stakeholders to translate legislation, policy guidance, and operational requirements into system requirements and business processes.


* Support eligibility determination design, case management workflows, notices, enrollment processes, interfaces, and program operations within integrated eligibility environments.


* Assist with development and execution of user acceptance testing (UAT), scenario-based testing, and validation of eligibility outcomes against policy requirements.


* Analyze defects, operational issues, and enhancement requests to identify business impacts and support resolution planning.

A successful candidate would possess these skills:


* Ability to work independently and collaborate as part of a team


* Effective written and verbal communication skills


* Meticulous attention to detail and quality of work product


* Ability to build and sustain professional relationships


* Ability to lead projects or workstreams


* Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment


* Strong interpersonal skills and professional demeanor


* Ability to meet deadlines

The team

Deloitte's Government and Public Services (GPS) practice is designed for impact.

Serving federal, state, and local government clients, as well as public higher education institutions, the team brings experience in strategy, technology, and operations to help clients address ...