Principal Consultant – Medicare and Medicaid

Oracle · United States, United States, United States

Location
United States
Job Type
Regular Employee
Posted
June 30, 2026

Job Description

The Principal Consultant for the State Consulting Organization is responsible for the following:

Federal Reporting

  • Understand Medicare data, data design, and relationships pertaining to the member, provider, and claim
  • Create novel and standard insightful and actionable analytic designs for Medicare and Medicaid solutions
  • Partner with data scientists on predictive and engagement models for financial evaluations and fraud vulnerabilities
  • Communicate with internal and client leadership on findings and material design elements
  • Create level-of-estimates (LOE) for assigned work
  • Understanding federal reporting requirements for state CMS reporting, focusing on CMS-64, CMS-21, and CMS-37
  • Working with the architecture and development teams through active communication of requirements, risks, and delivery timeline
  • Technical Writing

  • Communicating to known and future clients the requirements and sub...
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