Home and Community Based Services (HCBS) Mathematica, Inc. of $100,000
$135,000 United States, Maryland, Windsor Mill Aug 06, 2026 Managing Consultant
Home and Community Based Services (HCBS)

About Mathematica:

\nMathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public

and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics.

Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries, and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company's growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance.

Primary Duties and Responsibilities:

Mathematica is seeking a managing consultant who is committed to advancing opportunities for people with disabilities and older adults to live in and actively engage with their communities. The successful\ncandidate should have expertise with long-term services and supports (LTSS)\npolicy and implementation work, including home and community-based services\n(HCBS), institutional-based long-term care, or both. Through our HCBS practice,\nwe collaborate with government agencies, providers, and community organizations\nto improve programs for older adults and those with behavioral health needs or\nintellectual, developmental, or physical disabilities. We work to address a\nrange of LTSS needs: program design and implementation, service access and\ndelivery, Olmstead planning and compliance, payment strategy, community\nengagement, and more. Our staff are also experts in adjacent programs such as vocational\nrehabilitation, workforce\ndevelopment, and care\nintegration for individuals who receive both Medicare and Medicaid benefits. We are soliciting candidates with\nexperience with HCBS or LTSS programs within a state's Medicaid or HCBS administrative\nagencies such as health, human services, area offices on aging, behavioral\nhealth, or other appropriate entity. Experience managing public aging,\ndisability, or behavioral health programs within state agencies or applicable\nmanaged care, provider, or third-party consultants is preferred. The successful candidate will have a working\nunderstanding of federal authorities relevant to HCBS such as section 1915\nwaivers, 1115 demonstration authorities, and programs such as Program of All\nInclusive Care for the Elderly (PACE) and Money Follows the Person. Understanding\nand engagement with current issues related to HCBS delivery including\nperson-centered planning, community-based housing, the direct care workforce, quality\nmonitoring, and program integrity is also preferred. Experience using Medicaid\nclaims, assessment, case management, housing, experience of care or other\nprogrammatic data for monitoring and improvement is preferred, but not\nrequired. Duties\nof the position: Lead or participate actively and thoughtfully in multidisciplinary teams to improve, implement, monitor, and advise on state policy and programs.\nProvide consulting services to state and local clients, support the development of new health policies, assist with the development of reimbursement policy to support health objectives, advise on the preparation of submissions to CMS and other approving entities, as appropriate, and support clients with the negotiations of new policies and programs when needed.\nProvide the energy, direction, and organization needed to help keep projects on time and on budget and facilitate communications across and between internal and external stakeholders.\nAuthor client memos, technical assistance tools, issue briefs, chapters of analytic reports, and webinar presentations.\nConduct research that applies impartial data collection, analysis, and reporting using quantitative or qualitative techniques.\nLead and help develop proposals for new projects.\nRepresent the company's expertise through various mechanisms, such as publications, conferences, and technical communications.\nInteract directly with state officials to implement and assess programs.\nContribute to the growth, expertise, and institutional knowledge of other state health and Medicaid staff.

Required Qualifications:

Master's degree in public policy, public administration, public health, healthcare administration, business, or a related field (or equivalent experience)\nAt least five years of experience managing complex projects or tasks related to healthcare or health policy\nStrong understanding of community LTSS programs, including HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal laws and regulations governing the programs.\nExperience in/ability to navigate complex federal regulations and requirements for community long-term services and supports (LTSS) programs, including HCBS waivers, PACE, and transitions and diversions from nursing facilities (NF), intermediate care facilities for individuals with intellectual disabilities (ICF-IID), and other institutional settings.\nDemonstrated ability to lead activities and manage tasks through the project lifecycle, including delegation and mentoring in a highly collaborative environment\nExcellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences including program administrators and policymakers Preferred\nQualifications Experience working at or with a local, state or federal agency, a foundation, a healthcare provider, a Medicaid managed care plan or another policy research firm is highly desirable.\nStrong analytic skills and ability to make strategic decisions about issues relating to management, such as financial analysis, as well as policy implementation and program operations.\nExperience analyzing state or federal Medicaid claims (e.g., MMIS or

T-MSIS/TAF

), assessment or case management data, and other programmatic data is also preferred but not required.

Application information:

Please submit a resume and cover letter, and, if possible, a work product that demonstrates your understanding of\ncomplex policy-related challenges facing the healthcare system. In your cover\nletter, please identify the extent of your knowledge of the various LTSS\nprograms listed in the Qualifications section through the identification of\nyour role to lead, plan, or execute on the creation, oversight, or implementation\nof these programs.

Compensation information:

This position offers an anticipated annual base salary of $100,000

$135,000.

This position is eligible for an annual bonus opportunity based on individual and company performance. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. At Mathematica, we understand the importance of building relationships with colleagues. If you're not located near one of our offices but would like opportunities to meet up with co-workers, we offer coworking spaces where available. Ask your Talent Acquisition partner for more information about this opportunity and whether it's an option in your area. Any offer of employment will be contingent upon passing a background check. Various federal agencies with whom we contract require that staff successfully undergo security clearance as a condition of working on the project. If you are assigned to such a project, you will be required to obtain the requisite security clearance. Additionally, if you participate in/complete the application process and are denied, Mathematica may choose to terminate your employment. We take pride in our employees and in their commitment to excellence. We encourage staff to collaborate in developing creative solutions to difficult problems and to share the responsibility and enjoyment of carrying out complex projects. 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