Consulting Engineer – Medicaid Enterprise Systems

Job not on LinkedIn

🕒 August 4

🏄 California, New York – Remote

🏄 California – Remote 🗽 New York – Remote

💵 $100 - $120 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

👷🏻‍♀️ Engineer

👻 Ghost score 3%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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A1M Solutions

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🛡️ Insurance

🏛️ Government

Healthcare • Insurance • Government

A1M Solutions is a small, woman-owned business focused on enhancing government healthcare ecosystems through strategic design and policy implementation. With over 20 years of expertise in government programs, data, policy, and legislation, A1M Solutions addresses the social determinants of health by designing human-centered systems. The company prioritizes contracts that benefit underserved populations in the United States, including disadvantaged communities. A1M Solutions utilizes empathy, agile research, and digital service delivery to improve customer experiences and satisfaction through high-quality digital solutions that meet public needs. They offer services in digital and data consulting, specializing in transforming health access and delivery.

📋 Description

• Investigate and understand systemic challenges with State Medicaid Enterprise System modernization • Serve as the technical expert on Medicaid Enterprise Systems • Advise policy experts, system architects, UX researchers, and project managers • Analyze factors causing projects to exceed budgets and underdeliver • Influence research questions and improve the team’s assessment of complex system architecture • Participate in interviews and assess opportunities for change • Explain Medicaid Enterprise System complexities to experts in other domains • Communicate technical information clearly through diagrams and concise descriptions • Assess architectural decisions and identify divergence from sound practice • Contribute to documentation and diagrams • Break ambiguous or complex goals into concrete, feasible steps • Participate in discussions with internal and external stakeholders • Obtain buy-in from teammates, team leads, and government stakeholders • Anticipate information needs across practices and disciplines • Anticipate the needs of state government partners and users • Make clear, effective recommendations to government partners

🎯 Requirements

• 8 years of relevant professional experience • 4+ years of experience with state Medicaid Enterprise Systems on the government or contractor side • Expertise in MITA • Expertise in building secure, compliant software and minimizing vulnerability risk • Experience building and maintaining complex, scalable systems • Experience shaping system design and contributing to architectural decisions • Experience evaluating complex, multi-component system design and scalability, including APIs, databases, and data pipelines • Ability to write high-quality, working, reusable code • Advanced proficiency in modern software development languages and systems • Ability to assess the quality and soundness of others’ architecture and code • Proven ability to communicate technical complexity clearly to diverse stakeholders • Ability to operate independently in ambiguous environments and identify high-impact work • Expertise in information security and security risk management frameworks used by states and the federal government • Experience working in government consulting engagements • Must work from the United States • Must have been a U.S. resident for 3 of the past 5 years • Cannot reside in New York or California due to tax reasons • Must already have legal authorization to work in the United States without ongoing visa sponsorship • May need to provide business or professional license documentation and insurance certificates • Must complete a Public Trust background investigation, including SF85 or SF85P as applicable and fingerprinting • Must be flexible with working hours when residing outside the EST zone • Must be an independent contractor for a 1099 role • Preferred: experience in social-impact product teams or civic tech • Preferred: distributed, cross-functional team experience • Preferred: personal experience with government health and human services programs • Preferred: working knowledge of Medicare, ACA, MACRA, Medicaid, or CHIP • Preferred: familiarity with SAFe and agile methodologies • Preferred: legacy systems integration experience • Preferred: large-scale applications and systems experience

🏖️ Benefits

• Remote work • Full-time contract opportunity • Project-based compensation of $100–$120/hour depending on experience • Four-round interview process • Contractor autonomy and flexible hours, subject to flexibility for partners primarily working Eastern Standard Time