Senior Strategic Advisor (Hospital Finance, VBP, Global Budgets & Medicare Finance)

Company logo

Unlock Employer

Posted Oct 26, 2026

Remote · US Full Time
Est. $150K – $210K/yr

Overview

This role involves serving as a Senior Strategic Advisor providing advanced technical and strategic expertise in Healthcare Finance and Medicaid Services to support complex client engagements and strengthen the credibility of technical deliverables.

Key focus areas include analyzing policy guidance, developing or supporting financial analyses, and applying deep understanding of reimbursement systems to advise on program design, supporting calculations, and implementation strategies across core Medicaid Financing programs. The advisor will lead as a subject-matter expert across multiple client engagements, provide technical input and review for approval materials and CMS responses, and partner with client teams to drive high-impact outcomes.

Expertise in at least one of the following areas is required: hospital finance, VBP/global budgets (AHEAD model), Medicare finance (cost reporting/pricing), or actuarial.

Responsibilities

  • Lead and deliver complex or high-risk client work across multiple engagements concurrently.
  • Serve as the lead technical/subject-matter expert for assigned initiatives, accountable for credibility and quality of outputs.
  • Advise clients on complex issues within the area of subject-matter expertise (Healthcare Finance, Medicaid Services, or Quality), including analysis, interpretation, and execution.
  • Champion at least one offering and support development of another from concept through testing.
  • Participate in internal innovation workgroups and help refine new approaches.
  • Participate in sales discussions and scope development as a technical expert.
  • Support pursuit teams by shaping solutions and estimating effort for complex work.
  • Make strategic decisions that materially affect client outcomes, particularly in complex or novel circumstances.

Requirements

  • Bachelor’s degree in Public Policy, Public Administration, Public Health, Health Administration. Advanced degree in Public Policy, Public Administration, Public Health, Health Administration, business, economics or MBA preferred.
  • Extensive experience in Medicaid finance, Medicaid services, healthcare policy, or related consulting or governmental environments with demonstrated leadership on complex work.
  • Fifteen (15) or more combined years in a public healthcare policy management role and/or in the healthcare consulting industry with a strong sales component.
  • Expertise in either actuarial, rate setting, hospital finance, value-based care budgeting, or Medicare.
  • Proven experience and results in public health financing and policy advocacy.
  • Executive or Administrator experience leading teams to design, execute and implement significant changes for state Medicaid programs and Managed Care Organizations.
  • Recognized technical credibility and judgment in high-stakes environments.
  • Demonstrated ability to deliver complex client work independently and serve as a trusted senior advisor.
  • Experience working alongside lobbyists, government relations staff, and senior state or hospital officials is preferred.
  • Proficiency in Microsoft Word, Excel and PowerPoint required.

Preferred Qualifications

  • Experience in quantitative program evaluation.
  • Experience working with lobbyists, government relations staff, and senior state or hospital officials.

Compensation & Benefits

  • Salary is dependent on factors including type and years of experience within the role, industry experience, education, and market location.
  • Typically, compensation decisions are made based on the organization’s Total Compensation Policies & Guidelines.
  • Eligible to participate in an annual incentive plan.
  • Eligible to enroll in group healthcare plans that offer medical, dental, and vision, and insurance plans offering short term disability, long term disability, and basic life (eligibility subject to plan documents).
  • Eligible to enroll in a 401k plan provided plan requirements are met.
  • Flexible Time Off.
  • 10 paid holidays throughout the calendar year.
  • Paid time off for qualifying medical leave.
  • Up to 12 weeks of combined paid parental and bonding leave.
  • Benefits and paid time off are controlled by applicable plan documents and organizational policy.

Additional Information

  • Applicants must be authorized to work in the United States. Visa sponsorship is not provided.
  • Employment is contingent upon successful completion of a background check.
  • Equal Employment/Affirmative Action employer; does not discriminate on any characteristic protected by federal, state, or local law.
  • The workplace is drug-free.
  • Reasonable accommodations will be considered on a case-by-case basis during the employment process.