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Mathematica HCBS Consultant/Sr. HCBS Consultant (Remote Eligible) in Boston, Massachusetts

Position Description:

About Mathematica:

Mathematica applies expertise at the intersection of technology, 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 technology and advanced 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:

  • About the opportunity:*

Mathematica is searching for a dedicated professional who shares our firm, mission-aligned belief that individuals with disabilities or who are aging are should have the ability to live in and engage with their community and who has a passion for long-term services and supports (LTSS) policy and implementation work. We are soliciting candidates with experience successfully improving state Home- and community-based services within the state’s Medicaid or HCBS administrative agencies such as health, human services, area offices on aging, behavioral health, or other appropriate entity. Experience managing public aging, disability, or behavioral health programs within state agencies or applicable managed care, provider, or third-party consultants is preferred.  The successful candidate will have a working understanding of federal authorities relevant to home- and community-based services such as section 1915 waivers, 1115 demonstration authorities, and programs such as Program of All Inclusive Care for the Elderly (PACE) and Money Follows the Person. Understanding and engagement with issues related to HCBS delivery including person-centered planning, community-based housing, the direct care workforce, and quality monitoring is also preferred. Understanding of dual Medicare-Medicaid eligibility and coordination is preferred, but not required.

  • Duties of the position:*

    • Lead or participate actively and thoughtfully in multidisciplinary teams to improve, implement, monitor, and advise on state policy and programs.
    • Provide 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.
    • Provide 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.
    • Author client memos, technical assistance tools, issue briefs, chapters of analytic reports, and webinar presentations.
    • Conduct research that applies impartial data collection, analysis, and reporting using quantitative or qualitative techniques.
    • Lead and help develop proposals for new projects.
    • Represent the company's expertise through various mechanisms, such as publications, conferences, technical communications, and testimony.
    • Interact directly with state officials to implement and assess programs.
    • Contribute to the growth, expertise, and institutional knowledge of other state health and Medicaid staff.

Position Requirements:

  • Master’s degree in public policy, public administration, public health, healthcare administration, business, or a related field; and 5 or more years of experience (Consultant) or 7/+ years of experience (Sr. Consultant) managing complex projects or tasks related to healthcare or health policy.
  • Strong knowledge in 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.
  • Understands and navigate complex federal regulations and requirements for community long-term services and supports (LTSS) programs, including home and community-based services (HCBS) waivers, Program of All Inclusive Care for the Elderly (PACE), and transitions and diversions from skilled nursing facilities (SNF), and intermediate care facilities for individuals with intellectual disabilities (ICF-IID)
  • Demonstrated ability to lead activities and manage tasks through the project lifecycle.  This includes the ability to delegate appropriately and mentor junior staff in a highly collaborative environment.
  • Excellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences including program administrators and policymakers

Preferred Qualifications

  • 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.
  • Strong 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. Application Instructions:

Please submit a cover letter, CV and work product that demonstrates your analytic abilities as well as your understanding of complex policy-related challenges facing the healthcare system. In your cover letter, please identify the extent of your knowledge of the various LTSS programs listed in the Qualifications section through the identification of your role to lead, plan, or execute on the creation, oversight, or implementation of these programs.

The HCBS Consultant position offers an anticipated base salary of $110,000 - $130,000 annually. The Sr. HCBS Consultant position offers an anticipated base salary of $120,000 - $150,000 annually.


Staff in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be required to complete a successful background investigation including the Questionnaire for Public Trust Position SF-85. Staff that are unable to successfully undergo the background investigation will need to be able to obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable to do so it may result in employment termination due to lack of work.

Available locations: Princeton, NJ; Washington, DC; Chicago, IL; Oakland, CA; Remote

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.