Milliman Ireland
Director Government Programs – Medicare and Medicaid (MedInsight)
Milliman Ireland, Appleton, Wisconsin, United States, 54914
Director Government Programs – Medicare and Medicaid (MedInsight)
Job Category
:
Information Technology Requisition Number
:
DIREC009653 Apply now Posted : August 25, 2025 Full-Time Remote Locations
Showing 1 location 01-Seattle 1301 Fifth Ave Ste. 3800 Seattle, WA 981012635, USA
01-Seattle 1301 Fifth Ave Ste. 3800 Seattle, WA 981012635, USA
92-Appleton 1045 N Lynndale Dr Ste 2E Appleton, WI 54914, USA
92-Appleton 1045 N Lynndale Dr Ste 2E Appleton, WI 54914, USA
28-Boston 500 Edgewater Drive, Suite 522 Wakefield, MA 018806254, USA
28-Boston 500 Edgewater Drive, Suite 522 Wakefield, MA 018806254, USA
29-Burlington 550 Hinesburg Road South Burlington, VT 05403, USA
29-Burlington 550 Hinesburg Road South Burlington, VT 05403, USA
09-Chicago 71 S. Wacker Drive 31st Floor Chicago, IL 60606, USA
09-Chicago 71 S. Wacker Drive 31st Floor Chicago, IL 60606, USA
21-Hartford 200 Great Pond Dr Windsor, CT 06095, USA
21-Hartford 200 Great Pond Dr Windsor, CT 06095, USA
16-Houston 1415 Louisiana St Suite 500 Houston, TX 77002, USA
16-Houston 1415 Louisiana St Suite 500 Houston, TX 77002, USA
13-Indianapolis 10 West Market Street, Ste. 1600 Indianapolis, IN 46204, USA
13-Indianapolis 10 West Market Street, Ste. 1600 Indianapolis, IN 46204, USA
07-Little Falls 150 Clove Rd 8th Floor Little Falls Twp, NJ 07424, USA
07-Little Falls 150 Clove Rd 8th Floor Little Falls Twp, NJ 07424, USA
03-Los Angeles 251 South Lake Avenue Suite 910 Pasadena, CA 911013022, USA
03-Los Angeles 251 South Lake Avenue Suite 910 Pasadena, CA 911013022, USA
04-Milwaukee 15-Solutions 17335 Golf Parkway, Suite 100 Brookfield, WI 530451128, USA
04-Milwaukee 15-Solutions 17335 Golf Parkway, Suite 100 Brookfield, WI 530451128, USA
24-Minneapolis 7500 Flying Cloud Drive Suite 740 Eden Prairie, MN 55344, USA
24-Minneapolis 7500 Flying Cloud Drive Suite 740 Eden Prairie, MN 55344, USA
14-Omaha 18205 Capitol Ave, Suite 400 Omaha, NE 681241088, USA
14-Omaha 18205 Capitol Ave, Suite 400 Omaha, NE 681241088, USA
86-Orange County 19200 Von Karman Ave. Suite 950 Irvine, CA 92612, USA
86-Orange County 19200 Von Karman Ave. Suite 950 Irvine, CA 92612, USA
12-Phoenix 3120 W. Carefree HWY STE 1-776 Phoenix, AZ 85086, USA
12-Phoenix 3120 W. Carefree HWY STE 1-776 Phoenix, AZ 85086, USA
06-Philadelphia 801 Cassatt Rd Suite 111 Berwyn, PA 19312, USA
06-Philadelphia 801 Cassatt Rd Suite 111 Berwyn, PA 19312, USA
05-Portland 1455 SW Broadway Portland, OR 97201, USA
05-Portland 1455 SW Broadway Portland, OR 97201, USA
35-Portland Maine 200 Middle Street Suite 1002 Portland, ME 041016407, USA
35-Portland Maine 200 Middle Street Suite 1002 Portland, ME 041016407, USA
02-San Francisco 650 California Street 21st Floor San Francisco, CA 941082702, USA
02-San Francisco 650 California Street 21st Floor San Francisco, CA 941082702, USA
27-St. Louis 500 North Broadway, Ste. 1750 St. Louis, MO 63102, USA
27-St. Louis 500 North Broadway, Ste. 1750 St. Louis, MO 63102, USA
Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for healthcare intelligence.Our company’s purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management. MedInsight has been ranked #1 for Payer Quality Analytics by clients for the last three years in the Best in KLAS report. MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Position Summary: As the Director, Government Programs – Medicare & Medicaid, you will lead the strategic expansion of MedInsight’s footprint in the Medicare Advantage and Medicaid Managed Care sectors. In this highly visible role, you will drive opportunity identification, shape go-to-market strategy, and champion the value of our data analytics solutions across the government payer landscape. You will represent MedInsight at national conferences, influence product innovation, and guide teams through complex RFPs and procurement cycles. Your efforts will help establish a culture of accountability, metrics-based storytelling, and client-centered success across our government initiatives.
Primary Responsibilities: Lead strategic growth initiatives to position MedInsight’s software and services within Medicare Advantage and Medicaid Managed Care markets. Identify, assess, and respond to federal and state-level government opportunities, including RFPs and pre-acquisition activities. Collaborate cross-functionally to define and package government-specific solutions, such as “Network Optimizer for Government” and “MA Insights.” Refine product positioning of integrations such as ProData, MACVAT, MANI, and the Quality Engine to align with government priorities. Serve as a thought leader on value-based care contracting, continuously assessing the evolving needs of government payers and adapting strategy accordingly. Represent MedInsight at key industry conferences, client meetings, and policy forums to build and strengthen relationships with decision-makers. Define client ROI and ensure value delivery through data-driven frameworks and storytelling. Foster a performance culture of trust, accountability, and innovation within the team. Establish partnerships with internal and external stakeholders to build influence and grow MedInsight’s credibility in the public payer space.
Requirements: 6+ years of experience in the U.S. government healthcare sector, including Medicare Advantage and/or Medicaid Managed Care Proven ability to lead cross-functional teams, integrating business development, product, and technical workstreams Strong working knowledge of CMS programs, procurement cycles, and government contracting vehicles Demonstrated success with enterprise sales strategies and pre-RFP positioning in the public sector Expertise in identifying and quantifying client ROI and value realization Excellent communication and relationship-building skills, with experience engaging senior stakeholders Data-savvy with comfort using analytics tools to support decision-making and proposal development Strategic thinker with hands-on execution capabilities Personality traits: highly curious, honest, adaptable, resilient, competitive, humble, and solutions-oriented
Preferred Skills: Experience developing or launching data analytics or healthcare software products for government clients Familiarity with Medicaid waiver programs, dual-eligible strategies, and state innovation models Background in government affairs, regulatory strategy, or public health policy a plus Prior experience collaborating with or working within CMS, state Medicaid agencies, or MCOs What makes this a great opportunity? Join an innovative, high growth company with a solid industry track record Bring your expertise and ideas to directly impact and help build the next generation of MedInsight products and solutions Enjoy significant visibility in your work and be recognized for your wins Work for a company that values your wellbeing and professional growth, offering a flexible work environment, generous benefits package, and investment in the development of your career Location This is a remote role. The expected application deadline for this job is October 15, 2025. Compensation The overall salary range for this role is $131,600 - $260,640. For candidates residing in: Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $144,760 - $238,920. New York City, Newark, San Jose, or San Francisco the salary range is $157,920 - $260,640. All other locations the salary range is $131,600 -217,200. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. This role can be located remotely within the United States.
We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include: Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners. Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges. 401(k) Plan – Includes a company matching program and profit-sharing contributions. Discretionary Bonus Program – Recognizing employee contributions. Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses. Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. Holidays – A minimum of 10 paid holidays per year. Family Building Benefits – Includes adoption and fertility assistance. Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria. Life Insurance & AD&D – 100% of premiums covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.
#LI-SM1 Qualifications
Skills
Behaviors
: Motivations
: Education
Experience
Licenses & Certifications
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
Job Category
:
Information Technology Requisition Number
:
DIREC009653 Apply now Posted : August 25, 2025 Full-Time Remote Locations
Showing 1 location 01-Seattle 1301 Fifth Ave Ste. 3800 Seattle, WA 981012635, USA
01-Seattle 1301 Fifth Ave Ste. 3800 Seattle, WA 981012635, USA
92-Appleton 1045 N Lynndale Dr Ste 2E Appleton, WI 54914, USA
92-Appleton 1045 N Lynndale Dr Ste 2E Appleton, WI 54914, USA
28-Boston 500 Edgewater Drive, Suite 522 Wakefield, MA 018806254, USA
28-Boston 500 Edgewater Drive, Suite 522 Wakefield, MA 018806254, USA
29-Burlington 550 Hinesburg Road South Burlington, VT 05403, USA
29-Burlington 550 Hinesburg Road South Burlington, VT 05403, USA
09-Chicago 71 S. Wacker Drive 31st Floor Chicago, IL 60606, USA
09-Chicago 71 S. Wacker Drive 31st Floor Chicago, IL 60606, USA
21-Hartford 200 Great Pond Dr Windsor, CT 06095, USA
21-Hartford 200 Great Pond Dr Windsor, CT 06095, USA
16-Houston 1415 Louisiana St Suite 500 Houston, TX 77002, USA
16-Houston 1415 Louisiana St Suite 500 Houston, TX 77002, USA
13-Indianapolis 10 West Market Street, Ste. 1600 Indianapolis, IN 46204, USA
13-Indianapolis 10 West Market Street, Ste. 1600 Indianapolis, IN 46204, USA
07-Little Falls 150 Clove Rd 8th Floor Little Falls Twp, NJ 07424, USA
07-Little Falls 150 Clove Rd 8th Floor Little Falls Twp, NJ 07424, USA
03-Los Angeles 251 South Lake Avenue Suite 910 Pasadena, CA 911013022, USA
03-Los Angeles 251 South Lake Avenue Suite 910 Pasadena, CA 911013022, USA
04-Milwaukee 15-Solutions 17335 Golf Parkway, Suite 100 Brookfield, WI 530451128, USA
04-Milwaukee 15-Solutions 17335 Golf Parkway, Suite 100 Brookfield, WI 530451128, USA
24-Minneapolis 7500 Flying Cloud Drive Suite 740 Eden Prairie, MN 55344, USA
24-Minneapolis 7500 Flying Cloud Drive Suite 740 Eden Prairie, MN 55344, USA
14-Omaha 18205 Capitol Ave, Suite 400 Omaha, NE 681241088, USA
14-Omaha 18205 Capitol Ave, Suite 400 Omaha, NE 681241088, USA
86-Orange County 19200 Von Karman Ave. Suite 950 Irvine, CA 92612, USA
86-Orange County 19200 Von Karman Ave. Suite 950 Irvine, CA 92612, USA
12-Phoenix 3120 W. Carefree HWY STE 1-776 Phoenix, AZ 85086, USA
12-Phoenix 3120 W. Carefree HWY STE 1-776 Phoenix, AZ 85086, USA
06-Philadelphia 801 Cassatt Rd Suite 111 Berwyn, PA 19312, USA
06-Philadelphia 801 Cassatt Rd Suite 111 Berwyn, PA 19312, USA
05-Portland 1455 SW Broadway Portland, OR 97201, USA
05-Portland 1455 SW Broadway Portland, OR 97201, USA
35-Portland Maine 200 Middle Street Suite 1002 Portland, ME 041016407, USA
35-Portland Maine 200 Middle Street Suite 1002 Portland, ME 041016407, USA
02-San Francisco 650 California Street 21st Floor San Francisco, CA 941082702, USA
02-San Francisco 650 California Street 21st Floor San Francisco, CA 941082702, USA
27-St. Louis 500 North Broadway, Ste. 1750 St. Louis, MO 63102, USA
27-St. Louis 500 North Broadway, Ste. 1750 St. Louis, MO 63102, USA
Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for healthcare intelligence.Our company’s purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management. MedInsight has been ranked #1 for Payer Quality Analytics by clients for the last three years in the Best in KLAS report. MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Position Summary: As the Director, Government Programs – Medicare & Medicaid, you will lead the strategic expansion of MedInsight’s footprint in the Medicare Advantage and Medicaid Managed Care sectors. In this highly visible role, you will drive opportunity identification, shape go-to-market strategy, and champion the value of our data analytics solutions across the government payer landscape. You will represent MedInsight at national conferences, influence product innovation, and guide teams through complex RFPs and procurement cycles. Your efforts will help establish a culture of accountability, metrics-based storytelling, and client-centered success across our government initiatives.
Primary Responsibilities: Lead strategic growth initiatives to position MedInsight’s software and services within Medicare Advantage and Medicaid Managed Care markets. Identify, assess, and respond to federal and state-level government opportunities, including RFPs and pre-acquisition activities. Collaborate cross-functionally to define and package government-specific solutions, such as “Network Optimizer for Government” and “MA Insights.” Refine product positioning of integrations such as ProData, MACVAT, MANI, and the Quality Engine to align with government priorities. Serve as a thought leader on value-based care contracting, continuously assessing the evolving needs of government payers and adapting strategy accordingly. Represent MedInsight at key industry conferences, client meetings, and policy forums to build and strengthen relationships with decision-makers. Define client ROI and ensure value delivery through data-driven frameworks and storytelling. Foster a performance culture of trust, accountability, and innovation within the team. Establish partnerships with internal and external stakeholders to build influence and grow MedInsight’s credibility in the public payer space.
Requirements: 6+ years of experience in the U.S. government healthcare sector, including Medicare Advantage and/or Medicaid Managed Care Proven ability to lead cross-functional teams, integrating business development, product, and technical workstreams Strong working knowledge of CMS programs, procurement cycles, and government contracting vehicles Demonstrated success with enterprise sales strategies and pre-RFP positioning in the public sector Expertise in identifying and quantifying client ROI and value realization Excellent communication and relationship-building skills, with experience engaging senior stakeholders Data-savvy with comfort using analytics tools to support decision-making and proposal development Strategic thinker with hands-on execution capabilities Personality traits: highly curious, honest, adaptable, resilient, competitive, humble, and solutions-oriented
Preferred Skills: Experience developing or launching data analytics or healthcare software products for government clients Familiarity with Medicaid waiver programs, dual-eligible strategies, and state innovation models Background in government affairs, regulatory strategy, or public health policy a plus Prior experience collaborating with or working within CMS, state Medicaid agencies, or MCOs What makes this a great opportunity? Join an innovative, high growth company with a solid industry track record Bring your expertise and ideas to directly impact and help build the next generation of MedInsight products and solutions Enjoy significant visibility in your work and be recognized for your wins Work for a company that values your wellbeing and professional growth, offering a flexible work environment, generous benefits package, and investment in the development of your career Location This is a remote role. The expected application deadline for this job is October 15, 2025. Compensation The overall salary range for this role is $131,600 - $260,640. For candidates residing in: Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $144,760 - $238,920. New York City, Newark, San Jose, or San Francisco the salary range is $157,920 - $260,640. All other locations the salary range is $131,600 -217,200. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. This role can be located remotely within the United States.
We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include: Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners. Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges. 401(k) Plan – Includes a company matching program and profit-sharing contributions. Discretionary Bonus Program – Recognizing employee contributions. Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses. Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. Holidays – A minimum of 10 paid holidays per year. Family Building Benefits – Includes adoption and fertility assistance. Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria. Life Insurance & AD&D – 100% of premiums covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.
#LI-SM1 Qualifications
Skills
Behaviors
: Motivations
: Education
Experience
Licenses & Certifications
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr