[Hiring] Medicare/Medicaid Dual-Eligible Program Architect @Artemis Connection

Role Description

You will help the State of Montana design a pilot program for dual-eligible members—individuals qualifying for both Medicare and Medicaid—in rural and frontier communities. The work spans integrated care model design, payment reform, workforce strategy, and governance, in direct support of Montana's Rural Health Transformation Program (RHTP) and the DPHHS Senior and Long-Term Care and Behavioral Health Divisions.

This is a policy and program design role. The clients who need you most are state agency teams ready to move beyond fragmented care coordination toward sustainable, outcomes-driven models that reflect how rural Montana actually operates.

What You'll Do

• Assess Population Needs
  • Analyze the highest-need dual-eligible subpopulations—older adults, LTSS users, individuals with disabilities or serious mental illness, and those with multiple chronic conditions.
  • Identify the primary drivers of poor outcomes and high costs in rural and frontier settings, including fragmentation, workforce gaps, transportation barriers, and lack of care integration.
• Design Integrated Care Models
  • Evaluate models suited to rural duals populations—PACE, D-SNPs, and others—and assess feasibility for Montana.
  • Distinguish must-have interventions from enhancements and recommend what the state should prioritize if resources allow only one rural model.
• Develop Payment Model Recommendations
  • Design or evaluate payment models with rural-specific adjustments for travel time, low volume, and workforce incentives.
  • Identify unreimbursed services critical to success and advise on the trade-offs between full financial Medicare-Medicaid alignment and care coordination-only approaches.
• Address Care Delivery and Workforce Constraints
  • Recommend approaches to care delivery that account for workforce shortages, long distances, and low provider density.
  • Define roles for telehealth, remote monitoring, in-home care, and community paramedicine.
  • Identify infrastructure that can be leveraged versus built, drawing on comparable rural geographies.
• Structure Governance and Accountability
  • Recommend governance and contracting structures for shared accountability across plans, providers, and regional entities.
  • Assess technology-enabled care management tools, identify broadband and data-sharing constraints, and advise on how data can be used proactively to identify and manage member needs.

Qualifications

• 5+ years in Medicaid/Medicare program design, integrated care delivery, managed care policy, or a closely related field.
• Deep knowledge of dual-eligible program structures: Medicare-Medicaid alignment initiatives, D-SNPs, PACE, and related models.
• Demonstrated experience with rural or frontier health systems and the workforce, infrastructure, and access barriers that define them.
• Hands-on familiarity with LTSS, HCBS waivers, and the populations they serve.
• Experience working with state Medicaid agencies, CMS, or managed care organizations.
• Strong written communication skills—able to distill complex policy options into decision-ready memos for senior state officials.

Requirements

• MPH, MPA, MSW, JD, or advanced degree in health policy, public administration, or a related field.
• Direct experience supporting state Medicaid duals or integrated care initiatives, particularly in rural states.
• Familiarity with Montana's Medicaid program, tribal health infrastructure, or DPHHS structure.
• Experience with dementia care, caregiver support programs, or HCBS expansion in underserved communities.
• Familiarity with telehealth platforms or care coordination tools deployed in low-bandwidth environments.

What Makes Someone Successful Here

• You ask what already exists before recommending something new.
• You can distinguish between a state with a care model problem and one with a governance problem that no care model can fix.
• You communicate without jargon and know when a program director needs a clean two-page options memo and when they need a harder conversation about feasibility.
• You bring genuine respect for rural and frontier Montanans navigating complex health needs with limited access to services—and that shapes how you design solutions, not just how you describe them.

Compensation and Structure

Project-based engagement aligned with Montana's RHTP timeline, with potential to extend into subsequent implementation phases. Remote-friendly with periodic travel to Helena and rural stakeholder sites. Compensation is competitive and commensurate with experience.