Client Account Manager- Medicaid Finance & Program Integrity

Abt Global · Rockville · $140,000–$220,000 (stated in the posting)

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The Opportunity

As a Client Account Manager, Medicaid Finance & Program Integrity, you will lead client growth, solution development, and strategic advisory services across Medicaid finance, payment integrity, and program integrity markets. This role combines deep Medicaid financial and policy expertise with client relationship management, business development, and thought leadership responsibilities.

You will serve as a trusted advisor to federal and state Medicaid leaders, helping clients strengthen payment accuracy, improve financial oversight, reduce improper payments, and modernize program integrity approaches. This individual will bring recognized expertise in Medicaid financing, payment methodologies, federal claiming requirements, and financial management, with the ability to translate complex policy and operational challenges into practical, scalable solutions.

To be successful, you will have experience supporting CMS, CMCS, state Medicaid agencies, or Medicaid managed care organizations, with expertise in payment integrity, financial oversight, HCBS financing and oversight, Section 1115 demonstrations, and Medicaid operations.

Core Responsibilities

Client Leadership & Growth

• Serve as a strategic advisor to CMS, state Medicaid agencies, and other healthcare stakeholders.
• Build and maintain trusted executive-level client relationships.
• Identify, shape, and pursue strategic growth opportunities aligned with client priorities and Abt's capabilities.
• Lead client engagement activities, account planning, and on-contract growth activities.
• Represent Abt as a thought leader at conferences, industry forums, and client meetings to strengthen market visibility and relationships.

Medicaid Finance & Program Integrity Leadership

• Advise clients on Medicaid financing structures, federal claiming requirements, provider payment methodologies, home and community-based services (HCBS) rate setting and oversight, state financial management, and managed care oversight.
• May advise on Section 1115 financing, budget neutrality, expenditure authorities, and the financing implications of evolving federal demonstration policy.
• Connect eligibility, coverage, benefit policy to claims adjudication, payment operations, and financial oversight to identify downstream financial and program integrity risks.
• Provide expertise in Payment Error Rate Measurement (PERM), improper payment prevention, claims compliance, payment risk identification, pre- and post- payment reviews, audits, corrective action strategies and strategies to improve payment accuracy.

Data, Technology & Innovation

• Partner with policy experts, technologists, and data scientists to develop innovative Medicaid payment integrity solutions.
• Advise on the use of analytics, predictive modeling, anomaly detection, and artificial intelligence to identify payment risks and prevent improper payments, fraud, waste, and abuse.
• Support development of scalable tools, accelerators, and AI-enabled solutions that strengthen Medicaid oversight and program integrity.
• Promote proactive, data-driven approaches that identify and prevent payment errors before they occur.

Business Development & Solutioning

• Lead or support capture, proposal development, and solution design for Medicaid finance, program integrity, and analytics’ opportunities.
• Identify, develop, and manage a Medicaid sales pipeline aligned with the Health market priorities and Abt’s growth strategy
• Translate complex policy, financial, and operational challenges into differentiated client solutions and value propositions.
• Collaborate across business development, delivery, digital, and advisory teams to develop integrated solutions and position Abt for growth.

Thought Leadership & Capability Building

• Contribute to white papers, publications, conference presentations, and other market-facing content that demonstrates expertise in Medicaid finance and payment integrity.
• Mentor staff and build organizational expertise in Medicaid finance, payment integrity, and related policy and operational areas.
• Foster collaboration across policy, research, implementation, digital, and analytics teams.

What We Value

• Deep expertise in Medicaid financing, payment methodologies, federal claiming requirements, and financial oversight.
• Experience with PERM, improper payment measurement, payment integrity, claims compliance, and program integrity initiatives.
• Knowledge of Medicaid claims adjudication, payment controls, and oversight at the state, federal, health plan, or contractor level.
• Experience with fraud, waste, abuse, including risk management, auditing, monitoring, investigations, and compliance oversight.
• Expertise in HCBS financing payment methodologies, electronic visit verification, and rate-setting.
• Knowledge of Section 1115 demonstrations, financing mechanisms, and budget neutrality requirements.
• Understanding of how Medicaid eligibility, coverage, and benefits affect claims, payment, and financial oversight.
• Experience developing innovative solutions that leverage analytics, automation, SaaS platforms, or AI to strengthen Medicaid financial and program oversight.
• Demonstrated success building client relationships, influencing senior decision makers, and contributing to business growth.
• Ability to communicate complex technical, financial, policy, and regulatory issues to diverse audiences.
• Bachelor's Degree plus 15 years of relevant experience, or Master's Degree plus 12 years of relevant experience.
• Significant experience supporting CMS, CMCS, state Medicaid agencies, Medicaid managed care organizations, or related healthcare organizations.
• Demonstrated success leading client relationships, business development efforts, and multidisciplinary teams.
• Experience shaping and delivering complex Medicaid financing, payment integrity, or program integrity initiatives.

Preferred Qualifications

• Prior experience within CMS Center for Medicaid and CHIP Services (CMCS), particularly the Financial Management Group (FMG), CMS Center for Program Integrity, or US Department of Health and Human Services Office of Inspector General.
• Senior leadership experience within a state Medicaid agency, Medicaid managed care organization, or organization supporting Medicaid financial management or program integrity.
• Existing relationships with CMS, CMCS, state Medicaid agencies, or related stakeholders.
• Experience applying advanced analytics, predictive modeling, machine learning, or AI to identify payment risk, improve payment accuracy, and strengthen program oversight.

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