via LinkedIn
$177K - 177K a year
Provide CalAIM technical assistance including readiness assessments, policy development, MCP contracting support, training, and project management for healthcare organizations.
Master's degree in relevant field, 5+ years healthcare/public health experience, direct CalAIM or Medicaid program experience, proficiency in compliance, technical writing, and project management tools.
BlueRidge Management Solutions, LLC 1099 Senior Consultant - CalAIM Technical Assistance Position Overview BlueRidge Management Solutions seeks experienced independent consultants to support our growing CalAIM technical assistance portfolio. As a boutique consulting firm specializing in CalAIM implementation for healthcare and social service organizations, we need skilled professionals who can deliver hands-on support to help providers navigate Enhanced Care Management (ECM) and Community Supports certification processes. Key Responsibilities CalAIM Program Development • Conduct comprehensive CalAIM readiness assessments for healthcare organizations, FQHCs, CBOs, and housing providers • Develop CalAIM-compliant policies, procedures, and workflows for ECM and Community Supports services • Create documentation systems meeting Medi-Cal Managed Care Plan standards • Design quality assurance frameworks and monitoring tools MCP Contracting Support • Prepare and submit provider certification applications to multiple health plans (Kaiser, Anthem Blue Cross, Health Net, L.A. Care, Partnership HealthPlan, etc.) • Navigate MCP portals and credentialing requirements • Support gap closure processes and compliance reviews • Assist with rate negotiations and contract term analysis Training & Workforce Development • Develop and facilitate CalAIM training curricula for client staff • Create job descriptions and organizational charts for ECM/CS roles • Conduct workforce capacity assessments and staffing models • Provide 1:1 technical assistance to client leadership Project Management Support • Maintain project documentation in Monday.com and SharePoint • Participate in weekly client meetings via Zoom • Collaborate with BlueRidge project managers and executive team • Support 4-6 concurrent client engagements Required Qualifications Education • Master's degree required (MPH, MPA, MSW, or MBA) • PhD relevant healthcare/public administration focus Experience • Minimum 5 years in healthcare administration, public health, or social services • Direct experience with CalAIM, Medi-Cal Managed Care, or similar Medicaid programs • Experience with vulnerable populations (homeless, justice-involved, behavioral health) Technical Skills • Proficiency in healthcare compliance and regulatory requirements • Strong technical writing for policies and procedures • Financial management and healthcare billing knowledge • Microsoft Office Suite and project management platforms Preferred Qualifications • Previous consulting experience with CBOs or FQHCs • Knowledge of California healthcare landscape and MCPs • Experience with housing services, transitional care, or recuperative care programs Work Arrangement • 1099 Independent Contractor position • $85/hour starting rate (negotiable based on experience) • Estimated 20-30 hours/week with potential for full-time • Remote work with occasional travel to client sites in California • Flexible scheduling with some client-driven meeting requirements Ideal Candidate Profile We're seeking professionals who combine technical CalAIM expertise with a genuine commitment to improving healthcare access for vulnerable populations. You should be comfortable working independently while collaborating with a team. The ideal consultant can translate complex regulations into practical solutions and has a hands-on approach to problem-solving. To Apply Please submit the following documents listed below to info@blueridgems.com • CV/Resume highlighting CalAIM, managed care experience other relevant experience. • Brief cover letter describing your relevant project experience. • 2-3 professional references familiar with your work. • Writing sample (policy, training material, or technical document).
This job posting was last updated on 12/4/2025