1099 consultant · ~120–600 hrs per funded award · $30–$75/hr · Remote (U.S.)

Medicaid Policy Research Analyst (I/DD HCBS Waivers)

Keep our Medicaid work grounded in how waivers really run, from level of care and level of need to budget tiers and what peer states have already tried.

About Precision Federal

Precision Federal is a small business building AI, data and software systems for government agencies. The company’s founder loves God, and the company is built on Christian faith: every number we publish is real, every claim we make is verifiable, and the work is done with excellence as service to God. Faith is welcome here and openly shared.

How this role works

You join the bench. You apply with your weekly hours and start time. We set your hourly rate from your résumé, and we may name you on proposals that match this role. If we don't win, you owe nothing.
A contract is awarded. The award funds the team named in the proposal. Your engagement begins at the hourly rate we agreed on.
You work remote, paid from the contract. ~120–600 hrs per funded award — and if no award ever funds, you owe nothing and lose nothing.

What you'll do

Research and summarize Medicaid policy questions for our state program work, with citations to the waiver, rule or guidance behind each answer
Review level of care and level of need criteria, assessment tools and budget tier structures for I/DD HCBS waivers
Run peer-state reviews that compare how other states design, fund and administer similar waivers, and explain what carries over and what does not
Check our analysis and recommendations against CMS requirements and waiver realities before they reach the client

Required qualifications

At least 5 years of Medicaid policy or program experience with a bachelor's degree, or at least 3 years with a master's degree
Hands-on work with I/DD HCBS waiver policy, including level of care and level of need determinations and individual budget tiers or resource allocation
Experience conducting peer-state or cross-state Medicaid policy reviews
U.S. citizen or lawful permanent resident (U.S. person)
Willing to be named on a federal proposal with a one-page resume, and to sign a short letter of commitment

Preferred qualifications

Experience at a state Medicaid agency, state developmental disabilities agency, or a consultancy serving them
Familiarity with 1915(c), 1915(i) or 1115 authorities, waiver applications, amendments and renewals
Knowledge of standardized assessment tools such as the SIS, ICAP or a state-specific instrument
Master's degree in public policy, public health, social work, or a related field

Compensation & structure

1099 consulting engagement. $30–$75 per hour; we set your rate from your résumé and experience. Hours are funded by federal contract awards — this seat is scoped at roughly 120–600 hours per funded award, fully remote. Work and pay begin only if the contract is awarded — no award, no hours, no obligation.

Join the bench — Medicaid Policy Research Analyst (I/DD HCBS Waivers)

Every application is read. It takes about 5 minutes.

This is a bench, not a job offer. Work starts when we win a contract that needs you.
We may name you on proposals. If that contract is awarded, you do the role at the rate and hours we agree on.
Paid hourly as a 1099 contractor; full-time roles may be W-2. If your background fits, we will email you.

First name *

Last name *

Email *

Phone *

Work authorization *

LinkedIn or portfolio link

What state do you live in? *

Resume (PDF or Word) *

Questions

Answer from your own experience. A few sentences each is plenty; be specific and tell us what you did yourself.

Precision Federal was founded on Christian values. Our faith in God shapes how we work: many of us openly share our personal faith, share our lives together, and pray for one another. We’re building a close-knit community where we truly care about each other. Taking part is always voluntary, and people of every faith and background are welcome. As we get to know you, you’re always welcome to share your own faith with us.

1. Cover letter. In your own words, tell us about yourself: what guides you (for many of us here, that’s our faith in God), your background, and why this role interests you. *

2. Describe the Medicaid or I/DD HCBS waiver project most like this role: the state and waiver, the policy question you researched, how you handled level of care, level of need or budget tiers, any peer states you compared, your role, and the result. *

Availability

Pay for this role: $30–$75 an hour, set by your experience.

Hours per week you could give on an awarded contract (all part-time, up to 30) *

If you are named and we win, will you be able to start within a few weeks? *

May we name you on proposals for this role, and if we win, will you do the work at the rate we agree on? *

I agree to the Applicant Terms. *

Questions? careers@precisionfederal.com · See all open roles