Want to work with us?
Interested in working with us? Great! We have new projects all the time.
Say hi and introduce yourself! We have left the form open ended, but these are the things we especially want to know:
- * Your primary role and areas of expertise
- * Relevant public sector experience
- * Professional certifications (if applicable)
- * The state(s) where you have worked on public sector projects
- * Your current location
- * Your availability
This information helps us quickly assess alignment. If it looks like a good fit, we’ll reach out and ask you to send your resume!
Read further below for some of our current needs and what we look for in consultants.
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🔎 We’re scouting great consultants.
We are expanding our bench for contract and project-based roles supporting public-sector modernization initiatives. We do many types of contracts across IT modernization and healthcare transformation. If you can provide expertise in one of these areas, we want to hear from you!
IT Modernization
• Independent, vendor neutral needs assessments
• ERP and legacy systems
• Payroll, HR, finance, GASB
• Procurement RFPs
• Vendor oversight, testing, IV&V
• Change Management
City / County / Municipal / University / State
Healthcare Transformation
• Rural Healthcare Transformation Program
• CMS Medicaid
• Eligibility systems
• HIT/HIE/interoperability
• Telehealth, mobile units, EHR/EMR
• Technical assistance, grants and infrastructure
Federal / States / CCOs / Tribal Health / Providers
Roles
• Program Directors
• Project & Program Managers
• PMO & Documentation
- • Project Coordinators
• Grant Managers & Administrators
• Change Managers & Trainers
• Analysts; Business, Policy, Data
- • Independent Verification & Validation
SMES & Advisors
• Security / Cybersecurity
• Education / Higher Ed , Municipal, Regional
- • ERP
• Procurement
• Eligibility (Medicaid, benefits, human services)
• Healthcare IT & HIE
- • Interoperability
- • Telehealth, medical, mobile unit, remote patient monitoring
• Rural Health Transformation Program (RHTP)
Examples: Value based care, Medicaid, behavioral care, preventative care, provider engagement, tribal advisory, regional landscape advisory, community models, population health, rural grant management, etc.
Example contracts
- • County ERP roadmap, vendor selection, and IV&V implementation oversight
- • RHTP project & grant management
- • State/Regional telehealth assessment
- • State Medicaid or Health & Human Service Dept.
- • Eligibility modernization, compliance roadmap & go-live readiness
- • State PMO / data governance
- • Grant reviews / technical assistance for CCOs, tribal, or state health agencies, or various providers
- • University asset assessment & roadmaps
About our roles and what we look for
Most of our work is on public sector contracts (i.e., federal, state, county, city, agency, university, etc) or involving federal grants.
–> Public sector experience is very helpful!
We are hired to provide independent advisory, needs assessments, requirements/RFP procurement development, grant reviews, project management, implementation oversight/IV&V, change management and governance.
–-> Independent, no current affiliation with vendors or tools.
We are a consulting company, and not staff augmentation. Consultants are expected to bring their expertise and experience to the table. Generally you are expected to have your own computer but ESI provides enterprise level programs and email. Sometimes states want you to have a state issued laptop, in which case it is provided.
–> We hire smart consultants who manage their own time, space, and equipment.
All work is US based (strict gov requirement). Most work is remote but some roles may want a local presence to go into a gov office, or provide regional insight. We may build key milestone event travel into a bid for leads.
–> Usually remote, sometimes helpful to be close.
Consultant work is project based (not w2). Many of our consultants work several different projects at once depending on their wishes. and the project schedules.
–> Project based, flexible schedule
We also work with entities (LLC, corporation, non-profit) and the payment structure is aligned to the contract. We can pay an advisor or non-profit on an hourly basis 1099. For a subcontractor or contract partner, special insurance is usually be required. Diversity, veteran, and small business certs are encouraged!
–> Usually 1099, ctoc subcontractors possible
–> Certified small business, diversity & veterans welcome!
Medicaid Enterprise Team
We are interested in connecting with senior consultants who have experience in one or more of the following areas:
System Integration Platform Architecture
Experience with API management, integration platforms, reusable services, message routing, data transformation, protocol mediation, interface modernization, DevSecOps, monitoring, and O&M planning. Familiarity with MuleSoft, Boomi, Azure Integration Services, Kafka, API gateways, or comparable tools is helpful.
MMIS / MES Interface Modernization
Experience with Medicaid Management Information Systems, Medicaid Enterprise Systems, MMIS interfaces, claims, provider, member/recipient, financial, managed care, EDI, reference data, data exchange, ICDs, and vendor transition planning.
Medicaid IT Planning & Implementation Readiness
Experience supporting discovery, technical/business charting, gap analysis, system requirements, master integration planning, CMS certification strategy, I-APD support, security planning, and implementation roadmaps.
This is not a full-time employee posting. We are looking to connect with consultants, and potentially subcontractors or small firms available for proposal teams and potential future project work.
Ideal backgrounds include state Medicaid, HHS, MMIS/MES modernization, system integration, integration architecture, public-sector IT modernization, CMS certification, NIST/HIPAA security, and large-scale interface migration.
HIE & Rural Tech Assessments
ESI is looking to connect with independent consultants who have both state HIE/HDU experience and rural healthcare experience. We have several projects in the pipeline that include vendor-neutral technology assessment, stakeholder engagement, rural digital health feasibility review, HIE/EMR integration planning, and implementation-readiness support.
Ideal backgrounds include:
- • Telehealth, Remote Patient Monitoring, Mobile Units
- • Provider readiness assessmen
- • Implementation roadmap development
- • State-designated HIEs
- • Health Data Utilities
- • Medicaid HIT
- • Interoperability
- • Public health data exchange
- • Rural hospitals, FQHCs
This is a fit for senior consultants or project leads who can do more than manage a schedule – people who can lead interviews, understand rural provider constraints, assess technology feasibility, manage deliverables, and help turn findings into practical recommendations.
Medicaid Managed Care & Payer Engagement Lead
We are seeking a senior professional with deep experience in Medicaid managed care, value-based care coordination, and quality performance measurement (HEDIS or equivalent). This role will support stakeholder engagement, payer alignment, and performance monitoring activities tied to alternative care models.
Preferred Background:
• Medicaid managed care operations or strategy
- • Health plan or state Medicaid agency experience
- • Quality measure reporting (HEDIS, NCQA)
- • Multi-vendor or multi-stakeholder coordination
- • Experience supporting alternative payment or transformation initiative
Engagement: Contract (1099 or C2C)
Federal Grant Administration & Compliance Lead
We are seeking an experienced federal grant program leader to support grant administration, subrecipient monitoring, fiscal oversight, and compliance reporting activities tied to federally funded rural health initiatives.
Preferred Background:
- • Federal or state grant program management
- • Subrecipient monitoring & compliance remediation
- • Budget tracking and audit preparation
- • CMS or other federal reporting experience
- • Public health or Medicaid program exposure
Engagement: Contract (1099 or C2C)
Senior Healthcare Program Manager (Public Sector)
We are seeking experienced healthcare program managers with Medicaid, public health, or large-scale transformation experience to support cross-agency coordination, workplan management, stakeholder facilitation, and federal reporting activities.
Preferred Background:
- • PMP or equivalent certification
- • Medicaid or public health program experience
- • RFP and vendor coordination
- • Strong facilitation and documentation skills
- • Experience in large-scale healthcare transformation
Preferred: Professional security certification (CISSP, CISM, CISA, or equivalent)
Engagement: Contract (1099 or C2C)
Business Analyst
🔄 We engage business analysts to support testing, validation, and readiness activities within public-sector modernization initiatives, with a strong emphasis on User Acceptance Testing (UAT).
Mandatory skills:
• Strong experience supporting UAT planning, coordination, and execution, including test case development, test cycles, defect tracking, and sign-off support
• Ability to translate business and functional requirements into clear, testable scenarios and acceptance criteria
• Experience coordinating UAT activities with business users, SMEs, project managers, and implementation vendors
• Strong documentation and traceability skills, including requirements-to-test mapping and defect lifecycle tracking
• Experience using common testing and tracking tools (e.g., Jira, Azure DevOps, or equivalent)
Optional Certs: Business analysis or testing certification (CBAP, CCBA, ISTQB, or equivalent)
Experience focus (one or more):
- •Eligibility and human services systems, including Medicaid, integrated benefits, CMS-aligned initiatives, or eligibility system modernization
- • ERP initiatives, including finance, HR, procurement, or student systems, with hands-on UAT involvement
- • Other large-scale IT modernization initiatives in public-sector or regulated environments
Environment exposure: Experience working with state, city, or county agencies or educational institutions
Change Management
🌱 We engage change management professionals to support adoption, communications, and readiness activities within public-sector modernization initiatives.
Mandatory skills:
- • Experience supporting change management activities, including stakeholder engagement, communications planning, and readiness support
• Ability to develop and maintain change artifacts such as stakeholder analyses, communication plans, training coordination, and adoption tracking
• Strong coordination skills to align change activities with project schedules and delivery milestone
Preferred: Professional change management certification (Prosci preferred)
Experience focus (one or more):
- • Supporting eligibility, ERP, or other IT modernization initiatives in public-sector or regulated environments
- • Experience working alongside project managers, business analysts, and implementation partners
- • Experience supporting organizational change efforts within state, city, or county agencies
Environment exposure: Experience working with public-sector or educational organizations
Security SME
🛡️ We engage security subject matter experts to provide advisory, review, and validation support for public-sector modernization initiatives.
Mandatory skills:
- • Expertise in cybersecurity risk assessment, security controls, and governance within regulated or public-sector environments
- • Experience reviewing system architectures, security documentation, and implementation artifacts for compliance and risk posture
- • Ability to support security planning activities, including security requirements, risk registers, and remediation recommendations
- • Strong documentation skills, including security findings, recommendations, and executive-level summaries
Preferred: Professional security certification (CISSP, CISM, CISA, or equivalent)
Experience focus (one or more):
- • Eligibility and human services systems, including Medicaid, CMS-aligned initiatives, or integrated benefits environments
- • ERP or enterprise systems security, including access controls, role design, and audit readiness
- • Security advisory support for large-scale IT modernization initiatives
- • Experience supporting security reviews in public-sector or regulated environments
Environment exposure: Experience working with state, city, or county agencies or educational institutions
Educational SME
🎓 We engage education subject matter experts to provide advisory, review, and validation support for K–12 and higher-education modernization initiatives.
Mandatory skills:
• Expertise in education-sector operations, governance, and compliance across academic, administrative, and student-facing environments
• Experience advising on education technology initiatives and reviewing implementation artifacts, requirements, or delivery outcomes
• Ability to translate institutional needs into clear guidance for project teams, vendors, and stakeholders
• Strong documentation and communication skills, including findings, recommendations, and executive-level summaries
Preferred: Education, systems, or project-related certification (as applicable)
Experience focus (one or more):
- •Higher-education administrative and student systems, including Ellucian (Banner, Colleague), PeopleSoft Campus Solutions, or similar platforms
- • K–12 education systems, including student information systems (SIS), finance, HR, or district-level administrative platforms
- • ERP initiatives within educational institutions, including finance, HR, procurement, or student systems
- • Advisory or oversight support for large-scale IT modernization initiatives impacting educational organizations
Environment exposure: Experience working with public-sector education entities, including school districts, colleges, universities, or education agencies
Eligibility, Healthcare, or RHTP SME
🏛️ We engage eligibility subject matter experts to provide advisory, review, and validation support for public-sector human services, benefits modernization, and Rural Health Transformation Program (RHTP) initiatives.
Mandatory skills:
- • Deep knowledge of eligibility and benefits programs, including Medicaid, integrated eligibility, and human services environments
- • Strong understanding of CMS policy, guidance, and compliance requirements, including interpretation and application to state and local programs
- • Experience supporting CMS-aligned reporting, documentation, and oversight activities, including performance measures, deliverables, and compliance artifacts
- • Ability to translate eligibility policy and program rules into system, process, operational, and reporting guidance
- • Strong documentation and communication skills, including findings, recommendations, and executive-level summaries
Preferred: Eligibility, public policy, healthcare, or systems-related certification (as applicable)
Experience focus (one or more):
- • Eligibility and human services systems supporting Medicaid, SNAP, TANF, or integrated benefits programs
- • Rural Health Transformation Program (RHTP) initiatives, including grant management, CMS reporting, performance tracking, and compliance support
- • CMS-aligned initiatives involving policy analysis, reporting, federal oversight, or audit readiness
- • Eligibility or benefits system modernization initiatives, including rules engines, case management, data exchanges, or interoperability
- • Advisory or oversight support for large-scale IT modernization initiatives in regulated environments
Environment exposure: Experience working with state, city, or county agencies responsible for health and human services
Procurement SME
🖊️ We engage procurement subject matter experts to provide advisory, review, and execution support for public-sector IT modernization initiatives, with a focus on compliant, efficient acquisition.
Mandatory skills:
- • Deep knowledge of public-sector procurement processes, rules, and compliance requirements at the state, city, county, or education level
- • Experience supporting IT and ERP procurements, including planning, solicitation development, evaluation support, and award processes
- • Ability to develop or review procurement artifacts such as RFIs, RFPs, RFQs, scoring criteria, evaluation tools, and recommendation documentation
- • Experience supporting vendor-neutral evaluation, selection, and negotiation activities
- • Strong documentation and communication skills, including findings, recommendations, and executive-level summaries
Preferred: Public-sector procurement, contracting, or project-related certification (as applicable)
Experience focus (one or more):
- • ERP or enterprise systems procurements, including finance, HR, procurement, or student systems
- • IT modernization procurements supporting eligibility, CMS-aligned initiatives, or RHTP-funded programs
- • Advisory or oversight support for vendor selection, contract structuring, or implementation transition
- • Experience navigating public-sector procurement constraints, timelines, and audit requirements
Environment exposure: Experience working with state, city, or county agencies or public educational institutions