Guidehouse
Solving big problems, building trust in society, and empowering our clients to shape the future.
Senior Consultant
Location
Washington
Posted
1 day ago
Salary
$98K - $163K / year
Bachelor Degree3 yrs expEnglish
Job Description
• Execute the preparation of the CMS-64.10 quarterly sub-schedules, ensuring all administrative expenditures are reported accurately to CMS.
• Oversee the reconciliation and claiming process for Medicaid Administrative Claiming, applying appropriate cost allocation methodologies and federal matching rates (FMAP).
• Monitor and track expenditures against Advanced Planning Documents (APD) and ensure that APD project spending aligns with federal approval.
• Stay abreast of changes in federal claiming policies, to ensure agency reporting remains compliant and audit ready.
• Proactively identify opportunities to streamline data collection and enhance the accuracy of federal reports
Job Requirements
- Bachelor’s degree from an accredited university
- Minimum of 3+ (THREE) years of overall work experience
- Experience working in Federal healthcare or State Medicaid finance
- Experience with healthcare reporting
- Capable of translating complex federal claiming requirements into financial summaries
- Intermediate to Expert MS Excel skills are mandatory and must be comfortable in handling large datasets
- Understanding of Public Assistance Cost Allocation Plans (PACAP)
- Functional understanding of the CMS-64 reporting process, Medicaid Administrative Claiming, and an understanding of the APD/IAPD planning and approval process, with a familiarity of Medicaid data systems (MMIS and E&E)
- Ability to investigate data anomalies and identify the operational factors behind financial results
- Ideal candidate would have worked for a State health and human services agency or with Centers for Medicare and Medicaid Services (CMS)
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave and Adoption Assistance
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Student Loan PayDown
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Mobility Stipend