Guidehouse

Solving big problems, building trust in society, and empowering our clients to shape the future.

Senior Consultant

Full TimeRemoteTeam 10,001+Since 2018H1B SponsorCompany SiteLinkedIn

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

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