Managing Consultant

Guidehouse

Managing Consultant overseeing CMS-64 reporting, Medicaid administrative claiming, and APD expenditure compliance for Guidehouse. Supporting accurate, audit-ready federal healthcare finance.

Posted 9/4/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $102,000 - $170,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid Administrative Claiming, federal healthcare finance, and compliance with CMS reporting requirements. Proficient in data analysis and financial reporting, with strong capabilities in MS Excel and cost allocation methodologies.

Highest-signal resume keywords

Medicaid Administrative ClaimingCMS-64 Reporting ProcessPublic Assistance Cost Allocation PlansIntermediate to Expert MS Excel SkillsFederal Healthcare Finance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Cost Allocation MethodologiesData AnalysisFinancial ReportingHealthcare ReportingData Anomaly Investigation

Tools & Technologies

Medicaid Data SystemsMMISE&E

Industry Keywords

Federal Claiming PolicyState Medicaid FinanceAdvanced Planning DocumentsAudit ReadinessState Health and Human Services

About the role

Key responsibilities & impact

Prepare CMS-64.10 quarterly sub-schedules, ensuring administrative expenditures are reported accurately to CMS
Oversee reconciliation and claiming for Medicaid Administrative Claiming
Apply appropriate cost allocation methodologies and federal matching rates (FMAP)
Monitor and track expenditures against Advanced Planning Documents (APD)
Ensure APD project spending aligns with federal approval
Stay current on federal claiming policy changes
Ensure agency reporting remains compliant and audit ready
Identify opportunities to streamline data collection and improve federal report accuracy

Requirements

What you’ll need

No sponsorship required for this position
Bachelors degree from an accredited university
Minimum of 5+ (FIVE) years of overall work experience
Minimum of 5+ (FIVE) years experience with State or Local Government
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; comfortable handling large datasets
Understanding of Public Assistance Cost Allocation Plans (PACAP)
Functional understanding of the CMS-64 reporting process, Medicaid Administrative Claiming, and APD/IAPD planning and approval process
Familiarity with Medicaid data systems (MMIS and E&E)
Ability to investigate data anomalies and identify 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

Comp & perks

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
Flexible benefits package