Senior Consultant
Guidehouse
full-time
Posted on:
Location Type: Remote
Location: Washington • United States
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Salary
💰 $98,000 - $163,000 per year
Job Level
About the role
- 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CMS-64 reportingMedicaid Administrative Claimingcost allocation methodologiesfederal matching rates (FMAP)healthcare reportingdata analysisPublic Assistance Cost Allocation Plans (PACAP)MS Excellarge dataset managementMedicaid data systems
Soft Skills
analytical skillsattention to detailproblem-solvingcommunication skillsorganizational skills
Certifications
Bachelor’s degree