Certified Public Accountant (CPA) - Medicaid/Medicare

Public Consulting Group•US NY Remote, NY

1d•$100,000 - $120,000•Remote

About The Position

Public Consulting Group LLC is hiring a Certified Public Accountant to support Medicaid and Medicare cost reporting and reimbursement work. The role prepares, reviews, and finalizes complex Medicaid cost reports and supplemental payment program filings, ensuring compliance with federal and state regulations. It analyzes financial activity, interprets accounting guidance and program regulations, reconciles accounts, supports audits, and documents accounting conclusions and methodologies. The position also contributes to process improvements and communicates regularly with clients. The CPA will supervise a team of accountants. The position is remote. Responsibilities may change as the department and PCG grow and as deemed necessary by management.

Requirements

Certified Public Accountant (CPA) license required.
Bachelor’s degree in Accounting or a related field.
At least 7 years of prior accounting experience.
Strong understanding of GAAP.
Experience with Medicare regulations and the reimbursement manual.
Supervisory experience required.
Ability to analyze account fluctuations and year-to-year variances.
Ability to identify unusual items or issues and correct them going forward.
Ensure reporting is consistent with GAAP and Governmental Accounting Standards Board (GASB) principles.
Ability to prioritize and manage multiple activity streams.
Excellent organizational, verbal, and written communication skills.
Ability to analyze complex financial data and clearly communicate conclusions in writing and verbally.
Strong written communication skills for workpapers and audit responses.
Proficiency in Microsoft applications, especially Excel, including formulas, pivot tables, and data analysis.
Discretion when working with confidential information.

Nice To Haves

Master’s degree in Accounting or a related field preferred.

Responsibilities

Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings, such as GEMT and ASPP, in compliance with federal and state regulations.
Analyze revenues and expenditures to determine appropriate classification, allowability, and allocation for cost reporting.
Research and interpret accounting guidance, program regulations, and cost principles, including Uniform Guidance, to support reporting and audit responses.
Reconcile general ledger accounts and investigate variances, trends, and unusual transactions.
Coordinate with clients to obtain supporting documentation, clarify transaction details, and resolve discrepancies.
Assist with external audits by preparing schedules, workpapers, and written explanations.
Document accounting conclusions and methodologies to support transparency and audit readiness.
Support process improvements related to cost reporting, reconciliations, financial controls, policies, and procedures.
Communicate regularly with clients via meetings and email.
Supervise a team of accountants.