State Health - Managing Consultant
About The Position
The Managing Consultant works with state agency IT and data staff, data vendors, state agency finance staff, and other stakeholders to understand business logic, rules, mappings, and account coding in existing Medicaid Management Information Systems (MMIS), Medicaid Eligibility and Enrollment (E&E) systems, and/or statewide accounting systems. The role also works with these teams and systems to extract and test data for compliance with federal rules and guidance, state authorities such as state plan amendments, state reimbursement manuals, and expected outcomes based on existing data rules. The consultant proactively identifies and communicates solutions and opportunities to streamline data collection, improve the accuracy of underlying data used for federal reports, and make corrections within existing MMIS/E&E systems.
Requirements
- Bachelor's degree from an accredited university.
- At least 5 years of overall work experience.
- At least 5 years of experience with State or Local Government.
- Experience working in Federal healthcare or State Medicaid finance.
- Experience with healthcare reporting.
- No sponsorship is required for this position.
Nice To Haves
- Intermediate to expert MS Excel skills; comfort handling large datasets.
- Ability to communicate SAS coding language when preparing questions or requests for data.
- Experience working directly within a state's MMIS, E&E, and/or data warehouse system, with state data vendors and state technology/finance staff.
- Functional understanding of CMS-64/CMS-37/CMS-21 reporting and T-MSIS rules and requirements.
- Ability to understand and apply state reimbursement rules to an existing data system based on a state reimbursement manual and/or state authority, such as a state plan.
- Self-starter with strong intellectual curiosity and the ability to investigate data anomalies and identify operational factors behind financial results.
- Experience working for a State health and human services agency or with CMS.
Responsibilities
- Work with state agency IT and data staff, data vendors, state agency finance staff, and other stakeholders to understand business logic, rules, mappings, and account coding in existing MMIS, E&E, and/or statewide accounting systems.
- Extract and test data for compliance with federal rules and guidance, state authorities, reimbursement manuals, and expected outcomes based on existing data rules.
- Identify and communicate opportunities to streamline data collection and improve the accuracy of underlying data used for federal reports.
- Make corrections within existing MMIS/E&E systems.
Benefits
- Medical, prescription, dental, and vision insurance.
- Personal and family sick time and company-paid holidays.
- May be eligible for a discretionary variable incentive bonus.
- Parental leave and adoption assistance.
- 401(k) retirement plan.
- Basic life and supplemental life insurance.
- Health Savings Account and dental/vision and dependent care Flexible Spending Accounts.
- Short-term and long-term disability.
- Student loan paydown.
- Tuition reimbursement, personal development, and learning opportunities.
- Skills development and certifications.
- Employee referral program.
- Corporate-sponsored events and community outreach.
- Emergency backup childcare program.
- Mobility stipend.
- Flexible benefits package.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
