Senior Consultant, Healthcare Finance (Healthcare & Medicaid Finance and Analysis)

Sellers Dorsey

1d • $95,800 - $130,000

About The Position

Sellers Dorsey is seeking a Senior Consultant, Healthcare Finance, to support Directors, Associate Directors, and Engagement Managers in the timely and effective delivery of healthcare finance consulting services. The role supports project teams in developing and implementing business practices and healthcare financing and quality improvement initiatives. It assists with financial modeling, data analytics, and processes that guide service delivery and client satisfaction, while improving standardization at critical project junctures through detailed analysis.

The Senior Consultant works in a team environment to develop processes and analysis that help project teams deliver value to clients and run projects efficiently. The position creates and maintains financial models and data resources, interprets Medicaid policy and payment programs, contributes to client deliverables and CMS documentation, and communicates technical concepts to both technical and non-technical audiences.

Sellers Dorsey is a healthcare impact strategy firm working with providers, managed care organizations, state entities, and others to design, implement, fund, and optimize sustainable programs for underserved communities. Its team has experience in Medicaid, healthcare policy, health plans, and hospitals.

Requirements

• Bachelor’s degree required.
• Seven to ten or more years of progressively responsible technical work experience in health or human services policy research, consulting, or a healthcare service delivery environment; alternatively, five or more years of post-graduate progressively responsible consulting or operational experience in healthcare or health policy research and analysis. Experience should primarily be technical, such as data analytics, claims analysis, or financial analysis.
• Proficiency in Microsoft Word and advanced Excel.
• Excellent oral and written communication skills, including the ability to explain complex technical terms clearly to technical and non-technical peers.
• Strong ability to research, analyze, and interpret financial data from multiple healthcare-related sources.
• Ability to interact professionally with clients and other external audiences.
• Strong analytical and problem-solving skills.
• Ability to work effectively independently and as part of a team.
• Ability to deliver services on several projects simultaneously.
• Time-management skills.
• Authorization to work in the United States; the employer does not sponsor employment visas.
• Successful completion of a background check is required for employment.

Nice To Haves

• Advanced degree in Public Policy, Public Administration, Public Health, Health Administration, business, economics, mathematics, accounting, or an MBA; a master’s degree in mathematics or accounting is an additional plus.
• CPA certification and/or advanced training in actuarial science.
• Expertise with Medicaid.
• Advanced experience in federal or state government or the private healthcare industry.
• Experience with SQL, SAS, or another data language.
• Expertise in healthcare billing, claims work, or another healthcare data-related field.

Responsibilities

• Create models and projections using multiple data sources; communicate assumptions, potential shortcomings, and additional data or information needs to project teams.
• Interpret Medicaid State Plan Amendments and research state regulations, rules, and SPAs to recreate or reverse-engineer supplemental payment models, programs, and payment estimates.
• Analyze existing Excel models and reproduce programs using prior-year methodologies.
• Recreate complex calculations, including intergovernmental transfer (IGT) and tax models, from limited information such as PDFs, rules, and other sources.
• Answer detailed CMS questions about models, calculations, and figures in preprint submissions and supporting documents.
• Train and onboard team members by communicating program details and explaining complex calculations to both subject matter experts and non-experts.
• Create data requests tailored to project and client needs; review received files for quality and completeness, provide feedback, and lead discussions about concerns.
• Clean, organize, and link multiple client and third-party or government data sources to establish a comprehensive client data source.
• Participate in the sales lifecycle by assisting with assessments and calculating high-level financial estimates for early project development.
• Create dynamic financial models using client data, develop solutions tailored to client needs, oversee model optimization, and explain the benefits and risks of model options to project teams.
• Monitor CMS and state Medicaid policy and regulatory developments and interpret relevant national, state, and local policies and payments to inform financial modeling.
• Advise on technical components of client deliverables, including PowerPoint presentations and one-page documents.
• Assist with preprint, waiver, and other required documentation, and collaborate with project teams on CMS communications as needed.
• Prepare project management teams for client engagements by demonstrating data deliverables; explain technical concepts to non-technical audiences; participate in and lead project engagements as needed.
• Create and maintain firmwide resources that support sales, including national modeling and data-request templates.
• Assist in developing firmwide training on healthcare finance topics, including Medicaid finance, GME, billing, and ambulance services.
• Perform other duties as assigned.

Benefits

• Annual Corporate Incentive Plan, with incentive compensation of up to 9% of annual salary.
• Group medical, dental, and vision plans for eligible employees and eligible dependents.
• Short-term disability, long-term disability, and basic life insurance plans.
• 401(k) plan, subject to plan requirements.
• Flexible Time Off.
• 16 paid holidays per calendar year.
• Paid time off for qualifying medical leave.
• Up to 12 weeks of combined paid parental and bonding leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior