State Health - Senior Consultant
About The Position
The Senior Consultant will support state health and Medicaid finance work by preparing and ensuring the accuracy of CMS-64.10 quarterly sub-schedules, including reporting administrative expenditures to CMS. The role oversees reconciliation and claiming for Medicaid Administrative Claiming, applying appropriate cost allocation methodologies and federal matching rates (FMAP). It also monitors expenditures against Advanced Planning Documents (APDs) and checks that project spending aligns with federal approvals. The consultant tracks changes in federal claiming policies to help keep agency reporting compliant and audit-ready, and identifies opportunities to streamline data collection and improve federal reporting accuracy.
Requirements
- Bachelor’s degree from an accredited college or university.
- At least 3 years of overall work experience.
- Experience working in federal healthcare or State Medicaid finance.
- Experience with healthcare reporting.
- Ability to translate complex federal claiming requirements into financial summaries.
Nice To Haves
- Intermediate to expert MS Excel skills and comfort handling large datasets.
- Understanding of Public Assistance Cost Allocation Plans (PACAP).
- Functional understanding of the CMS-64 reporting process and Medicaid Administrative Claiming.
- Understanding of the APD/IAPD planning and approval process.
- Familiarity with Medicaid data systems, including MMIS and E&E.
- 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 the Centers for Medicare and Medicaid Services (CMS).
Responsibilities
- Prepare CMS-64.10 quarterly sub-schedules and ensure administrative expenditures are accurately reported to CMS.
- Oversee reconciliation and claiming for Medicaid Administrative Claiming using appropriate cost allocation methodologies and federal matching rates (FMAP).
- Monitor expenditures against Advanced Planning Documents (APDs) and ensure project spending aligns with federal approval.
- Stay current on federal claiming policy changes to support compliant, audit-ready agency reporting.
- Identify opportunities to streamline data collection and improve the accuracy of federal reports.
Benefits
- Medical, prescription drug, dental, and vision insurance
- Personal and family sick time
- Company-paid holidays
- Potential eligibility for a discretionary variable incentive bonus
- Parental leave
- Adoption assistance
- 401(k) retirement plan
- Basic life and supplemental life insurance
- Health Savings Account
- 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 back-up childcare program
- Mobility stipend
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What This Job Offers
Job Type
Full-time
Career Level
Senior
