State Health - Senior Consultant
About The Position
This role is within the State Health practice, focusing on Strategy & Transformation Consulting. The Senior Consultant will be responsible for executing the preparation of CMS-64.10 quarterly sub-schedules, ensuring accurate reporting of administrative expenditures to CMS. They will oversee the reconciliation and claiming process for Medicaid Administrative Claiming, applying appropriate cost allocation methodologies and federal matching rates (FMAP). The position involves monitoring and tracking expenditures against Advanced Planning Documents (APD) to ensure alignment with federal approval, and staying updated on changes in federal claiming policies to maintain compliance and audit readiness. A key aspect of the role is proactively identifying opportunities to streamline data collection and improve 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
Nice To Haves
- 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)
- Self-starter with strong intellectual curiosity, able to investigate data anomalies and identify the operational factors behind financial results
- Worked for a State health and human services agency or with Centers for Medicare and Medicaid Services (CMS)
Responsibilities
- 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.
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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
