Job Family:Strategy & Transformation Consulting
Travel Required:None
Clearance Required:None
What You Will Do:Work with state agency I.T. and data staff, data vendors, state agency finance staff as well as other stakeholders to understand the business logic, rules, mappings, account coding within an existing Medicaid Management Information System (MMIS), Medicaid Eligibility and Enrollment System (E&E) and/or statewide accounting system. Also, working within these same teams and/or data systems, extract and test data for compliance to federal rules/guidance, state authorities (i.e. state plan amendment (SPA)), state reimbursement manuals, and expected outcomes based on existing data rules. Finally, proactively identify and communicate solutions/opportunities to streamline data collection, enhance the accuracy of underlying data used for federal reports, and make corrections within the existing MMIS/E&E systems.
What You Will Need:- No sponsorship required for this position
- Bachelors degree from an accredited university
- Minimum of 5+ (FIVE) years of overall work experience
- Minimum of 5+ (FIVE) years experience with State or Local Government
- Experience working in Federal healthcare or State Medicaid finance
- Experience with healthcare reporting
What Would Be Nice to Have:- Intermediate to Expert MS Excel skills are mandatory and must be comfortable in handling large datasets
- Ability to communicate Statistical Analysis System (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, state's data vendors and state technology/finance staff.
- Functional understanding of the CMS-64/CMS-37/CMS-21 reporting process as well as Transformed Medicaid Statistical Information System (T-MSIS) rules/requirements.
- Ability to understand and apply state reimbursement rules to an existing data system per a state reimbursement manual and/or state authority (i.e. state plan).
- You should be a self-starter with strong intellectual curiosity, able to investigate data anomalies and identify the operational factors behind financial results.
- Ideal candidate would have worked for a State health and human services agency or with Centers for Medicare and Medicaid Services (CMS).
# LI-DNI
The annual salary range for this position is $102,000.00-$170,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
- 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
