Guidehouse

State Health - Senior Consultant

Guidehouse$98K — $163K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree from an accredited university
  • Minimum of 3+ years overall work experience
  • Experience in Federal healthcare or State Medicaid finance
  • Proficient in healthcare reporting
  • Ability to translate complex federal claiming requirements into financial summaries

Responsibilities

  • Prepare CMS-64.10 quarterly sub-schedules for accurate reports to CMS
  • Oversee Medicaid Administrative Claiming reconciliation and claiming process
  • Monitor expenditures against Advanced Planning Documents (APD) for compliance
  • Stay updated on federal claiming policy changes to ensure compliance and audit readiness
  • Identify opportunities to streamline data collection and enhance report accuracy

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Discretionary variable incentive bonus eligibility
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life insurance
  • Health Savings Account and Flexible Spending Accounts
  • Short-Term & Long-Term Disability coverage
  • Student Loan PayDown initiative
  • Tuition Reimbursement and Personal Development opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • Mobility Stipend
Full Job Description
Job Family:
Strategy & Transformation Consulting

Travel Required:
Up to 25%

Clearance Required:
None

What You Will Do:

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

What You Will Need:
  • 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


What Would Be Nice to Have:
  • 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)
  • 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)


The annual salary range for this position is $98,000.00-$163,000.00. 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


About Guidehouse

Guidehouse is a management consulting firm headquartered in Washington, D.C. The firm provides consulting services to clients in the public and commercial sectors, with a focus on energy, financial services, healthcare, national security, and aerospace and defense. Guidehouse was founded in 2018 as a spin-off from PwC. The firm has over 7,000 employees and operates in more than 50 locations worldwide.
Learn more about Guidehouse
Size
8,000 employees
Industry
Founded
2018

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