See all roles

State Health - Senior Consultant

Work from home Full-time role Hiring

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 an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement

apply to this job

You might like

Healthcare Compliance Analyst (Remote with travel)

Work from home Full-time role

AVP, Compliance (Remote in Washington State)

Work from home Full-time role

Sr. Data Analyst/Risk Adjustment - US Remote

Work from home Full-time role

Healthcare Consultant I - Miami Dade

Work from home Full-time role

Senior Analyst or Consultant, Revenue Cycle, He...

Work from home Full-time role

Healthcare Compliance Analyst HYBRID - ONSITE...

Work from home Full-time role

Compliance Manager – Medicare / Health Insurance

Work from home Full-time role

[Hiring] Healthcare Compliance Director @Equip ...

Work from home Full-time role

Director Coding & Auditing, Remote, Health Info...

Work from home Full-time role

Healthcare Compliance Auditing Specialist- Remo...

Work from home Full-time role

Site Reliability Engineer 2 DevOps | REMOTE (ship required)

Work from home Full-time role

Customer Experience Ambassador, arenaflex Centurion Lounge - CLT

Work from home Full-time role

Experienced Live Chat Support Associate – Remote Customer Service Representative at arenaflex

Work from home Full-time role

Analytical Business Advisor (Analytics Sales Consultant) - Fintech

Work from home Full-time role

Executive Assistant (100% Remote, Part-time or Full-time)

Work from home Full-time role

Payroll Analyst at Family Resource Home Care

Work from home Full-time role

Technical Solutions Builder – Marketing AI

Work from home Full-time role

DevSecOps Engineer

Work from home Full-time role

Part-Time Care Agent - NV

Work from home Full-time role

Experienced Customer Service Associate – E-commerce and Online Data Entry Specialist for Lucrative Work-from-Home Opportunities with Daily Payments at arenaflex

Work from home Full-time role