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Senior Healthcare Consultant - Public Program Financing CPA
Senior Healthcare Consultant - Public Program Financing CPA-April 2024
Seattle
Apr 1, 2026
About Senior Healthcare Consultant - Public Program Financing CPA

  DescriptionMilliman's Medicaid Finance and Policy Practice is seeking a Senior Healthcare Consultant - Public Program Financing CPA to join our team. This position is ideal for experienced accountants interested in developing and implementing cost report tools and guidance related to payment system design and rate setting for state Medicaid and child welfare agencies. We are seeking individuals with experience analyzing, reporting, and auditing provider costs for purposes of public program payment rate development. Typical projects will be related to reimbursement methodology design, payment rate development and program funding strategies for wide range of provider services, including hospital, nursing facility, physician, behavioral health, residential, and home and community-based services (HCBS).About Our PracticeMilliman's Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations, and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.ResponsibilitiesManage project workstreams related to cost reporting, including:Assessment of cost reporting needs to support payment rate developmentDevelopment and administration of cost reporting tools, including provider training, responding to provider questions, and following up with providers on issues related to cost data submissionDevelopment of cost reporting requirements and guidelines, including standardized chart of accounts and cost allocationDeveloping and implementing protocols for review and audits of submitted cost dataAnalysis of healthcare provider financial data collected through cost reporting tools, including existing tools and newly developed toolsOversee data analysts and other healthcare professionals supporting cost reporting workstreams, including reviewing analytic work and ensuring Milliman's quality control processes and procedures are being followedDraft client reports and presentation materialsDevelop and implement external stakeholder engagement strategies related to cost reporting processesSupport business development efforts and additional growth opportunitiesProfessional QualificationsBachelor's Degree required, with a preference for degrees in accounting, finance, business administration, or similar fieldActive Certified Public Accounting (CPA) license required10+ years experience analyzing, reporting, and auditing financial data for healthcare providers, with a preference given to applicants who also have experience with child welfare data10+ years experience completing, reviewing or auditing state or federal cost reports for healthcare providers, with a preference given to applicants who also have experience with cost reports for child welfare providersExperience researching, analyzing, and summarizing Federal and state regulations related to financial reporting for healthcare providers, with a preference given to applicants who also have experience with regulations related to financial reporting for child welfare providersWorking knowledge of Medicaid program rules and regulations for provider payments, with a preference given to applicants who also have experience with rules and regulations for payments to child welfare providersPersonal QualificationsProficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPointStrong organization skills and attention to detailAbility to manage multiple projects at the same timeInterest and aptitude for performing and managing detail-oriented analytical workAbility to effectively communicate technical information and co

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