Certified Public Accountant (CPA) - Medicaid/Medicare

Overview

This role involves preparing and managing complex Medicaid cost reporting and supplemental payment program filings, supporting audit readiness, and supervising a team of accountants. Work is performed in a remote setting.

Responsibilities

• Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP, or similar programs) to ensure compliance with federal and state regulations.
• Analyze revenues and expenditures to determine appropriate classification, allowability, and allocation for cost reporting purposes.
• Research and interpret accounting guidance, program regulations, and cost principles (e.g., Uniform Guidance) to support proper reporting and audit responses.
• Reconcile general ledger accounts and investigate variances, trends, and unusual transactions.
• Coordinate with clients to obtain supporting documentation, clarify transaction details, and resolve discrepancies.
• Assist with external audits by preparing schedules, workpapers, and written explanations.
• Document accounting conclusions and methodologies to support transparency and audit readiness.
• Support process improvements related to cost reporting, reconciliations, financial controls, and policy and procedures.
• Communicate regularly with clients via meetings and email.
• Supervise a team of accountants.
• Other duties may be assigned as the department and organization grow and as needed by management.

Requirements

• Ability to analyze account fluctuations and year-to-year variances.
• Ability to identify unusual items or issues and correct them going forward.
• Ensure reporting is consistent with generally accepted accounting (GAAP) and government accounting standard board (GASB) principles.
• Effective ability to prioritize and manage multiple activity streams.
• Excellent organizational skills, verbal, and written communication skills.
• Ability to analyze complex financial data and clearly communicate conclusions in writing and verbally.
• Strong written communication skills for workpapers and audit responses.
• Proficiency in Microsoft applications, especially Microsoft Excel (e.g., formulas, pivot tables, data analysis).
• Discretion to work with confidential information.

Qualifications

• Certified Public Accountant (CPA) license required.
• Bachelor’s degree in Accounting or related field; Master’s degree in Accounting or related field preferred.
• Experience with Medicare regulations and reimbursement manual.
• 7+ years of prior experience in accounting; strong understanding of GAAP.
• Supervisory experience required.

Compensation & Benefits

• Base salary range: $100,000 - $120,000
• Medical and dental care benefits
• 401k
• PTO
• Parental leave
• Bereavement leave

Location

• Remote setting

Work Authorization

• Does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

Equal Employment Opportunity

The organization is an Equal Opportunity Employer committed to diversity and inclusion. Employment decisions are based on merit, business needs, job requirements, and individual qualifications. Discrimination and harassment are not tolerated.