Certified Public Accountant (CPA) - Medicaid/Medicare

Overview

This role prepares, reviews, and finalizes complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP, or similar programs). The position includes analysis of revenues and expenditures for classification, allowability, and allocation; reconciliation of general ledger accounts; coordination with clients to resolve discrepancies; support for external audits; and documentation of accounting conclusions to support transparency and audit readiness. The role also supervises a team of accountants.

Responsibilities

• Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP, or similar programs), ensuring 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.

Requirements / Required Skills

• 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).
• Ability to work with confidential information with discretion.

Qualifications

• Certified Public Accountant 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, with strong understanding of GAAP.
• Supervisory experience required.

Compensation & Benefits

• Compensation: $100,000 - $120,000
• Benefits include medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.
• Compensation varies depending on the specific office location, role, skill set, and level of experience. As required by applicable law, a reasonable range of compensation is provided for this role.

Location / Working Conditions

• Remote Setting

Work Authorization

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

Note

Responsibilities may change as the department and the organization grow and as deemed necessary by management.