Medicaid/Medicare Staff Accountant 2

Overview

A public sector solutions firm is seeking a professional to prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings. This role involves ensuring compliance with federal and state regulations, analyzing revenues and expenditures, and supporting audit processes. The position is remote and requires strong accounting expertise, particularly in healthcare reimbursement and government accounting principles.

Responsibilities

• Prepare, review, and finalize Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP).
• Ensure compliance with federal and state regulations.
• Analyze revenues and expenditures for proper classification, allowability, and allocation.
• Research and interpret accounting guidance, program regulations, and cost principles such as Uniform Guidance.
• Reconcile general ledger accounts and investigate variances, trends, and unusual transactions.
• Coordinate with clients to obtain documentation, clarify transactions, 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 policies.
• Communicate regularly with clients via meetings and email.
• Adapt responsibilities as needed based on departmental growth and management direction.

Required Skills

• Ability to analyze account fluctuations and year-to-year variances.
• Identify and correct unusual items or issues.
• Ensure reporting aligns with GAAP and GASB principles.
• Strong prioritization and multitasking abilities.
• Excellent organizational, verbal, and written communication skills.
• Ability to analyze complex financial data and communicate conclusions clearly.
• Proficiency in Microsoft Excel, including formulas, pivot tables, and data analysis.
• Discretion in handling confidential information.

Qualifications

• Bachelor’s degree in Accounting or related field; Master’s degree preferred.
• Experience with Medicare regulations and reimbursement manuals.
• Knowledge of Federal and State Medicaid policies and healthcare reimbursement regulations.
• Experience with audits and regulatory reviews.
• Minimum 2-4 years of accounting experience.

Preferred Qualifications

• 1-2 years’ experience with Medicaid and/or Medicare cost reports, grant reporting, or regulated reimbursement programs.
• Familiarity with government accounting principles.
• CPA certification or progress toward CPA licensure.

Working Conditions

• Remote work environment.

Supervisory Responsibility

• None.

Compensation & Benefits

• Salary range: $75,000 - $85,000.
• Benefits include medical and dental care, 401(k), paid time off, parental leave, and bereavement leave.
• The employer does not sponsor work authorization for newly hired foreign nationals, including H-1B sponsorship.

Equal Employment Opportunity

The employer is an Equal Opportunity Employer committed to diversity and inclusion. Employment decisions are based on merit, business needs, job requirements, and individual qualifications without discrimination based on race, color, religion, national origin, sex, gender identity or expression, age, disability, sexual orientation, marital status, military service, citizenship status, or any other protected status under applicable law.