Managing Consultant

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Collaborate with state agency IT and data personnel, data vendors, state agency finance teams, and other stakeholders to comprehend business logic, rules, mappings, and account coding within MMIS, Medicaid Eligibility & Enrollment (E&E), and/or statewide accounting systems.

• Extract and test data to ensure compliance with federal regulations, state authorities, state reimbursement manuals, and anticipated outcomes based on established data rules.

• Identify and communicate solutions and opportunities for improving data collection processes.

• Improve the accuracy of the foundational data utilized for federal reporting.

• Implement corrections within existing MMIS/E&E systems.

• Examine data discrepancies and determine operational factors influencing financial results.

⛳️ Requirements

• Sponsorship is not required for this position.

• A Bachelor’s degree from an accredited institution is necessary.

• A minimum of 5+ years of overall professional experience is required.

• At least 5+ years of experience in State or Local Government is essential.

• Experience in Federal healthcare or State Medicaid finance is preferred.

• Familiarity with healthcare reporting is beneficial.

• Intermediate to Expert proficiency in MS Excel; comfortable managing large datasets.

• Ability to communicate using Statistical Analysis System (SAS) coding language when formulating questions or data requests.

• Direct experience with a state's MMIS, E&E, and/or data warehouse system, alongside interactions with state data vendors and state technology/finance personnel.

• A functional understanding of the CMS-64/CMS-37/CMS-21 reporting processes and T-MSIS rules/requirements is required.

• Capacity to understand and apply state reimbursement rules within an existing data system according to a state reimbursement manual and/or state authority.

• A self-starter with strong intellectual curiosity, capable of investigating data discrepancies and identifying operational influences on financial results.

• The ideal candidate would have experience working for a State health and human services agency or with the Centers for Medicare and Medicaid Services (CMS).

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave and Adoption Assistance.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability coverage.

• Student Loan PayDown program.

• Tuition Reimbursement, Personal Development & Learning Opportunities.

• Skills Development & Certifications.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach initiatives.

• Emergency Back-Up Childcare Program.

• Mobility Stipend.

• Flexible benefits package.