Senior Consultant, Healthcare Finance – Healthcare & Medicaid Finance and Analysis

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

📋 Description

• Assist Directors, Associate Directors, and Engagement Managers in providing healthcare finance consulting services.

• Aid project teams in formulating and executing business practices, as well as healthcare financing and quality enhancement initiatives.

• Design and implement financial modeling, data analytics, and processes that guide service delivery and ensure client satisfaction.

• Develop models and forecasts utilizing various data sources while clearly communicating assumptions and potential limitations.

• Analyze Medicaid State Plan Amendments, state regulations, rules, and SPAs in order to reconstruct supplemental payment models and estimates.

• Examine Excel models to replicate or reproduce methodologies from previous program years.

• Recreate intricate calculations, such as IGT and tax models, from PDFs, regulations, and sparse information.

• Respond to CMS inquiries regarding models, calculations, and figures included in preprint submissions.

• Educate and communicate program specifics and complex calculations to new team members and non-experts.

• Generate project- and client-specific data requests; assess files for quality and completeness, providing feedback as necessary.

• Clean, arrange, and connect multiple client and public data sources into thorough client data sets.

• Support the sales lifecycle through evaluations and high-level financial estimates.

• Build dynamic financial models using client data and refine models iteratively.

• Present different model options while clarifying the advantages and risks associated with each.

• Keep track of CMS and state Medicaid policy and regulation changes and interpret policies and payments.

• Provide guidance on the technical aspects of client deliverables, including PowerPoint presentations and one-page documents.

• Aid in the preparation of preprint, waiver, and other necessary documentation.

• Collaborate with project teams on communications with CMS.

• Equip project management teams for client engagements with detailed demonstrations of data deliverables.

• Engage in and lead project initiatives as required.

• Develop and sustain firmwide sales resources, including modeling and data request templates.

• Contribute to the creation of firmwide healthcare finance training opportunities.

• Perform additional tasks as assigned.

⛳️ Requirements

• Bachelor’s degree is mandatory.

• An advanced degree in Public Policy, Public Administration, Public Health, Health Administration, business, economics, Mathematics, Accounting, or an MBA is preferred.

• A Master’s degree in mathematics or accounting is an asset.

• CPA certification and/or further training in actuarial science is preferred.

• 7–10 years or more of progressively responsible experience in a technical role in health or human services policy research, consulting, and/or a healthcare service delivery environment, or 5+ years of post-graduate, progressively responsible experience in consulting or operational roles in health care and/or health policy research/analysis.

• Experience primarily in a technical capacity such as data analytics, claims analysis, financial analysis, or a similar field.

• Proficiency in Microsoft Word and Advanced Excel is essential.

• Expertise in Medicaid is preferred.

• Advanced experience in federal or state government or the private healthcare industry is preferred.

• Familiarity with SQL, SAS, or other data languages is preferred.

• Expertise in healthcare billing, claims work, or other healthcare data-related fields is preferred.

• Exceptional oral and written communication skills, including the ability to convey complex technical terms in a comprehensible manner.

• Strong ability to research, analyze, and interpret financial data from multiple healthcare-related sources.

• Capacity to interact professionally with clients and other external audiences.

• Strong analytical and problem-solving abilities are required.

• Ability to work effectively both independently and as part of a team.

• Capability to deliver services on various projects simultaneously.

• Time management skills are essential.

• Applicants must have authorization to work in the United States.

• Sellers Dorsey does not sponsor employment visas.

• Employment is contingent upon the successful completion of a background check.

🏝️ Benefits

• Annual Corporate Incentive Plan (CIP) that may reach up to 9% of annual salary.

• Group healthcare plans that include medical, dental, and vision coverage.

• Short-term disability, long-term disability, and basic life insurance options.

• 401(k) retirement plan.

• Flexible Time Off policy.

• 16 paid holidays throughout the year.

• Paid time off for eligible medical leave.

• Up to 12 weeks of combined paid parental and bonding leave.