Senior Healthcare Consultant - Public Program Fina

at MILLIMAN, INC. in Chicago, Illinois, United States

Job Description

Description

Milliman's Medicaid Finance & Policy Practice is seeking a Senior Healthcare Consultant - Public Program Financing CPA to join our team. This position is ideal for an experienced accountant interested in working in a multidisciplinary team environment to help state Medicaid agencies and other health & human services clients implement payment and cost reporting initiatives. We are seeking an individual with experience analyzing, reporting, & auditing provider costs and leading project teams. Typical projects will be related to reimbursement methodology design, payment rate development and program funding strategies for wide range of provider services, including hospital, nursing facility, physician, behavioral health, residential, home and community-based services (HCBS), and child welfare.
About Our Practice
Milliman's Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.
Responsibilities
Manage project workstreams related to cost reporting, including:
Assessment of cost reporting needs to support payment rate development
Development and administration of cost reporting tools, including provider training, responding to provider questions, and following up with providers on issues related to cost data submission
Development of cost reporting requirements and guidelines, including standardized chart of accounts and cost allocation
Developing and implementing protocols for review and audits of submitted cost data
Analysis of healthcare provider financial data collected through cost reporting tools, including existing tools and newly developed tools
Coordinate work across multidisciplinary teams that include policy experts and actuaries
Oversee data analysts and other healthcare professionals supporting cost reporting workstreams, including reviewing analytic work and ensuring Milliman's quality control processes and procedures are being followed
Draft client reports and presentation materials
Develop and implement external stakeholder engagement strategies related to cost reporting processes
Support business development efforts and additional growth opportunities
Professional Qualifications
Bachelor's Degree required, with a preference for degrees in accounting, finance, business administration, or similar field
Active Certified Public Accounting (CPA) license required
8+ years experience analyzing, reporting, and auditing financial data for healthcare providers, with a preference given to applicants who also have experience with child welfare data
8+ years experience completing, reviewing or auditing state or federal cost reports for healthcare providers, with a preference given to applicants who also have experience with cost reports for child welfare providers
Experience researching, analyzing, and summarizing Federal and state regulations related to financial reporting for healthcare providers, with a preference given to applicants who also have experience with regulations related to financial reporting for child welfare providers
Working knowledge of Medicaid program rules and regulations for provider payments, with a preference given to applicants who also have experience with rules and regulations for payments to child welfare... For full info follow application link.

Milliman is an equal opportunity employer

Our company, with the full support of our Chief Executive Officer, is fully committed to the maximum utilization of all human resources and the goals of Equal Employment Opportunity and Affirmative Action. We recruit, hire, train, and promote, and consider qualified applicants for employment, in all job titles without regard to age, ancestry, citizenship status, color, creed, familial status, genetic information, marital status, national origin, political ideology, race, religion, sex, sexual orientation, gender identity, status as an individual with a disability, or veteran status, including qualified disabled veterans, Armed Forces service medal veterans, recently separated veterans, and active duty wartime or campaign badge veterans; and shall not discriminate against any individual, or any other characteristic protected by law.

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