PACE Health Care Consultant

at CBIZ Benefits and Insurance Services Inc in Indianapolis, Indiana, United States

Job Description

Exempt/Non-Exempt:
Exempt

Scheduled Hours Per Week:
40

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health and human service programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 20 offices and have over 900 associates nationwide.
At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team.
What We Offer:
Health, Dental, and Vision insurance along with other competitive employee benefits
Vacation time, sick time, paid holidays, and two floating holidays
Paid Parental Leave and available support resources
401K with company matching for eligible employees
Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
A combination of technical and leadership development training at each career milestone
Up to six counseling sessions per year for eligible employees through our Employee Assistance Program
Position Overview:
The health care consultant will work with the project team to analyze health care information, research federal and state Medicaid policies and regulations and laws and help monitor compliance. The position will support projects related to policy development, program implementation, program expansion, policy analysis, rates and reimbursement, and quality outcomes. Specific projects of immediate focus will involve the Program of All-Inclusive Care for the Elderly (PACE). Work will include supporting the team with a number feasibility studies, new program implementations, program expansions, policy development, and state readiness reviews. Other work will include rate and reimbursement projects, upper payment limit calculations, dashboard development, data analysis, process documentation, and other projects as assigned.
Essential Functions:
Demonstrate an understanding of and working knowledge of PACE programs for state departments of aging or Medicaid agencies and/or government health and human services, including the Centers for Medicare & Medicaid Services, supporting PACE programs

Research Medicaid and Medicare policies, procedures, code of federal regulations, and best practices of PACE services

Research and stay abreast of efficacy, outcomes, and emergency trends in PACE services

Work with health care provider cost and financial data

Assist with rate and reimbursement calculations

Work with claims data

Develop client, project, and policy related subject matter expertise

Prepare documents supporting professional decisions

Review applicable federal and state regulations, statutes, and policies

Demonstrate excellence in communication skills, data gathering, analysis, and reporting

Maintain security and confidentiality of all protected health information

Be receptive to learning and working in a team environment

Must be able to travel on occasion based on business and client needs

Additional responsibilities as assigned
Requirements:
Bachelor's Degree from accredited college or university required. Degree in economics, health informatics, health administration, accounting, or business administration is preferred.

A minimum of three years-experience, within the last five years, and familiarity with federal Medicaid and Medicare policy, rules, and law is preferred.

A minimum of three years-experience, within the last 5 years, with planning and conducting comparative state Medicaid and Medicare reimbursement studies and analyses is preferred.

Strong analytical and problem solving skills

Strong verbal and written communication skills

Well organized with a high degree of accuracy and attention to detail

Proficient use of applicable software programs including Microsoft Office suite (i.e. Excel, Access, Word, etc.)
The Team:
Myers and Stauffer takes pride in the welcoming and collaborative culture we have throughout our offices. For this position, the employee will report to one of our Managers or Senior... For full info follow application link.

CBIZ is an equal opportunity employer and reviews applications for employment without regard to the applicant's race, color, religion, national origin, ancestry, age, gender, marital status, military status, veteran status, sexual orientation, gender identity, disability, or medical condition or any other reason prohibited by law.