Medicaid/Medicare Staff Accountant 3

Public Consulting Group LLC

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector.

Duties & Responsibilities

• Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP, or similar programs), ensuring compliance with federal and state regulations.
• Analyze revenues and expenditures to determine appropriate classification, allowability, and allocation for cost reporting purposes.
• Research and interpret accounting guidance, program regulations, and cost principles (e.g., Uniform Guidance) to support proper reporting and audit responses.
• Reconcile general ledger accounts and investigate variances, trends, and unusual transactions.
• Coordinate with clients to obtain supporting documentation, clarify transaction details, 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 policy and procedures.
• Communicate on a regular basis with clients via meetings and email.

Responsibilities may change as the department and PCG grow and as deemed necessary by management.

Required Skills

Ability to analyze account fluctuations and year-to-year variances.

Ability to identify unusual items or issues and to correct them going forward.

Ensure reporting is consistent with generally accepted accounting (GAAP) and government accounting standard board (GASB) principles.

Effective ability to prioritize and manage multiple activity streams.

Excellent organizational skills, verbal, and written communication skills.

• Ability to analyze complex financial data and clearly communicate conclusions in writing and verbally.
• Strong written communication skills for workpapers and audit responses.
• Proficiency in Microsoft applications, especially Microsoft Excel skills (e.g., formulas, pivot tables, data analysis).
• Possess discretion to work with confidential information.

Qualifications

Bachelor's Degree in Accounting or related field; Master's degree in Accounting or related field preferred.

Experience with Medicare regulations and reimbursement manual.

Experience with applicable Federal and State Medicaid policies and regulations relating to healthcare reimbursement.

• Experience working with audits and regulatory reviews.

Minimum 2-4 years with 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 or progress toward CPA licensure.

Working Conditions

• Remote Setting

Supervisory Responsibility

This is a people management job with direct reports. All PCG people managers are expected to:

• Delegate work across the team to achieve business results
• Motivate, engage, and retain team members
• Develop and grow high performing individuals and teams

Compensation

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides a reasonable range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

Range: $92,000 - $102,000

PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.