Milliman's Medicaid Finance and Policy Practice is seeking a Senior Healthcare Consultant - Public Program Financing CPA to join our team. This position is ideal for experienced accountants interested in developing and implementing cost report tools and guidance related to payment system design and rate setting for state Medicaid and child welfare agencies. We are seeking individuals with experience analyzing, reporting, and auditing provider costs for purposes of public program payment rate development. 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, and home and community-based services (HCBS).

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
• 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 providers

Personal Qualifications

• Proficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPoint
• Strong organization skills and attention to detail
• Ability to manage multiple projects at the same time
• Interest and aptitude for performing and managing detail-oriented analytical work
• Ability to effectively communicate technical information and concepts, both verbally and in writing
• Strong written and verbal communication skills
• Ability to work within a team environment and independently manage own work
• Ability to effectively delegate work and manage project teams

To be considered for this position, please upload a resume and cover letter.

No recruiters, please.

Location

This position is based out of the Milliman offices in Seattle, Indianapolis, Chicago, or Milwaukee. It is preferred that an employee work in-office, but they can work remotely anywhere in the US.

Compensation

The salary range for this role is $134,000 to $272,000, depending on a combination of factors, including but not limited to, education, relevant work experience, qualifications, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice's bonus policy, which can be a significant portion of total compensation.

Milliman Benefits

At Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual. We offer a competitive benefits package which includes:

• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue
• 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 8 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

Who We Are

Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

The expected application deadline for this job is May 6, 2024.