Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care 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 healthcare 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 senior consultant will work with the project team to perform analyses of health care provider utilization and financial information, as well as determine compliance with federal regulations, state Medicaid policies, and other applicable laws. The position will support project requirements that relate to research, rate and reimbursement calculations, policy development and analysis, compliance, and development of payment models. The senior consultant will be assigned to the state PACE team and work with a number of states on feasibility studies, PACE organization onboarding, service area expansion, policy development, and state readiness reviews.

Essential Functions:

• Demonstrated experience working with 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
• Perform calculations with health care provider cost and financial data
• Perform rate and reimbursement calculations
• Perform calculations 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 Managers on the Rate Setting and Federal Compliance engagement team.

Work Style:Our general business hours are Monday through Friday 8am-5pm, but can vary based on business needs. Dependent on performance, our in-office associates are eligible for a hybrid work schedule after their initial 90-day training period. As a company, we are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

Typical Interview Process:

• Phone Screen with a Recruiter
• In person or remote interview with the hiring manager & team
• Hiring decision and job offer

#LI-HW1

#LI-Hybrid