Medicaid/Medicare Staff Accountant
Listed on 2026-06-03
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Accounting
Financial Reporting, Financial Analyst
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 United States—all committed to delivering solutions that change lives for the better. PCG 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.
- 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, work papers, 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.
- 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 work papers 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.
- 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: 1-2 years’ experience with Medicaid and/or Medicare cost reports, grant reporting, or regulated reimbursement programs.
- Preferred:
Familiarity with government accounting principles; CPA or progress toward CPA licensure.
Remote. Supervisory responsibility:
None.
- Salary range: $75,000-$85,000.
- Benefits: medical and dental care benefits, 401k, paid time off, parental leave, bereavement leave.
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 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 or ethnic origin, sex, gender identity or expression, age, disability, sexual orientation, marital status, civil union or domestic partnership status, military service, citizenship status, family medical history, or genetic information.
PCG will not tolerate discrimination or harassment based on any of these characteristics.
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