Medicaid & Medicare Cost Reporting Accountant - Remote

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. To learn more, visit  .

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, 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.

· 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 work papers and audit responses.

• Proficiency in Microsoft applications, especially Microsoft Exce l 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

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The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

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.…