[Remote] Medicaid/Medicare Staff Accountant 3

Note: The job is a remote job and is open to candidates in USA. 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. The Medicaid/Medicare Staff Accountant 3 will prepare and review Medicaid cost reports, ensuring compliance with regulations, and will support external audits and process improvements.

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

Skills

• 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
• 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
• 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

Benefits

• Medical and dental care benefits
• 401k
• PTO
• Parental leave
• Bereavement leave

Company Overview