Certified Public Accountant (CPA) - Medicaid/Medicare

Public Consulting Group; Oregon; Hybrid; USD 100,000 - 120,000; Full time

Benefits offered by this job

Medical & dental benefits

401(k)

Paid time off (PTO)

Parental leave

Bereavement leave

Job summary

Public Consulting Group is seeking an experienced Senior Accountant - Medicaid Cost Reporting to prepare and finalize complex cost reports and supplemental filings. You will analyze revenues, review GAAP/GASB compliance, and support external audits while guiding a team of accountants.

The role emphasizes cross-functional collaboration with clients, documentation of accounting methodologies, and process improvements. Remote setting with competitive compensation and benefits are offered.

Qualifications

• CPA license required.
• Bachelor's Degree in Accounting or related field; Master's degree preferred.
• Experience with Medicare regulations and reimbursement manual.
• 7+ years of accounting experience; strong GAAP knowledge.
• Supervisory experience required.

Responsibilities

• Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP).
• Analyze revenues and expenditures for cost reporting purposes.
• Research and interpret accounting guidance and program regulations to support reporting.
• Reconcile general ledger accounts and investigate variances.
• Coordinate with clients to obtain documentation and resolve discrepancies.
• Assist with external audits by preparing schedules and workpapers.
• Document accounting conclusions and methodologies for audit readiness.
• Support cost reporting process improvements and internal controls.
• Communicate with clients via meetings and email.
• Lead a team of accountants.
• Adapt to department growth and changing needs.

Skills

Analyze variances

Identify anomalies

GAAP & GASB

Prioritization

Organizational skills

Financial analysis

Audit writing

Excel skills

Confidentiality

Education

CPA

Accounting degree (Bachelors)

Accounting master degree preferred

Medicare regulations knowledge

7+ years accounting

Supervisory experience

Tools

Microsoft Excel

Job description

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.

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, 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.
• Responsibilities may change as the department and PCG grow and as deemed necessary by management.
• Supervise a team of accountants.

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 workpapers 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

• Certified Public Accountant license required
• Bachelor's Degree in Accounting or related field; Master's degree in Accounting or related field preferred.
• Experience with Medicare regulations and reimbursement manual.
• 7+ years of prior experience in accounting, Strong understanding of GAAP.
• Supervisory experience required.

Working Conditions

• Remote Setting

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.

In addition, PCG provides a range of benefits for this role, including:

• medical and dental care benefits
• 401k
• PTO
• parental leave
• bereavement leave

$100,000 - $120,000

PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

EEO Statement

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 regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs 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, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.