PACE Senior Health Care Consultant

Myers and Stauffer; Indianapolis (IN); Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K

Job summary

Myers and Stauffer LC is a health care consulting firm seeking a Health Care Senior Consultant to analyze healthcare information and assist in Medicaid/Medicare policy research and reimbursement modeling. The role focuses on PACE, policy development, and state readiness reviews across federal and state programs.

You will contribute to project teams, travel as needed, and provide data-driven recommendations while maintaining HIPAA compliance and client confidentiality in a collaborative

Qualifications

• Bachelor's Degree required; preferred fields include economics, health informatics, health administration, accounting or business administration.
• Three years of experience within the last five years with familiarity with federal Medicaid and Medicare policy, rules and law.
• Three years of experience in planning and conducting comparative state Medicaid and Medicare reimbursement studies and analyses.

Responsibilities

• Demonstrate understanding of PACE programs for state departments of aging or Medicaid agencies and CMS, supporting PACE programs.
• Research Medicaid and Medicare policies, procedures, CFR, and best practices of PACE services.
• Monitor efficacy, outcomes, and trends in PACE services.
• Work with health care provider cost and financial data.
• Assist with rate and reimbursement calculations.
• Work with claims data and develop subject matter expertise.
• Prepare documents supporting professional decisions and review related regulations.

Skills

Analytical skills

Problem solving

Communication skills

Attention to detail

Microsoft Office

Education

Bachelor's degree (economics/health informatics/health administration/accounting/business administration)

Tools

Microsoft Excel

Microsoft Access

Microsoft Word

Job description

The health care senior consultant will work with the project team analyze healthcare information, research federal and state Medicaid policies and regulations and laws and help monitor compliance. The position will support projects related to policy development, policy analysis, reimbursement, payment models, and outcomes. Specific projects of immediate focus will involve the federal Program of All-Inclusive Care for the Elderly (PACE), and envisioned work will include supporting the team's work with states on feasibility studies, new program implementations, program expansions, policy development, and state readiness reviews.

Essential Functions and Primary Duties

• Demonstrate an understanding of and working knowledge of 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
• Work with health care provider cost and financial data
• Assist with rate and reimbursement calculations
• Work 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

Preferred Qualifications

• Bachelor's Degree from accredited college or university required. Degree in economics, health informatics, health administration, accounting, or business administration is preferred. Three years-experience, within the last five years, and familiarity with federal Medicaid and Medicare policy, rules, and law is preferred.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.)

Minimum Qualifications

High school diploma or GED #LI-HW1 #LI-Remote

ABOUT US

Myers and Stauffer LC is a certified public accounting and health and human services 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 21 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 health and human service 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. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

What We Offer:

• Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
• Vacation time, sick time, and paid 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

We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.