Remote Medicaid CPA Lead: Cost Reporting & Audits

Public Consulting Group - PCG; United States; Remote; USD 100,000 - 120,000; Full time

Benefits offered by this job

Medical and dental benefits

401k

PTO

Parental leave

Bereavement leave

Job summary

Public Consulting Group (PCG) is seeking a Certified Public Accountant to lead Medicaid/Medicare cost reporting and related accounting activities from a remote location in the United States.

The role requires CPA licensure, extensive GAAP knowledge, and supervisory experience. You will prepare cost reports, coordinate with clients, support audits, and drive process improvements in cost reporting and controls.

Qualifications

• CPA 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 accounting experience; strong understanding of GAAP.
• Supervisory experience required.

Responsibilities

• Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings (e.g., GEMT, ASPP, or similar programs).
• 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.

Skills

GAAP knowledge

GASB knowledge

Analytical skills

Strong communication skills

Multitasking / prioritize

Microsoft Excel

Discretion with confidential data

Education

Certified Public Accountant license

Bachelor's Degree in Accounting

Master's Degree in Accounting (preferred)

Tools

Microsoft Excel

Job description

Public Consulting Group (PCG) is seeking a Certified Public Accountant to lead Medicaid/Medicare cost reporting and related accounting activities from a remote location in the United States.

The role requires CPA licensure, extensive GAAP knowledge, and supervisory experience. You will prepare cost reports, coordinate with clients, support audits, and drive process improvements in cost reporting and controls.