Senior PACE Policy & Reimbursement 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

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