Job Description

Job Family:

Strategy & Transformation Consulting

Travel Required:

None

Clearance Required:

None

What You Will Do:

Work with state agency I.T. and data staff, data vendors, state agency finance staff as well as other stakeholders to understand the business logic, rules, mappings, account coding within an existing Medicaid Management Information System (MMIS), Medicaid Eligibility and Enrollment System (E&E) and/or statewide accounting system. Also, working within these same teams and/or data systems, extract and test data for compliance to federal rules/guidance, state authorities (i.e. state plan amendment (SPA)), state reimbursement manuals, and expected outcomes based on existing data rules. Finally, proactively identify and communicate solutions/opportunities to streamline data collection, enhance the accuracy of underlying data used for federal reports, and make corrections within the existing MMIS/E&E systems.

What You Will Need:

• No sponsorship required for this position
• Bachelors degree from an accredited university
• Minimum of 5+ (FIVE) years of overall work experience
• Minimum of 5+ (FIVE) years experience with State or Local Government
• Experience working in Federal healthcare or State Medicaid finance
• Experience with healthcare reporting

What Would Be Nice to Have:

• Intermediate to Expert MS Excel skills are mandatory and must be comfortable in handling large datasets
• Ability to communicate Statistical Analysis System (SAS) coding language when preparing questions or requests for data.
• Experience working directly within a state's MMIS, E&E and/or data warehouse system, state's data vendors and state technology/finance staff.
• Functional understanding of the CMS-64/CMS-37/CMS-21 reporting process as well as Transformed Medicaid Statistical Information System (T-MSIS) rules/requirements.
• Ability to understand and apply state reimbursement rules to an existing data system per a state reimbursement manual and/or state authority (i.e. state plan).
• You should be a self‑starter with strong intellectual curiosity, able to investigate data anomalies and identify the operational factors behind financial results.
• Ideal candidate would have worked for a State health and human services agency or with Centers for Medicare and Medicaid Services (CMS).

# LI-DNI

The annual salary range for this position is $102,000.00-$170,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave and Adoption Assistance
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Student Loan PayDown
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program
• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.