Certified Public Accountant – Medicaid/Medicare

Public Consulting Group

. Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings, such as GEMT and ASPP .

Posted 10/14/2026full-timeRemote • United StatesSeniorLead💰 $100,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid cost reporting, GAAP compliance, and financial analysis, with a strong ability to supervise teams and communicate complex financial data effectively. Proficient in managing audits and implementing process improvements for financial controls and reporting.

Highest-signal resume keywords

Certified Public Accountant License7+ Years Accounting ExperienceStrong Understanding of GAAPSupervisory ExperienceProficiency in Microsoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicaid Cost ReportingFinancial AnalysisGeneral Ledger ReconciliationCost Reporting MethodologiesAudit PreparationGAAP ComplianceData AnalysisVariance AnalysisAccounting Guidance ResearchFinancial Controls

Soft Skills

Excellent Organizational SkillsVerbal Communication SkillsWritten Communication SkillsDiscretion with Confidential InformationAbility to Prioritize Tasks

Tools & Technologies

Microsoft ApplicationsMicrosoft Excel

Certifications & Qualifications

Certified Public Accountant License

Industry Keywords

Medicaid RegulationsMedicare RegulationsCost PrinciplesGASB PrinciplesSupplemental Payment Programs

About the role

Key responsibilities & impact

Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program filings, such as GEMT and ASPP
Analyze revenues and expenditures for classification, allowability, and allocation for cost reporting
Research and interpret accounting guidance, program regulations, and cost principles to support 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 for transparency and audit readiness
Support process improvements for cost reporting, reconciliations, financial controls, policies, and procedures
Communicate regularly with clients through meetings and email
Supervise a team of accountants
Perform other responsibilities as deemed necessary by management

Requirements

What you’ll need

Certified Public Accountant license required
Bachelor’s Degree in Accounting or related field
Master’s degree in Accounting or related field preferred
7+ years of prior experience in accounting
Strong understanding of GAAP
Supervisory experience required
Experience with Medicare regulations and reimbursement manual
Ability to analyze account fluctuations and year-to-year variances
Ability to identify unusual items or issues and correct them going forward
Ensure reporting is consistent with GAAP and GASB principles
Ability to prioritize and manage multiple activity streams
Excellent organizational, verbal, and written communication skills
Ability to analyze complex financial data and clearly communicate conclusions
Strong written communication skills for workpapers and audit responses
Proficiency in Microsoft applications, especially Microsoft Excel, including formulas, pivot tables, and data analysis
Discretion when working with confidential information
PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship

Benefits

Comp & perks

Medical and dental care benefits
401k
PTO
Parental leave
Bereavement leave
Remote setting