Medicaid/Medicare Staff Accountant 3

About this role

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com .

Duties & Responsibilities

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

Required Skills

• Ability to analyze account fluctuations and year-to-year variances.

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