Search Remote Jobs

Managing Consultant

🔥 0 minutes ago

⚔️ Virginia – Remote

infoinfo

đź’µ $102k - $170k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź’Ľ Consultant

Where this job comes from

Posted on Guidehouse's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of Guidehouse

Guidehouse

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

đź’° Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

đź“‹ Description

• Work with state agency I.T. and data staff, data vendors, state agency finance staff, and other stakeholders to understand business logic, rules, mappings, and account coding within MMIS, Medicaid E&E, and/or statewide accounting systems • Extract and test data for compliance with federal rules/guidance, state authorities, state reimbursement manuals, and expected outcomes based on existing data rules • Identify and communicate solutions and opportunities to streamline data collection • Enhance the accuracy of underlying data used for federal reports • Make corrections within existing MMIS/E&E systems • Investigate data anomalies and identify operational factors behind financial results

🎯 Requirements

• 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 • Intermediate to Expert MS Excel skills; comfortable 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 and 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 • Self-starter with strong intellectual curiosity, able to investigate data anomalies and identify 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)

🏖️ Benefits

• 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 • Flexible benefits package

Apply Now

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Similar Jobs

🔥 8 minutes ago

Premier Inc.

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

đź’Ľ Consulting

Senior Consultant delivering OperationsAdvisor implementation analytics and labor services. Supporting healthcare clients through reporting, data analysis, project facilitation, and ongoing product consulting.

🔥 1 hour ago

CVS Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

đź›’ Retail

Remote Appeals Nurse Consultant reviewing clinical documentation and provider payment disputes for CVS Health. Applying CMS guidelines to prepare determinations and medical director summaries.

🔥 1 hour ago

CVS Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

đź›’ Retail

Remote utilization management RN at CVS Health reviewing clinical information and supporting coverage decisions. Coordinating care and connecting members with healthcare programs.

🔥 1 hour ago

CVS Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

đź›’ Retail

Appeals Nurse Consultant reviewing Medicare provider disputes, claims, and clinical documentation for CVS Health. Applying CMS, coding, utilization management, and regulatory guidelines remotely.

🔥 1 hour ago

dentsu Austria

51 - 200

📣 Marketing

📱 Media

🏢 Enterprise

Remote Business Consultant helping global brands activate customer data through Hightouch. Leading discovery, solution design, delivery, and AI-powered personalization initiatives.

Developed by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com
Follow Remote Rocketship on LinkedInFollow Remote Rocketship on InstagramFollow Remote Rocketship on FacebookFollow Remote Rocketship on TikTok