Senior Consultant, Healthcare Finance – Medicaid SPA/DDPs, Financial Modeling

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $95.8k - $130k / year

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

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Sellers Dorsey

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

☁️ SaaS

Healthcare • Consulting • SaaS

Sellers Dorsey is a healthcare-focused strategy and impact firm that partners with health system leaders, payers, government agencies, and community organizations to design, fund, implement, and optimize programs for underserved populations. They provide consulting services including Medicaid optimization, policy research and interpretation, value-based care design, managed care contracting and strategy, operational performance and compliance, and custom data analytics and visualization. The firm also offers tech-enabled solutions (branded Constyn) for clinical workflows, care coordination, and payer data automation, and emphasizes program management, quality improvement, and stakeholder engagement to improve access, quality, and outcomes in safety-net and vulnerable communities.

📋 Description

• Support Directors, Associate Directors, and Engagement Managers in delivering healthcare finance consulting services • Develop and implement business practices and healthcare financing and quality-improvement initiatives • Develop financial modeling, data analytics, and processes that direct service delivery and client satisfaction • Create models and projections using multiple data sources and communicate assumptions and potential shortcomings • Interpret Medicaid State Plan Amendments, state regulations, rules, and SPAs to recreate supplemental payment models and programs • Analyze Excel models and recreate prior-year methodologies • Recreate complex calculations, including IGT and tax models • Answer CMS questions about models, calculations, and preprint submissions • Train and communicate program details and complicated calculations to new team members and non-SMEs • Create tailored data requests and review files for quality and completeness • Clean, organize, and link multiple client, public, and government data sources • Support the sales lifecycle through assessments and high-level financial estimates • Create dynamic financial models and optimize models iteratively • Present model options and explain their benefits and risks • Monitor and interpret CMS and state Medicaid policy and regulatory developments • Advise on technical components of client deliverables, including PowerPoint presentations and one-page documents • Assist with preprint, waiver, and other required documentation • Collaborate with project teams on CMS communications • Prepare project management teams for client engagements with data-deliverable demonstrations • Participate in and lead project engagements as needed • Create and maintain firmwide modeling and data-request resources • Assist in developing firmwide healthcare finance training • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree required • Advanced degree in Public Policy, Public Administration, Public Health, Health Administration, business, economics, Mathematics, Accounting or MBA preferred • CPA certification and/or advanced training in actuarial science preferred • 7–10 or more years of progressively responsible technical work experience in health or human services policy research, consulting, and/or healthcare service delivery; or 5+ years of post-graduate progressively responsible work experience in consulting or healthcare/health policy research and analysis • Technical experience in data analytics, claims analysis, financial analysis, or similar • Previous experience with SPAs and DDPs required • Previous experience with financial modeling and analysis required • Proficiency in Microsoft Word and Advanced Excel required • Expertise with Medicaid preferred • Advanced experience in federal or state government or private healthcare industry preferred • Experience with SQL, SAS, or other data language preferred • Expertise in healthcare billing, claims work, or another healthcare data-related field preferred • Excellent oral and written communication skills, including explaining complex technical terms to technical and non-technical peers • Strong ability to research, analyze, and interpret financial data from multiple healthcare-related sources • Ability to interact professionally with clients and outside audiences • Strong analytical and problem-solving skills • Ability to work independently and in teams • Ability to deliver services on several projects simultaneously • Time management skills • Must be authorized to work in the United States • Employer does not sponsor employment visas • Employment is contingent upon successful completion of a background check

🏖️ Benefits

• Annual Corporate Incentive Plan (CIP) of up to 9% of annual salary • Group medical, dental, and vision healthcare plans • Short-term disability insurance • Long-term disability insurance • Basic life insurance • 401(k) plan • Flexible Time Off • 16 paid holidays • Paid time off for qualifying medical leave • Up to 12 weeks of combined paid parental and bonding leave

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