Myers and Stauffer is seeking a Senior Manager to join our Rate Setting and Federal Compliance engagement team. In this role you will lead the design, modeling, and documentation of Medicaid payment arrangements for state Medicaid agency clients, including state directed payments, upper payment limit demonstrations, supplemental payments, and the non-federal share arrangements that fund them.

We work for government. Our clients are state Medicaid agencies and federal partners, not providers. That shapes the work. Every analysis has to withstand CMS review, survive audit, and hold up when a state has to defend it publicly.

Our work is analytical, collaborative, and iterative. As a Senior Manager, you will regularly:

Own the analytic approach on assigned engagements, from the client question through the final deliverable

Translate federal regulation and state policy objectives into workable payment methodologies

Set assumptions, test them, and document why they are defensible

Review analyst work and give feedback that builds technical judgment, not just corrections

Explain technical results to state staff who are not analysts

Improve processes, workflows, and documentation across engagements

Essential Functions and Primary Duties:

Lead the design, calculation, and documentation of Medicaid payment methodologies for hospitals, physicians, clinics, and other provider types

Develop and maintain upper payment limit demonstrations, including gap calculations across ownership categories and service settings

Support state directed payment development, including preprint preparation, evaluation plans, and responses to CMS questions

Model supplemental and directed payment arrangements together with their financing sources, including health care-related taxes, intergovernmental transfers, and certified public expenditures

Analyze how a proposed payment change moves through the non-federal share, the federal match, and the provider net position, and identify where the arrangement is exposed

Draft State Plan Amendments, preprints, methodology descriptions, and responses to CMS requests for additional information

Research federal statute, regulation, State Medicaid Director letters, and CMS guidance, then apply them to client-specific facts

Estimate fiscal impact for proposed payment and financing changes, including multi-year projections

Review analyses prepared by staff for accuracy, methodology, and documentation quality

Manage engagement timelines, budgets, and client communication on assigned projects

Present findings to state Medicaid agency staff and support client presentations to legislatures, provider associations, and CMS

Mentor and develop analysts. Direct supervisory responsibility may be assigned as the team grows

Maintain accurate, organized electronic documentation

Maintain strict confidentiality and security of protected health information

Perform additional responsibilities as assigned

Track federal rulemaking affecting Medicaid financing and translate it into practical client impact. Recent examples include CMS rulemaking on state directed payments and on health care-related tax hold harmless standards

Contribute to internal methodology standards, templates, and quality review procedures

Provide subject matter input to proposals and technical approach sections as requested

Preferred Qualifications:

Bachelor's degree in accounting, finance, health policy, health informatics, data analytics, business intelligence/analysis, statistics, economics, public health, or a related field.

Demonstrated experience in healthcare reimbursement, Medicaid policy, or government healthcare analytics.

Five or more years of experience in Medicaid or healthcare reimbursement, health policy, or government healthcare consulting, including at least two years working directly on Medicaid financing, supplemental payments, directed payments, or upper payment limit work

Working knowledge of how the non-federal share is generated and the constraints that apply, including health care-related taxes, intergovernmental transfers, and certified public expenditures

Experience preparing or reviewing State Plan Amendments, directed payment preprints, or responses to CMS

Familiarity with Medicaid payment methodologies such as DRG, EAPG, APC, RBRVS, per diem, average commercial rate, and cost-based clinic prospective payment

Rate setting experience in hospital, physician, clinic, or other service lines

Experience with Medicare and Medicaid cost reports and with large Medicaid claims datasets

Proficiency in SQL, Alteryx, PowerBI, or comparable tools

Prior experience working with or within a state Medicaid agency

Clear writing for a policy audience, including technical documentation and regulatory submissions

Ability to manage several concurrent deadlines and reprioritize as client needs shift

Ability to incorporate feedback, refine work, and continuously improve

Minimum Qualifications

High school diploma or GED

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide.

At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

What We Offer:

Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates

Vacation time, sick time, and paid holidays

Paid Parental Leave and available support resources

401K with company matching for eligible employees

Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks

A combination of technical and leadership development training at each career milestone

Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.