Senior Consultant, Healthcare Finance (Healthcare & Medicaid Finance and Analysi

About Sellers Dorsey

Sellers Dorsey is a healthcare impact strategy firm focused on improving care access, quality, and outcomes for our nation’s most vulnerable populations. We work with providers, managed care organizations, state entities, and others, to design, implement, fund, and optimize sustainable programs that deliver maximum impact to underserved communities. Built on decades of experience in Medicaid, our team includes former state Medicaid directors, healthcare policy experts, health plan execs, and hospital leaders who know how to navigate the complexities of the system and find creative, impactful solutions that drive the greatest impact for the individuals and communities that need it most.

About the Role

Sellers Dorsey is seeking a Senior Consultant, Healthcare Finance who will support the Directors, Associate Directors, and Engagement Mangers in ensuring the timely and effective delivery of healthcare finance consulting services. As the Senior Consultant, Healthcare Finance, you will focus on supporting project teams in developing and implementing business practices and health care financing/quality improvement initiatives. You will be responsible to assist in the development and implementation of financial modelling, data analytics, and processes that direct service delivery and client satisfaction. You will also work to improve standardization at critical project junctures, providing detailed analysis.

This position will work in a team environment to develop processes and analysis that serve to enable project teams to deliver value to our clients while ensuring that projects run efficiently.

Key Responsibilities

Create models and projections, using multiple data sources, communicating assumptions in the models as well as potential short comings. Communicate additional data or information needs for discussion with the project teams.

Interpret Medicaid State Plan Amendments to recreate or reverse engineering existing supplemental payment models. Interpret and research State regulations, rules, and SPAs to recreate models / programs / payment estimates.

• Quickly analyse existing excel models to recreate or duplicate programs previous year’s methodology
• Recreate complex calculations including, IGT and tax models, from limited information from PDF, rules and other information,

Answer detailed questions from CMS related to models, calculations, and numbers included with Preprint submission. Both numbers that are part of the originals preprint form (i.e. table 2) and additional documents.

Train and communicate current program details to new team members or to on-board new employees. This includes communicated complicated calculations to non-Subject Matter Experts (SMEs) and getting into the weeds with new SMEs.

Essential Functions

Create data requests tailored to project and client needs. Review received files for quality and completeness and provide feedback as necessary. Lead discussion on any concerns or feedback.

Serve as primary in cleaning, organization, and linking of multiple sources of data to establish a comprehensive source of client data. This can include data from the client as well as publicly available third-party data sources or government sources.

Assist in the sales lifecycle by participating in assessments, calculating high level financial estimates to guide early stages of project development

Serve as primary in the creation of dynamic financial models, utilizing client data to develop creative and effective solutions tailored to the client’s needs. Oversee the iterative process of model optimization, presenting model options to project team and clearly explaining the benefits and risks of each opportunity.

Proactively monitor CMS and state Medicaid policy and regulation development, providing interpretation of existing national, state, and local policies and payments to inform and direct financial modelling.

Advise on technical components of client deliverables, including PowerPoint presentations or one-page documents.

Assist in completion of preprint, waiver, and other required documentation. Collaborate with project team on CMS communications as necessary.

Prep Project Management teams for client engagements with in-depth demonstrations of data deliverables. Clearly communicate technical concepts to a non-technical audience. Participate in, and lead as needed, project engagements.

Create and maintain firmwide resources that assist in the sales process such as national modelling and data request templates.

Assist in development of firmwide training opportunities covering a variety of healthcare finance topics to educate new and existing members of the firm (Medicaid Finance, GME, billing, Ambulance).

Other duties as assigned

Key Qualifications

Bachelor’s degree required. Advanced degree in Public Policy, Public Administration, Public Health, Health Administration, business, economics, Mathematics, Accounting or MBA Statistics preferred. Master's degree in mathematics or accounting would be a plus.

CPA certification and/or advanced training in actuarial science is preferred.

7-10 or more years of progressively responsible work experience in a technical capacity in health or human services policy research, consulting and/or in a healthcare service delivery environment, or 5+ years of post-graduate, progressively responsible work experience in consulting or operational experience in health care and/or health policy research/analysis. Experience should be primarily in a technical capacity such as data analytics, claims analysis, financial analysis, or similar.

• 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 other healthcare data related field preferred.

Other Requirements

• Excellent oral and written communication skills including relaying complex technical terms in an easy to understand manner to technical and non-technical peers.
• Strong capacity to research, analyze, and interpret financial data drawn from multiple healthcare related sources.
• Ability to interact professionally with clients and other outside audiences.
• Strong analytical and problem-solving skills required.
• Ability to work effectively independently and in teams.
• Deliver services on several projects simultaneously.
• Time management skills.

Applicants must be authorized to work in the United States. Sellers Dorsey does not sponsor employment visas at this time . Employment with Sellers Dorsey is contingent upon successful completion of a background check.

Compensation & Benefits

The anticipated salary range for candidates is $95,800/year in our lowest geographic market range to up to $130,000/year. The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, the candidate’s education, and the candidate’s market location. Typically, candidates are not hired near the top of the range and compensation decisions are made based upon Sellers Dorsey ’s Total Compensation Policies & Guidelines. The successful candidate will also be eligible to participate in our annual Corporate Incentive Plan (CIP) that can range to up to 9% of annual salary.

Provided they meet all eligibility requirements under the applicable plan documents, the successful candidate (and their eligible dependents) will be eligible to enroll in group healthcare plans that offer medical, dental, and vision and for insurance plans offering short term disability, long term disability, and basic life. Employees are also able to enroll in Sellers Dorsey ’s 401k plan provided they meet plan requirements. Sellers Dorsey offers a Flexible Time Off that allows employees to use what they need. Additionally, we offer 16 paid holidays throughout the calendar year, paid time off for qualifying medical leave, and up to 12 weeks of combined paid parental and bonding leave. The foregoing benefits and paid time off, including an employee’s eligibility therefore, will be controlled by applicable plan documents and Sellers Dorsey policy.

This is intended to provide a general description of benefits and other compensation and is not a substitute for applicable plan documents or company policies.

Sellers Dorsey is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.

If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this e-mail address.

• Sellers Dorsey maintains a Drug-Free workplace.
• Originally posted on Himalayas