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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 six 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 .

Job-Specific Responsibilities

• Provide strong leadership on all Medicare/Medicaid cost settlement and supplemental payment projects, effectively supervising staff to provide quality deliverables within the defined deadlines.

• Provide expert guidance in quality assurance reviews and reports completed by team members.

• Review applicable Federal and State policies and regulations associated with various audit types.

• Develop peer-to-peer performance review processes.

• Develop quality control benchmarks and validation processes and metrics.

• Develop internal audit plans and review a random sample of reports to ensure accuracy of our work.

• Assist the Business Team in conducting research to determine compliance with relevant Medicare or other government program regulations.

• Develop a comprehensive understanding of all audits, desk reviews, compliance reviews, and monitoring reviews required across the major product lines.

• Support the completion of SOC reports on our Medicaid supplemental payment work and services.

• Serve as the expert on quality standards.

• Identify quality control issues and errors, as well as make recommendations for focused training and education programs to improve work outcomes.

• Regularly report quality metrics proactively to manager, product line leads, and client engagement leads.

• Hire and train quality assurance staff as needed based on strategic plan.

• Track daily/weekly/monthly progress of team’s output and adjust targets as necessary.

• Ensure open, proactive, and transparent communication with internal client-facing leads and project managers.

• Ability to travel with advanced notice to meet with staff and attend in-person management team meetings.

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Qualifications

• Required Skills

• Demonstrated high level of expertise and knowledge in Medicare and/or Medicaid audits and reviews

• Leader with effective project management skills

• Effective manager with team-building skills

• Self-starter who can take initiative with enthusiasm

• You value diversity and take pride in building a team that brings together diversity of thoughts, perspectives and expressions

• Ability to work both independently and in a team environment

• Able to meet tight deadlines and prioritize a varied workload in a fast paced, unpredictable, and demanding environment

• Ability to learn and take over a process, as well as document procedures

• Adept at understanding specific tasks and projects in a broad, “big picture” context

• Strong analytical and problem-solving skills

• Excellent verbal and written communication skills

• Excellent interpersonal and customer service skills

• Excellent organizational skills with a high degree of accuracy and attention to detail

• Excellent time management skills with a proven ability to meet deadlines

• Strong supervisory and leadership skills, able to manage a team of 5-10 team members

• Strong Microsoft Excel skills and proficient Microsoft Office Suite skills

• Ability to use sound judgment in completing tasks and to seek guidance when needed

• Commitment to exceptional client service

• Dedication to accomplishing goals and challenges presented by clients and management

Required Experience

• 10+ years of relevant work experience with government and/or nonprofit finance office, accounting firm, consulting firm, Medicaid or other policy office

• 5+ years experience in performing audit and other quality assurance reviews.

• Demonstrated experience with Medicare and/or Medicaid regulations.

• Bachelor’s degree required, master’s or other graduate degree preferred, preferably with majors or concentrations in public administration, finance, accounting, business management, or another relevant field of study

• Process excellence mindset with certifications in quality, Lean or Six Sigma

The Quality Assurance Manager will be remote. This position may be subject to a background check. We encourage applicants that are enthusiastic about this position to apply even if they do not meet all criteria outlined in this job description.

#LI-Remote

Remote Work Statement:

This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company’s success. To be successful in a remote work role at PCG, you must:

• be available during your set working hours.

• have a safe, private, and distraction-free environment in which to complete your work, and

• be able to give your full attention to the completion of your PCG job duties.

Some travel to the office or elsewhere may be required for team meetings, client meetings, etc.

We are accepting applications on an ongoing basis until filled.

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

As required by applicable law, PCG provides the following reasonable range of compensation for this role: $111,100 – $122,800

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.