Public Consulting Group Project Compliance Lead - Education in Helana, Montana
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 .
The Program Integrity (PI) unit within School Based Services (SBS) Center of Excellence (COE) is an integrated collection of capabilities that supports the COE and local partners to reliably achieve objectives, address uncertainty and act with integrity. The specific focus of this role will be on the Medicaid Administrative Claiming (MAC) Program. The MAC program offers federal reimbursement for the costs of administrative activities that support the Medicaid program.
This role manages policy, procedure, control, and contractual reviews to help ensure requirements are met and any resulting changes to projects or programs are incorporated appropriately. This role also manages internal audits and supports external audits to help make certain these are completed under PCG prescribed processes, controls, and timelines. This role will support the assessment of risks, issues, and concerns. This role will also provide supervision for compliance analysts working on all above-mentioned IPI activities.
This role must effectively integrate their capabilities in communication, evaluation, project management, and process improvement to help ensure strong collaboration with the Operations, Technology, and Client Success functional areas to execute our internal risk management, compliance, and governance responsibilities. This position works alongside other Program Integrity Leads, and reports to the IPI Director.
*Duties & Responsibilities: *
Develop and manage the plan to perform internal compliance checks and reviews.
Manage Statement on Standards for Attestation (SSAE) audits and the collection of claiming controls documentation.
Support the coordination of response to external federal and/or state audits and public requests.
Support the coordination of risk assessment activities (including but not limited to new Request for Proposals (RFPs), contract reviews, non-standard COE lane and or/ clients requests, and client presentations.
Partner with leads across COE functional areas to provide additional support and collaboration.
Support and supervise compliance analysts; create and support staff career development planning; coordinate staffing assignments of compliance analysts with other Program Integrity Leads.
Required Education and Work Experience
Bachelor’s degree or equivalent combination of education and experience.
3+ years of experience with leading and/or executing internal program integrity initiatives (Audit, Governance, Risk Management, Compliance, or Quality Control).
Staff supervision experience.
Track record of excellence in reviewing policy, procedures, client deliverables and contracts.
Track record of working independently and consistently to achieve excellent results.
Experience using Asana or comparable task management / project management tool.
Preferred Education and Work Experience
Certifications in Auditing, Risk Management, or Compliance.
Experience in healthcare reimbursement programs.
School-based Medicaid experience in more than one state.
Broad knowledge of interdependencies among all components of school-based Medicaid direct billing, Random Moment Time Study (RMTS), Medicaid Administrative Claiming (MAC), Cost Settlement, and Free Care or other program expansion opportunities.
Effective communication skills (presentation, facilitation, and written).
Relationship building (with peers, staff, and leadership).
Ability to analyze review results for areas of non-compliance or risk (professional skepticism), and recommend solutions to address and mitigate risk.
Ability to execute a review of project adherence to internal protocols and contractual obligations and clearly articulate findings of compliance and noncompliance, and define recommendations for continuous improvement based on findings.
Ability to learn PCG proprietary systems for Medicaid Administrative Claiming.
Organization, planning, and time management skills.
Meticulous attention to detail.
Problem solving and decisions making skills.
Ability to use sound judgment in completing tasks and to seek guidance from leadership when needed.
Staff development and coaching skills.
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.
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: $65,000 - $95,000. In addition, PCG provides a range of benefits for this role.
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.
Job Locations US
Posted Date 1 month ago (10/18/2023 6:05 PM)
Job ID 2023-9877
# of Openings 1
Type Regular Full-Time
Practice Area Education Services
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.