Skip to main content
Guidehouse logo

State Health - Senior Consultant

Guidehouse

CHICAGO, ILJob$89–148K/yrSeen todaySeen in employer's feed today

See where you stand before you apply. No sign-up to start.

You apply on the posting's application page, with no Olive account needed.

Watch jobs like this.

Don't just apply. Show up ready.

Olive works from this exact posting.

At a glance

Compensation
$89–148K/yr
Location
CHICAGO, IL
Work Authorization
Not specified

Olive focuses on jobs in the United States, including remote roles you can work from there.

Requirements

Credentials this posting asks for.

Bachelor's degree, required

Job overview

The Senior Consultant will support state health and Medicaid finance work, including federal expenditure reporting, Medicaid Administrative Claiming, and APD spending oversight. The role requires at least three years of overall work experience, experience in federal healthcare or State Medicaid finance, and healthcare reporting experience. It also involves translating federal claiming requirements into financial summaries and improving the accuracy and efficiency of federal reports.

Skills & qualifications

RequiredNice to have

Skills

Federal Healthcare Finance, requiredState Medicaid Finance, requiredHealthcare Reporting, requiredFederal Claiming Requirements, requiredFinancial Summaries, requiredMicrosoft Excel, nice to haveLarge Dataset Handling, nice to havePublic Assistance Cost Allocation Plans, nice to haveCMS-64 Reporting, nice to haveMedicaid Administrative Claiming, nice to haveAPD/IAPD Planning, nice to haveMedicaid Data Systems, nice to haveData Anomaly Investigation, nice to haveIntellectual Curiosity, nice to have

Qualifications

Bachelor's Degree, required3+ Years Work Experience, requiredState Agency or CMS Experience, nice to have

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Parental Leave
401(k) Match
Tuition Assistance

Full job description

Job Family :

Strategy & Transformation Consulting

Travel Required :

Up to 25%

Clearance Required :

None

What You Will Do :

Execute the preparation of the CMS-64.10 quarterly sub-schedules, ensuring all administrative expenditures are reported accurately to CMS. Oversee the reconciliation and claiming process for Medicaid Administrative Claiming, applying appropriate cost allocation methodologies and federal matching rates (FMAP). Monitor and track expenditures against Advanced Planning Documents (APD) and ensure that APD project spending aligns with federal approval. Stay abreast of changes in federal claiming policies, to ensure agency reporting remains compliant and audit ready. Proactively identify opportunities to streamline data collection and enhance the accuracy of federal reports

What You Will Need :

  • Bachelor’s degree from an accredited college or university

  • Minimum of THREE (3+) years of overall work experience

  • Experience working in Federal healthcare or State Medicaid finance

  • Experience with healthcare reporting

  • Capable of translating complex federal claiming requirements into financial summaries

What Would Be Nice to Have:

  • Intermediate to Expert MS Excel skills are mandatory and must be comfortable in handling large datasets

  • Understanding of Public Assistance Cost Allocation Plans (PACAP)

  • Functional understanding of the CMS-64 reporting process, Medicaid Administrative Claiming, and an understanding of the APD/IAPD planning and approval process, with a familiarity of Medicaid data systems (MMIS and E&E)

  • You should be a self‑starter with strong intellectual curiosity, able to investigate data anomalies and identify the operational factors behind financial results

  • Ideal candidate would have worked for a State health and human services agency or with Centers for Medicare and Medicaid Services (CMS)

# LI-DNI

The annual salary range for this position is $89,000.00-$148,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave and Adoption Assistance

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Student Loan PayDown

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

  • Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected] . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected] . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected] . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

How this job compares

Set against the 485 open Strategy Consulting jobs on Olive Jobs, counted November 13, 2026.

Pay
  • This posting$89–148K/yr
  • Illinois median$124–244K/yr32 salary ranges
  • US median$128–253K/yr445 salary ranges

This range's midpoint, $119K, is 41% below the Illinois median midpoint ($202K) — in the lowest quarter of Strategy Consulting salary ranges in Illinois.

Openings
Olive Jobs lists 35 open Strategy Consulting jobs in Illinois and 485 across the US. 2% of them nationwide are listed as remote or flexible.
Hiring the most in Illinois
Experience
This posting asks for at least 3 years of experience; Strategy Consulting postings that state a minimum ask for 5 years at the median (467 postings).
Education
This posting asks for a bachelor's degree; 332 of the 485 open Strategy Consulting jobs (68%) ask for a bachelor's degree or higher.

Counted across the open, public US postings on Olive Jobs on November 13, 2026. Figures based on too few postings are left out.

Prepare for this role

You've read the whole posting — now see how you match it.