Supervisor - School-Based Medicaid Cost Reporting

HORNE is a professional services firm founded on a cornerstone of public accounting. As a top 25 business advisory firm, our team members serve clients from offices and project locations across the nation and Puerto Rico. The Healthcare team offers proactive guidance and strategies to enhance efficiency, improve patient experience, increase market share —and ultimately position clients for greater success in an increasingly complex landscape. We work with hospitals and health systems, physicians, dentists, long-term care and other healthcare entities throughout the country.

The Supervisor will lead a team of analysts responsible for Medicaid cost reporting and compliance support, with a primary focus on school-based Medicaid services. This role provides day-to-day oversight, quality assurance, client communication, and strategic support to ensure the accurate and timely submission of cost reports for Local Education Agencies (LEAs). The ideal candidate brings deep experience in school-based Medicaid programs, exceptional analytical acumen, and strong leadership capabilities.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Supervise and mentor analysts performing cost report reviews, data validation, and technical assistance for school district providers.

Serve as subject matter expert (SME) in school-based Medicaid programs, guiding team execution and resolving complex issues.

Oversee quality and timeliness of deliverables, including desk reviews, variance analysis, and training sessions.

Review and validate escalated discrepancies and findings to ensure compliance with Medicaid policy and cost principles.

Lead development of training materials, SOPs, and knowledge-sharing tools for internal and external stakeholders.

Monitor adherence to reporting timelines, escalation procedures, and documentation standards.

Direct high-level review of Medicaid cost reports and reimbursement projections for accuracy and compliance.

Evaluate LEA financial data trends, providing strategic recommendations and corrective guidance.

Lead special projects and program assessments related to school-based Medicaid claiming strategies.

Partner with data teams to enhance templates, validation tools, and automation for reporting tasks.

Maintain professional relationships with school district staff, state Medicaid agencies, and federal partners.

Facilitate training webinars and meetings with LEAs to address emerging issues and policy updates.

Represent the organization in stakeholder discussions on program changes and funding strategy.

Lead responses to escalated client issues with a focus on quality service and timely resolution.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Supervisory Responsibilities

Direct supervision of analysts within the Medicaid cost reporting team.

Provide coaching, performance feedback, and professional development support.

Oversee workload distribution, productivity tracking, and quality assurance across the team.

Work Requirements

Employment with HORNE is contingent upon satisfactory completion of the firm's employment screening process. This may include a public source background inquiry, employment credit check, criminal history, drug screen, motor vehicle report, education / credential verification, employment history, or any other relevant reports as required for the position.

Work Environment

Position may be performed onsite, remote or in hybrid capacity. Team Members approved for hybrid or remote work must meet environmental and connectivity requirements per policy standards.

Physical Demands

Prolonged periods of sitting at a desk and working on a computer

Must be able to lift up to 20 pounds at times

Travel Requirements

Does not require driving

Work Authorization

Must be authorized to work in United States and able to submit required supporting documentation

Required Education And Experience

Required : Bachelor's degree in accounting, Finance, Public Administration, Education Policy, or related field.

Preferred : Master's degree or CPA designation.

5+ years of experience in Medicaid finance, healthcare reimbursement, or public education finance.

Minimum 3 years supervisory or team lead experience.

Strong preference for experience with school-based Medicaid claiming or LEA cost reporting.

Consulting or direct support experience with state Medicaid agencies or public education systems is highly desirable.

Preferred Education And Experience

Deep knowledge of school-based Medicaid programs, cost reporting requirements, and IDEA-related service claiming.

Strong supervisory experience with analytical or finance teams.

Comprehensive understanding of state / federal Medicaid reimbursement regulations in educational settings.

Exceptional analytical, organizational, and communication skills.

Skilled in training development, client presentation, and translating technical content for non-financial audiences.

Advanced proficiency in Microsoft Excel and financial modeling.

Comfortable managing remote teams and workflows in digital collaboration platforms.

HORNE Values…

A forward thinking, anticipatory professional driven by a passion to pursue your full potential and dreams.

A work environment that promotes collaboration, consistency, and community service to empower people.

An inclusive culture that promotes career / life integration and invests in developing people in areas of focused expertise.

HORNE Offers…

An unrivaled distinctive, special culture that values collaboration, innovation, and positive energy which HORNE calls "Deliver with Care."

A team of professionals grounded in strong, personal relationships and a sense of belonging to a common purpose for adding value and making a difference.

A dedicated team of individuals from diverse backgrounds working together to leave our clients better than we found them.

The firm you'll be joining is a decidedly different business advisory firm. HORNE goes beyond traditional accounting to collaborate, advise, and align with clients to transform rapid change and uncertainties into opportunities for growth and profitability.

We are a team that focuses on reaching our full potential, rewards high performance, and prioritizes leadership development for every team member. HORNE emphasizes health and personal development through our multiple wellness programs. Despite our size, HORNE takes time to recognize, support, and celebrate one another's successes, working together for the highest good. Come join us at team HORNE

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