Joe G.

About Joe G.

As a leader in Medicaid healthcare reimbursement, I help state agencies design and sustain payment systems that are not only compliant and data-driven, but also aligned with long-term policy goals and fiscal realities. At Myers and Stauffer LC, I manage complex, multi-state initiatives that shape how care is financed across hospitals, physicians, and managed care organizations.My work centers on translating federal guidance into meaningful Medicaid policy—developing DRG, APC/EAPG, and RBRVS-based payment models, structuring supplemental and directed payment programs, and crafting innovative Medicaid financing strategies using tools like provider taxes and intergovernmental transfers (IGTs). I lead diverse teams of consultants, analysts, and policy experts, ensuring that each engagement delivers high-quality, actionable results.What drives me is the opportunity to make a measurable impact. Whether presenting to state leadership, modernizing payment methodologies, or building compliance frameworks that withstand federal scrutiny, I’m committed to strengthening Medicaid’s ability to serve the most vulnerable—sustainably and effectively.

Experience

1. Principal

   Myers & Stauffer

   Jan 2025 — Present · Kansas City, MO, US

   Spearheaded the creation of comprehensive technical documentation, including project timelines, workplans, and proposal reviews in response to client requests for proposals (RFPs)- Directed projects focusing on the development and revision of Inpatient/Outpatient Rates and Diagnosis-Related Group (DRG)/Ambulatory Payment Classification (APC)/Enhanced Ambulatory Patient Groups (EAPG) Weights- Led initiatives to design and refine Inpatient/Outpatient/Physician Upper Payment Limit (UPL) models, ensuring compliance with regulatory standards- Acted as a subject matter expert in DRG Methodologies, UPL Demonstration methodologies, Medicaid Financing, and strategies for optimizing the UPL Gap- Analyzed the impact of changes in Federal policies and advised on necessary updates to state policies to maintain compliance and operational efficiency- Manage complex data analytics projects related to payment methodology, rate development, risk adjustment, and other critical clinical and financial metrics- Supervise a diverse team of managers and analysts, coordinating efforts across multiple office locations and remote teams to achieve project objectives- Oversee the strategic planning and implementation of internal IT initiatives to enhance project efficiency and support advanced data analytics- Conducted comprehensive data analysis on healthcare claims and cost report datasets using SQL, FoxPro, Alteryx, PowerBI, and VBA, delivering actionable insights.

Education

• Drake University

  Bachelor of Science in Business Administration, Management

  2006 — 2010

• Rockhurst University

  Master of Business Administration (M.B.A.), Health/Health Care Administration/Management

  2013 — 2015

• Olathe East High School

  High School

  2003 — 2006

Skills

• Social Recruiting
• Project Planning
• Leadership Development
• Sql
• Public Speaking
• Volunteer Recruiting
• Forecasting
• Social Media
• Microsoft Word
• Team Leadership
• Customer Retention
• Customer Service
• Management
• Powerpoint
• Microsoft Excel
• Training
• Leadership
• Outlook
• Microsoft Office
• Sales
• Recruiting
• Foxpro
• Budgets
• Access
• Data Analysis