Division: Special EducationPosition Title: Medicaid Claims & Recovery AnalystGrade: ES 12Salary: $62,499 - $79,959The analyst is responsible for supporting and coordinating Medicaid recovery activities across local education agencies (LEAs) in the District of Columbia, with the primary objective of developing OSSE's capacity to successfully submit claims as a Medicaid provider of special education transportation services and other school-based health services.
Provides administrative and regulatory compliance support to the Director in order to meet the Medicaid regulatory requirements of this office. The incumbent is responsible for ensuring compliance with local/federal directives and advise management on the effectiveness of programs, productivity and efficiency within the Medicaid Recovery Unit.
Brief Description:
- Performs a wide variety of program planning and development as well as data collection and analysis activities
- Reviews and analyzes performance measures and effectiveness of past and prospective programs
- Conducts surveys, data analyses, and cost analyses
- Compiles relevant information and derives best practices for broader dissemination
- Designs and implements data preparation, processing, retrieval and storage systems
- Assists the lead Medicaid state agency (Department of Health Care Finance) with local education agency (LEA) provider recruitment, training, and retention activities.
- Ensures that Medicaid billing/claiming is conducted for all students provided school-based health services provided by or under the purview of OSSE.Support, develop and implement training plans and develop training materials for all Medicaid related trainings.
- Provide training's to internal and external stakeholders on Medicaid related topics
- Provides technical support assistance for data capture and report generation and/or analysis efforts
- Analyzes the compatibility of program requirements and implementation procedures
- Synthesizes data, develops recommendations for identified problem areas, proposes short-and long-term system actions to implement, and implements plans under manager’s supervision.
- Evaluates the likelihood and consequences of non-compliance and/or deficiencies in OSSE- Division of Special
- Education’s procedures and plans.
- Represents OSSE's Medicaid unit at internal and external agency coordination meetings to discuss Medicaid recovery strategies, resource needs, and any additional issues related to school-based health service delivery and claim reimbursement.
- Monitors the regular billing of all school-based health services provided by or under the purview of OSSE.
- Works with student-level data (data entry as necessary) to accurately review and audit Medicaid claims, cost reports, and cost settlements.
- Monitors and improves local education agency (LEA) participation and performance in the Random Moment Time Study (RMTS).
- Reports regularly to senior-level staff regarding the progress of unit projects, appropriately escalating concerns and making program or operational recommendations when necessary.
- Works closely with staff in OSSE's Division of Special Education, Chief Financial Office, Division of Transportation, the Department of Health Care Finance DC Public Schools, the DC Public Charter Schools, and non-public education institutions and respective data teams to assure alignment across agency efforts and policies.
- Researches Medicaid and special education regulations, technical/operational policy manuals, and national best practices to develop the expertise necessary to contribute content knowledge to District guidance documents (drafting skills required).
- The Medicaid Analyst is responsible for data management and analysis related to the Medicaid Services Team. The Analyst will work on merging several data reports into one usable format and will prepare data regularly for management to review performance of the unit.Performs other related duties as assigned
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In the heart of Chicago, we offer degrees in fields of study that can change your life and change the world. CUPPA students and alumni are uniquely skilled to build and transform sustainable urban neighborhoods and communities and to address the challenges presented in the 21st century. Find our more about our Bachelors, Masters, and Doctorate degrees at cuppa.uic.edu.
Follow our job postings below and our national job tweets at @CUPPACareers. For student internships and student opportunities, head to the CUPPA Student Opportunities Blog
Have a job or internship to post? Send an email with the title, location, job description, and contact information to cuppa@uic.edu