Reimbursement Analyst I

3 days ago


Austin, Texas, United States Texas Department of Aging & Disability Services Full time
Job Summary:

The Texas Department of Aging & Disability Services seeks a highly skilled Reimbursement Analyst I to join our team. As a key member of our Provider Finance Department, you will play a critical role in developing reimbursement rates and administering financial programs for Medicaid and other programs.

Key Responsibilities:
  • Participate in the payment or rate development process, including designing cost surveys and instructions, conducting complex data analysis, and administering financial programs.
  • Develop, modify, and maintain complex computer programs, spreadsheets, and large databases used in payment rate analysis and supplemental payment calculation.
  • Develop policy guidelines, agency rules, state plan amendments, and other associated documents relating to payment rate determination.
  • Communicate complex information to internal and external parties, including providers, client advocates, and agency staff.
  • Develop and conduct surveys to collect cost data from contracted providers for use in payment analysis.
  • Design and conduct special cost and statistical research and analysis to evaluate the feasibility and cost implications of payment rate structure options.
  • Develop and process policy documents, including policy guidelines, agency rules, and state plan amendments.
Requirements:
  • Knowledge of health and human service programs, services, and procedures.
  • Knowledge of accounting, business, and management principles, practices, and procedures.
  • Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
  • Ability to analyze laws, regulations, program policies, and issues.
  • Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
  • Ability to apply complex analytical applications.
  • Knowledge of reimbursement methods and payment fees, formulas, and procedures.
  • Ability to develop, implement, and apply reimbursement methodologies and payment rates.
  • Skill in the use of personal computers and software to develop payment rates.
  • Ability to exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments.
  • Ability to manage projects effectively and produce quality work within short deadlines.
  • Ability to identify problems and develop creative solutions.
  • Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
  • Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
Working Conditions:

The ideal candidate will have a strong understanding of Medicaid reimbursement and public administration, as well as excellent analytical and communication skills. If you are a motivated and detail-oriented individual who is passionate about healthcare and finance, we encourage you to apply for this exciting opportunity.



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