Reimbursement Analyst II

1 day 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 II to join our Provider Finance Department. This role performs advanced consultative services and plays a critical part in the collection of intergovernmental transfers and administration of payments for supplemental or directed payment programs.

Key Responsibilities:
• Develop and implement complex data analysis to facilitate and coordinate payments for Medicaid programs.
• Design and conduct statistical research and analysis to evaluate payments by entity, program initiative or enhancement, implement special payment rate initiatives, and analyze new regulations.
• Communicate complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints.
• Develop and process policy documents to clearly outline process steps, resources required, and instructions to be used for both staff training and audit responses as needed.
• Process rate enhancement adjustments for the Long-term Services and Support section of the Provider Finance Department.

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.
• Skill in the review of cost reports and processing of payments.
• Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
• Ability to analyze laws, regulations, program policies, and issues.
• Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
• Ability to use personal computers and to use word processing, spreadsheet, statistical, and other software.
• Ability to exercise independent judgement, 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 train staff on policies and procedures related to job functions.
• 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.
• Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.

Working Conditions:
The Reimbursement Analyst II works under minimal supervision and with considerable latitude for the use of initiative and independent judgment to ensure the proper operation of specific payment programs. The position requires the ability to work collaboratively with other analysts to develop and maintain consistency through standard procedures when processing payments.

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