Reimbursement Analyst I
2 weeks ago
We are seeking a highly skilled Reimbursement Analyst I to join our team at the Health & Human Services Comm. The successful candidate will be responsible for managing the payment rate development process for School Health and Related Services, including designing cost surveys and instructions, conducting complex data analysis, and developing and presenting cost report training.
Key Responsibilities:
1. Develop and implement payment rate methodologies and formulas for School Health and Related Services.
2. Conduct complex data analysis to determine and evaluate payment rates.
3. Develop and present cost report training to contracted providers and cost report preparers.
4. Provide technical assistance to providers, cost report preparers, and auditors.
5. Develop and maintain complex computer programs, spreadsheets, and large databases used in payment rate and cost reporting analysis.
6. Develop policy guidelines, agency rules, state plan amendments, and other associated documents relating to cost reporting and payment rate determination.
7. Communicate complex information to internal and external parties to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.
8. Work with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances.
9. Perform other work as assigned or required to maintain and support the office and HHSC operations.
Requirements:
1. Graduation from an accredited four-year college or university with a bachelor's degree in social science, business, economics, health-related field, or other closely related field.
2. Experience may be substituted on a year for year basis.
3. Experience of Medicaid and/or healthcare finance preferred.
Additional Information:
N/A
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