Reimbursement Analyst I
2 weeks ago
We are seeking a highly skilled Reimbursement Analyst I to join our team at the Texas Department of Aging & Disability Services. As a key member of our Financial Services Division, you will play a critical role in developing and implementing reimbursement methodologies and payment rates for our School Health and Related Services program.
Key Responsibilities:
- Develop and maintain complex computer programs, spreadsheets, and large databases related to reimbursement rate analysis and cost reporting.
- Conduct data analysis to determine and evaluate payment rates, and develop and present cost report training.
- Provide technical assistance to contracted providers, cost report preparers, and auditors.
- Develop and process policy documents, including policy guidelines, agency rules, and state plan amendments.
- Communicate complex information to internal and external parties, and interface with various stakeholders to coordinate updates to the program.
- Work with providers and HHSC legal on informal and formal appeals resulting from cost report disallowances.
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 use personal computers and to use word processing, spreadsheet, statistical, and other software to develop payment rates.
- 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 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:
This position requires regular and predictable attendance, and the ability to work effectively in a team environment. The successful candidate will be able to adapt to shifting technical and political developments, and will be able to communicate complex information to internal and external parties.
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