Senior Accountant for Medicaid/Medicare Programs
2 weeks ago
COMPENSATION PACKAGE:
- Comprehensive medical, prescription, dental, and vision coverage
- Retirement savings plan with employer matching
- Company-paid and supplemental life insurance options
- Flexible spending accounts available
- Generous paid vacation, sick, and personal leave
- 11 paid holidays annually
- Opportunities for professional development and training
- Tuition reimbursement programs
- Employee referral bonus initiative
- Flexible work arrangements offered
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Manage financial operations and administrative tasks associated with Medicaid functions.
- Act as the primary liaison for medical billing inquiries.
- Ensure timely and accurate reconciliations for medical billing, maintaining appropriate supporting documentation.
- Verify that all medical billings align with approved budgets and are submitted to the correct agencies.
- Monitor local government medical funding P.O. expenditures and identify needs for additional funding or budget adjustments.
- Prepare journal entries for the assigned financial portfolio.
- Review cash receipts to ensure proper application to each claim, including manual applications by the medical billing specialist team.
- Oversee accounts receivable functions for the assigned portfolio, ensuring all payments are correctly coded and applied.
- Conduct monthly account receivable reconciliations and address any discrepancies promptly.
- Ensure all agreements and amendments are properly scanned and electronically filed.
- Prepare and submit monthly, quarterly, and annual financial reports and schedules.
- Support the Finance department's overall objectives through financial and administrative functions.
- Assist in the preparation and evaluation of program budgets.
- Help program staff understand the statement of activities for their respective programs.
- Respond to inquiries from program staff in a timely and professional manner.
- Generate monthly financial variance reports for assigned portfolios.
- Assist with the annual audit process.
- Perform additional job-related duties as required.
- Bachelor's degree in accounting, finance, business, or a related field.
- A minimum of 5 years of accounting experience, with a focus on contracts and grants.
- At least 1 year of experience in Commercial and Medicaid/Medicare billing.
- Strong knowledge of GAAP principles.
- Familiarity with medical billing software, such as Credible, and automated financial systems like Great Plains.
- Excellent analytical and problem-solving abilities.
-
Health Insurance Specialist
4 days ago
Washington, United States Centers For Medicare & Medicaid Services Full timeProvides information to congressional staffs, other government agencies, and outside organizations on CMS program policies and initiatives. Conducts analyses and special studies of policy issues and topics relating to Medicare, Medicaid, Children's Health Insurance Program (CHIP) and private health insurance...
-
Medicaid and CHIP Eligibility Expert
6 days ago
Washington, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled Health Insurance Policy Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will be responsible for developing, interpreting, and applying policy related to Medicaid and CHIP eligibility, enrollment, and managed care.Key ResponsibilitiesPolicy Development:...
-
Lead Accountant for Medicaid/Medicare Programs
2 weeks ago
Washington, United States Catholic Charities of The Archdiocese of Washington Full timeORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your expertise in diverse fields such as immigrant services, mental health, social services, employment training, legal assistance, healthcare, and housing can significantly impact the lives of many individuals. With over 50 programs across the district and neighboring counties,...
-
Health Insurance Specialist
2 days ago
Washington, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled and experienced Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will be responsible for providing expert advice and guidance on Medicare and Medicaid policy issues.Key ResponsibilitiesPolicy Analysis: Conduct in-depth analysis of policy...
-
VP, Medicare Stars Programs
5 days ago
Washington, United States ASSOCIATION FOR COMMUNITY AFFILIATED PLANS Full timeMorgan Consulting Resources, Inc. has been retained to conduct the search for the Vice President, Medicare Stars Programs for Inland Empire Health Plan. The role is based in Rancho Cucamonga, CA. A hybrid schedule is available allowing for three days in the office and two days working remotely.About the Organization:With a mission to heal and inspire the...
-
VP, Medicare Stars Programs
5 days ago
Washington, United States ASSOCIATION FOR COMMUNITY AFFILIATED PLANS Full timeMorgan Consulting Resources, Inc. has been retained to conduct the search for the Vice President, Medicare Stars Programs for Inland Empire Health Plan. The role is based in Rancho Cucamonga, CA. A hybrid schedule is available allowing for three days in the office and two days working remotely.About the Organization:With a mission to heal and inspire the...
-
Washington, United States Catholic Charities of The Archdiocese of Washington Full timeJob SummaryThe Senior Financial Analyst administers all financial aspects related to medical billing functions. This includes assisting with budget development, billing preparation, pursuing claims receivable collections and recording revenues and expenses in accordance with Generally Accepted Accounting Principles (GAAP). The Senior Financial Analyst...
-
Health Insurance Policy Specialist
6 days ago
Washington, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled Health Insurance Policy Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will be responsible for developing, interpreting, and applying policy related to Medicaid and CHIP eligibility, enrollment, and managed care.Key ResponsibilitiesPolicy Development:...
-
Medicaid Access Team Senior Analyst
4 weeks ago
Washington, United States Medicaid And Chip Payment And Access Commission Full timeSenior analysts focus on one or more aspects of the Medicaid and State Children's Health Insurance Program (CHIP). They work collaboratively with other members of the policy team under the direction of policy directors. Qualified candidates have knowledge and expertise in Medicaid and CHIP policies with a focus on access to care. Candidates with experience...
-
Washington, United States Medicaid and CHIP Payment and Access Commission Full timeAbout the RoleWe are seeking a highly skilled Senior Medicaid Payment and Financing Analyst to join our team at the Medicaid and CHIP Payment and Access Commission. As a senior analyst, you will play a critical role in providing expert analysis and recommendations on Medicaid payment and financing policies.Key ResponsibilitiesConduct in-depth analysis of...
-
Medicaid Payment and Financing Senior Analyst
1 month ago
Washington, United States Medicaid And Chip Payment And Access Commission Full timeSenior analysts focus on one or more aspects of the Medicaid and State Children's Health Insurance Program (CHIP). They work collaboratively with other members of the policy team under the direction of policy directors. Qualified candidates have knowledge and expertise in Medicaid payment and financing policies. This experience could include familiarity...
-
Medicaid Access Team Senior Analyst
4 weeks ago
Washington, Washington, D.C., United States Medicaid And Chip Payment And Access Commission Full timeSenior analysts focus on one or more aspects of the Medicaid and State Children's Health Insurance Program (CHIP). They work collaboratively with other members of the policy team under the direction of policy directors. Qualified candidates have knowledge and expertise in Medicaid and CHIP policies with a focus on access to care. Candidates with experience...
-
Medicaid Payment and Financing Senior Analyst
1 month ago
Washington, Washington, D.C., United States Medicaid And Chip Payment And Access Commission Full timeSenior analysts focus on one or more aspects of the Medicaid and State Children's Health Insurance Program (CHIP). They work collaboratively with other members of the policy team under the direction of policy directors.Qualified candidates have knowledge and expertise in Medicaid payment and financing policies. This experience could include familiarity in...
-
information technology
1 month ago
Washington, Washington, D.C., United States Centers For Medicare & Medicaid Services Full timeServe as a senior Data Analytics Manager and advisor to leadership at the Division and Group level, specializing in Medicaid and CHIP program data. Provide technical advice in the development and analysis of pilot initiatives and applications, and makes recommendations to management on the use of such technology as it relates to CMS data Define customer and...
-
Washington, United States Medicaid and CHIP Payment and Access Commission Full timeAbout the RoleWe are seeking a highly skilled Senior Medicaid Payment and Financing Analyst to join our team at the Medicaid and CHIP Payment and Access Commission. As a senior analyst, you will play a critical role in providing expert analysis and recommendations on Medicaid payment and financing policies.Key ResponsibilitiesConduct in-depth analysis of...
-
Manager, Medicare Programs
3 months ago
Washington, United States ASSOCIATION FOR COMMUNITY AFFILIATED PLANS Full timeAre you looking to leverage your leadership and strategic healthcare knowledge to build a new line of business? Reporting to the Director, Medicare Product you will have responsibility for supporting leadership and staff in the development and launch of San Francisco Health Plan’s Medicare Dual Special Needs Plan (D-SNP) as well as the ongoing compliance...
-
Health Insurance Specialist
1 week ago
Washington, United States Centers For Medicare & Medicaid Services Full timeDevelop, interpret, apply, and works with states and stakeholders to implement policy related to Medicaid or CHIP eligibility, enrollment and/or managed care. Analyze policy related to eligibility, enrollment, and/or managed care to: Identify and assess impact on Agency programs and policies; fiscal...
-
Executive Director of Medicaid Operations
4 days ago
Washington, United States ASSOCIATION FOR COMMUNITY AFFILIATED PLANS Full timeJob SummaryThe Association for Community Affiliated Plans is seeking an experienced Executive Director of Medicaid Operations to lead our Maryland health plan. As a key member of our leadership team, you will be responsible for the day-to-day operations and profit and loss accountability of our health plan. This is a unique opportunity to join a dynamic...
-
Project Analyst
1 month ago
Washington D.C., United States AARP Full timeOverviewAARP's Legal Counsel for the Elderly champions the dignity and rights of vulnerable Washington, D.C. seniors 60-plus, providing free legal and social work services to those in need - empowering, defending, protecting, and helping thousands of clients each year in many areas of civil law. The Project Analyst (Senior Medicare Patrol Project) ,...
-
Medicaid Payment and Financing Senior Analyst
5 months ago
Washington, Washington, D.C., United States USAJobs Full timeDutiesSenior analysts focus on one or more aspects of the Medicaid and State Children's Health Insurance Program (CHIP). They work collaboratively with other members of the policy team under the direction of policy directors.Qualified candidates have knowledge and expertise in Medicaid payment and financing policies. This experience could include familiarity...