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Senior Program Analyst
2 months ago
Senior Program Analyst - Financial Operations
This position is hybrid – 1 day in the office and 4 days telework, subject to adjustment based on work needs.
The Texas Department of Aging & Disability Services (DADS) Medicaid Services division seeks a highly qualified candidate to fill the position of Financial Analyst – Accounts Management.
DADS is committed to delivering quality, cost-effective services to Texans. This role plays a vital part in DADS's mission by conducting advanced financial analysis and regulatory oversight.Key Responsibilities:
Key responsibilities and tasks include reviewing, analyzing, and evaluating financial data, preparing reports, responding to inquiries, and recommending appropriate actions to resolve financial and regulatory issues.
This position reports to the Senior Financial Analyst – Accounts Management and has no supervisory responsibility. Works under general supervision with considerable latitude for the use of initiative and independent judgment.
The ideal candidate excels in a collaborative environment that emphasizes teamwork to achieve objectives, high professional standards, personal accountability, continuous learning, critical thinking for effective execution, and integrity to uphold ethical standards.
This role supports the recovery of acute care, Fee for Service (FFS) Medicaid Provider overpayments (Accounts Management).
This involves overseeing financial and operational processes in the recovery of overpayments and managing escalation of provider bankruptcy cases and collection cases.
This position routinely collaborates with state staff, federal representatives, and vendors, including but not limited to representatives from DADS Accounting, Medicare-Medicaid Plans (MMPs), Centers for Medicare & Medicaid Services (CMS), Office of the Attorney General (OAG), Office of the Inspector General (OIG), DADS Legal, and other Medicaid Services areas.
This position provides support for the Medicare-Medicaid Dual Demonstration program (MMP Program) and reviews, monitors, and analyzes all aspects of the financial reporting of Medicare-Medicaid Plans (MMPs) contracted with DADS.
This role performs rigorous validation and reconciliation of MMP self-reported data.Essential Job Functions:
Works collaboratively across DADS to identify innovative and effective solutions for clients and staff.
Essential Job Functions:
1.Financial Analyst for Accounts Management processes (60%)
- Develops and implements effective techniques for ensuring Medicaid provider overpayments are recorded, reported, monitored, and collected in accordance with contractual agreements, State and Federal requirements, and sound business practices. Ensures compliance with established procedures, requirements, laws, and regulations; completeness of data; and presence of documentation.
- Collaborates with various agencies such as the Office of Inspector General (OIG), the Office of Attorney General (OAG), other departments within DADS, and external stakeholders in the recovery process and ensures needs are addressed related to accounts management recovery and monitoring activities.
- Collects, organizes, analyzes, and prepares material in response to requests for information and reports by internal and external stakeholders, including leadership, on the status of outstanding and collected accounts. Assists on any special projects related to accounts management activities to address legislation, litigation, special report needs, etc. Ad hoc reports with specific information may be requested by various internal and external stakeholders. May be required to give presentations on the information.
- Develops and implements process improvements to address agency needs related to accounts management monitoring. Develops policies and procedures for accounts management and contract monitoring activities.
- Performs financial review and reconciliation of financial reports submitted by contracted vendors.
- Develops, responds, explains, coordinates financial and related aspects of program compliance. Implements techniques for evaluating program activities and/or business functions and identifies need for changes.
- Develops policies, procedures, and guidelines; and implements and monitors compliance to ensure vendors are meeting contractual and other state and federal requirements.
- Supports the Senior Financial Analyst – Accounts Management & MMP on an as-needed basis and may perform other related duties as assigned.
Knowledge Skills Abilities:
- Ability to work collaboratively across DADS to accomplish objectives.
- A keen attention to detail and the ability to implement creative solutions to problems.
- Able to balance team and individual responsibilities.
- Knowledge of financial and accounting terminology and practices as well as strong problem-solving and analytical capabilities.
- Knowledge of state and federal rules and laws related to the Medicaid Programs is a plus. Experience researching and interpreting rules and regulations, especially with respect to contracts, policies, and procedures is a plus.
- Ability to perform well under minimal supervision, to take responsibility and ownership of projects and processes, to learn independently, and to be accurate and thorough.
- Strong and clear communication capabilities, both written and verbal. Experience in using PC software, particularly proficiency in MS Excel, Outlook, and Word. Experience with MCATS, PEMS, PPM, CRM, OnBase is a plus.