Reimbursement Specialist

2 days ago

Indianapolis, Indiana, United States State of Indiana Full time
About the Role

The State of Indiana is seeking a highly skilled Reimbursement Analyst to join our team. As a key member of our Family and Social Services Administration, you will play a critical role in ensuring Medicaid reimbursement rates and payments are established in accordance with state and federal laws and regulations.

Key Responsibilities
  • Analyze and review Upper Payment Limit (UPL) expenditure request calculations to ensure accuracy and compliance.
  • Facilitate integration and coordination with other areas in OMPP, including home health, hospice, and acute care reimbursement and policy.
  • Recommend changes to nursing facility reimbursement based on changing industry landscapes and state and federal regulations.
  • Assist with other reimbursement projects as needed to fulfill agency and state objectives.
  • Review and approve incoming change of ownership (CHOWs) involving non-state government-owned (NSGO) entities.
  • Maintain electronic databases and logs of CHOWs and provider appeals.
Requirements

To be successful in this role, you will need:

  • A Bachelor's Degree with 5+ years of experience, or an Associate's Degree with 7+ years of experience, or at least 9+ years of experience in a similar role.
  • Specialized knowledge in program subject matter obtained through experience and/or education.
  • Extensive knowledge of provider agencies and their programs and services.
  • Ability to develop and implement new principles and policies and discern any far-reaching implications.
  • Ability to present to internal and external customers, the public, government officials, and other stakeholders.
What We Offer

The State of Indiana offers a comprehensive benefits package, including medical, dental, and vision plans, as well as a robust wellness program, health savings account, and deferred compensation 457B account. We also offer flexible work scheduling options, including hybrid remote work, and a range of leave policies to support work-life balance.

Equal Employment Opportunity

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. We welcome applications from diverse candidates and are committed to creating a workplace that is inclusive and respectful of all employees and applicants.

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