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University of Massachusetts Medical SchoolShrewsbury, MA Full-time
- POSITION SUMMARY:Under the direction of the Manager or designee, the Associate Medicaid Analyst performs complex and varied financial, administrative, and customer service functions in support of department specific projects, which may include RMTS coding or time study projects.
- The Associate Medicaid Analyst is also responsible for School-based Medicaid claiming processes and general operations, which require a high degree of independent action and the setting of priorities and procedures for accomplishing tasks.
- This position will also participate as a member of multiple project teams.
- REQUIRED QUALIFICATIONS:Bachelors degree in Business Administration, Accounting, Finance, or equivalent 1-3 years of relevant experienceDemonstrated ability to review, research, assess and interpret healthcare billing and claiming information Ability to design and program spreadsheets, databases, or custom reportsProficiency with Microsoft Office or similar software, specifically Outlook, Word, Excel, Powerpoint and Access.
- Excellent interpersonal, verbal and writing skills needed to present or communicate effectively with all levels of managementMust possess strong organizational skills, the ability to establish priorities, and resolve problems independentlyAbility to maintain complex records and prepare periodic complex financial reportsDemonstrates investigation skills and initiative, judgment and discretion
- About School Based Claiming (SBC)Federal financial participation (FFP) is available through Title XIX and Title XXI of the Social Security Act to match expenditures by cities and towns, regional school districts and charter schools (collectively, Local Education Agencies (LEAs
- for the provision of medically necessary medical services provided to Medicaid-enrolled students.
- Also eligible for FFP are the LEA costs associated with performing Medicaid administrative activities related to the delivery of services and with performing qualifying outreach activities.
- Collectively, this program is referred to as the School-Based Medicaid Program.
- The SBC unit at HCFS works closely with Massachusetts and other states to develop, implement, and manage various activities that support direct service or administrative activity claiming to the Medicaid program.
- To that end, SBC develops, maintains, and supports solutions for states to compile, report and review eligible expenditures for Medicaid Administrative Claiming, Direct Service Cost Report Reconciliation and Settlement, Medicaid Eligibility Matching, Random Moment Time Studies or other equivalent allocation methods to support the identification of Medicaid related costs.
- With a deep knowledge of federal Medicaid regulations, SBC optimizes opportunities, while ensuring compliance with all applicable state and federal rules.
- Today, SBC supports over 50,000 users in 10 states for school-based other social service agency Medicaid FFP claiming programs.