Reimbursement Analyst - MED

Description

DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS

Applications will be accepted through 4:59 PM MST on the posting end date. 

The Idaho Department of Health and Welfare, Division of Medicaid, is currently seeking a Reimbursement Analyst (Financial Specialist Senior) with experience in Medicaid or other health care industry work including government or private health care in our downtown Boise location. As reimbursement analyst, you will provide reimbursement maintenance and project support for topics such as the Idaho Medicaid Fee Schedule, health clinics, Durable Medical Equipment, primary care, fee schedules, managed care, value care, graduate medical education, and supplemental payment programs. This position works directly with internal and external stakeholders via email, in-person and virtual meetings, and phone calls. Stakeholders include but are not limited to Division and department program support staff, provider groups, provider associations, third-party contractors, and the Center for Medicare and Medicaid Services (CMS) staff. We are seeking highly organized candidates with experience researching and analyzing documents to ensure compliance with federal and state laws, regulations, and accounting principles; communication and interpersonal skills; project management skills; problem solving skills; critical thinking skills and team learning competencies.

This position may be eligible for telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time.

BENEFITS:

 We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit. 

 OTHER EXCELLENT BENEFITS

• 11 paid holidays
• Generous vacation and sick leave accrual beginning as soon as you start 
• Paid parental leave
• Medical, dental, vision insurance - incredible rates!(full-time/30+ hours per week)
• PERSI Choice 401(k)
• Deferred compensation plan
• Life insurance
• Short and long-term disability insurance
• Student Loan Forgiveness
• Wellness programs
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSA) 
• Wide variety of training opportunities
• Some positions offer flexible hours and/or telecommuting 

EXAMPLE OF DUTIES:

• Maintain reimbursement for the Idaho Medicaid Fee Schedule.
• Review, understand, and apply federal and state rules, regulations, guidelines, and trends and make recommendations for policy changes related to healthcare billing and coding, Medicaid reimbursement activities, value care and managed care.
• Collaborate with policy and management to draft changes to rule, state plan, fee schedule, waiver application, or to design, modify, implement policy and reimbursement strategies and projects.
• Reconcile, audit, investigate and report on expenditures, budgets, provider reimbursement, and other financial data with internal and federal systems for completeness and compliance with federal and state laws and agreements.
• Communicate and problem-solve to foster professional interpersonal relationships with other intergovernmental financial professionals, program budgeting, and project managers within the department. This will include assisting Medicaid systems and other internal staff, providers and stakeholders with technical reimbursement questions or updates at a detailed level.
• Support the development and maintenance of financial policies and procedures, contract monitoring, procurement activities, and federal reporting.
• Assist with routine cost and analysis functions relating to value care, managed care, provider payments, and Medicaid reimbursement activities across various provider types.
• Complete other duties, tasks, or assignments as assigned by management.

 MINIMUM QUALIFICATIONS:

You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below.

• Good knowledge of accounting principles and practices. Typically gained by at least four years of professional work experience as an accountant, or equivalent, applying Generally Accepted Accounting Principles (GAAP) OR an Associate's degree in accounting AND at least two years of professional work experience as an accountant or equivalent.
• Experience developing and preparing financial documents. Typically gained by at least one year of full-time work experience.
• Experience using a personal computer to develop, analyze, and report on financial data. Typically gained by at least one year of work experience using a personal computer to develop, analyze and report on financial data as a regularly assigned job duty. (Experience tracking personal finances and using home financial software would not qualify.) Due to the rapidly changing information systems, your experience must be within the last five years.
• Experience analyzing financial activities and recommending management action. Typically gained by at least one year of full-time work experience.

 Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.

• Knowledge of private or public Healthcare. Typically gained at least one (1) year of experience in a public or private health care setting, managed care setting, value care setting or insurance billing clearing house where use of medical codes was a function of the job.
• Experience in business operations working with financial data, setting reimbursement rates, or budget oversight. Typically gained by at least one (1) year of experience working with large computer systems to process financial data or rate setting.

Learn About a Career with DHW

***PLEASE NOTE: application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 4:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications.

If you have questions, please contact us at:

Email is the quickest way to get an answer to your questions.

(answered Monday through Friday during business hours MST)

EMAIL: [email protected] 
PHONE: (208) 334-0681

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email [email protected].

Preference may be given to veterans who qualify under state and federal laws and regulations.