Assoc Medicaid Analyst

Job description




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.




  • Perform all activities related to the initial review of time study related data, including prioritization and directing the information to the appropriate Operations Coordinator
  • Perform billing, claim generation and claim reconciliation to ensure high quality, effective, efficient and valid billing and claiming outcomes
  • Make complex decisions regarding the correct application of client-specific rules and requirements pertaining to the administration of time studies and/or the submission and processing of Medicaid claims
  • Notify senior staff of discrepancies and recommend action steps on a timely basis and assist in the preparation of needed summary reports
  • Identify, review and analyze discrepancies and/or provide data and prepare documentation to ensure accurate claiming
  • Develop and maintain spreadsheets, databases and/or systems to track and monitor relevant claims data and time study data
  • Assist in the gathering of data and information in order to prepare ad hoc and other reports. Also maintain all forms of claim and volume data used for tracking and reporting
  • Independently implement and manage tasks in accordance with departmental objectives, including developing and maintaining project plans and time schedules, and reviewing pertinent correspondence, communications and other background materials on a timely basis to ensure that projects and operations remain on track
  • Act as point of contact for customer inquiries and issues
  • Perform other duties as directed, including participating as a member of project and claiming teams
  • Perform other duties as required.



  • Bachelor’s degree in Business Administration, Accounting, Finance, or equivalent  
  • 1-3 years of relevant experience
  • Demonstrated ability to review, research, assess and interpret healthcare billing and claiming information Ability to design and program spreadsheets, databases, or custom reports
  • Proficiency 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 management
  • Must possess strong organizational skills, the ability to establish priorities, and resolve problems independently
  • Ability to maintain complex records and prepare periodic complex financial reports
  • Demonstrates investigation skills and initiative, judgment and discretion
Additional Information





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Job No:
Posted: 5/2/2021
Application Due: 4/29/2022
Work Type: Full Time