Medicaid Analyst

Job description

Job Description The Medicaid Analyst owns the end-to-end reimbursement process for our online schools’ Medicaid funding streams. Partnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. As the in-house subject matter expert (SME) for Medicaid, the role will drive operational excellence and expand funding capabilities to support a student population with higher-than-average economic need. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Billing & Tracking: · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment. Forecasting & Collections: · Build and maintain funding models, P&L, and cash-flow forecasts for Medicaid reimbursements; monitor receivables and aging. · Drive collection efforts and resolve billing discrepancies. Process Impr...