Medicaid Analyst

Stride, Inc.

Sacramento, California

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JOB DETAILS

SKILLS

Accounting, Accounts Receivable, Analysis Skills, Background Investigation, Best Practices, Billing, Business Administration, Cash Flow, Certified Public Accountant (CPA), Cross-Functional, Customer Support/Service, Detail Oriented, ERP (Enterprise Resource Planning), Economics, Federal Government, Finance, Financial Audit, Financial Policies, Financial Reporting, Forecasting, Funding, Government, Government Accounting, Leadership, Matrix Management, Medicaid, Medical Billing, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Oracle, Organizational Skills, Presentation/Verbal Skills, Process Improvement, Profit & Loss, Public Policy, Reconciliation, Regulations, Regulatory Reports, Regulatory Requirements, Reimbursement, Research Skills, Schedule Development, Student Services, Time Management, Willing to Travel, Writing Skills

LOCATION

Sacramento, California

POSTED

Today

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 Improvement & Best Practices:

· Research, recommend, and implement best practices to optimize billing workflows and increase reimbursement rates across programs.

· Continuously evaluate allowable service categories; identify opportunities to expand billable offerings.

Cross-Functional Partnership:

· Partner with Government Affairs to influence and expand service eligibility under federal funding streams for virtual students.

· Partner with Accounting to ensure accurate GL postings of all federal program revenue and proper internal controls.

Reporting & Analysis:

· Monitor trends in reimbursement rates, utilization, and policy changes; present insights and recommendations to Finance leadership.

· Prepare interim financial reports, audit responses, and support statutory reporting requirements.

Supervisory Responsibilities: This position has no formal supervisory responsibilities.

Minimum Required Qualifications:

· Bachelor's degree in Accounting, Finance, Economics, or a related field AND

· 2+ years of billing experience within an educational or school-district environment (Medicaid and/or other federal programs) OR

· Equivalent combination of education and experience

· Proficiency with ERP systems (e.g., Oracle, Workday) and advanced Microsoft Excel skills

· Strong research and analytical abilities; comfort navigating complex regulations

· Excellent written and verbal communication; customer-service orientation

· Proven success working in a highly matrixed organization and managing cross-functional projects

· Meticulous attention to detail; deadline-driven execution

· Demonstrated ability to solicit and act on feedback; self-motivated and proactive

Certificates and Licenses: none

OTHER REQUIRED QUALIFICATIONS:

· Strong organizational skills, presentation skills, and the ability to work without direct supervision

· Proficiency in Microsoft Office (Outlook, Word, Excel); Web proficiency

· Flexible schedule with ability to travel up to 10% of the time for meetings, etc.

· Ability to pass required background check

DESIRED Qualifications:

· Certification or licensure in Medicaid billing, school treasurer credentials, or relevant federal program billing preferred OR ability to obtain as required by state/federal agencies

· Certified Public Accountant (CPA) or similar professional certification

· Master of Business Administration (MBA) or advanced degree in Finance, Public Policy, or related field

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· This is a home-based position.

Compensation & Benefits:Stride, Inc. considers a person's education, experience, and qualifications, as well as the position's work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee's salary level. Salaries will differ based on these factors, the position's level and expected contribution, and the employee's benefits elections. Offers will t

About the Company

Stride, Inc.

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