Reimbursement Analyst

State of Indiana

Indianapolis, IN

JOB DETAILS
SKILLS
Ambulance Services, Analysis Skills, Behavioral Health, Budgeting, Coaching, Communication Skills, Community Support, Community and Social Services, Corrective Action, Distributed Control Systems (DCS), Equal Employment Opportunity (EEO), Family Social Work, Federal Laws and Regulations, Finance, Financial Reporting, Funding, Government, Government Organizations, Health Plan, Healthcare, Life Insurance, LinkedIn, Medicaid, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, People Management, Performance Metrics, Policy Analysis, Policy Implementation, Presentation/Verbal Skills, Problem Solving Skills, Productivity Management, Public Administration, Public Finance, Quality Metrics, Regulations, Reimbursement, Reporting Skills, Staff Training, State Laws and Regulations, Team Lead/Manager, Time Management
LOCATION
Indianapolis, IN
POSTED
30+ days ago

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, youll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, youll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the states budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission. Role Overview: The Reimbursement Analyst role is focused on support of supplemental payment programs and reimbursement for Home and Community Based Services offered through Waiver programs. Your role serves as a subject matter expert of reimbursement for Waiver programs, Ambulance Supplemental program, PRTF, and DCS Extended Stay Supplemental program. You will provide support for implementing rating methodology changes and rate updates for waiver programs with a focus on rate changes needed to encourage greater use of Home and Community Based Services as an alternative to institutional care. You will serve as the project sponsor for systems changes needed to support waiver programs. The ideal candidate will have a Bachelors degree in a healthcare-related field, policy analysis, public administration, financial or similar plus a minimum of two years healthcare experience. Proficiency in Microsoft Excel, PowerPoint, and Word is required. Salary Statement: The salary for this position traditionally starts at $59,800.00 but may be commensurate with education or work experience. A Day in the Life: The essential functions of this role are as follows: Establish and monitor program objectives, KPIs, and actions to achieve them. Direct, plan, or implement policies, objectives, or activities of organizations or businesses to ensure continuing operations, or to increase productivity. Interpret and explain policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals. Recommend and implement corrective action plans to solve program problems. Prepare reports for approval, including those for funding or implementation of services. Direct or coordinate the financial or budget activities to fund operations, maximize investments, or increase efficiency in the specified program. Ensure program requirements meet federal and state policies and grants compliance. Develop, train employees or agency consultants on program requirements and usage. Coordinate and deliver communication plans and communications. Serve on boards of directors and management committees. Serve on management committees or other governing boards. Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development. Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures. The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice. This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary. What Youll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: Specialized knowledge in program subject matter obtained through experience and/or education. Extensive knowledge of provider agencies and their programs and services. Extensive knowledge of all source materials and references including federal and state laws governing the programs. Ability to develop and implement new principles and policies and discern any far-reaching implications. Ability to present to both internal and external customers, the public, government officials, and other stakeholders. Analyzing information and evaluating results to choose the best solution and solve problems. Ability to work effectively with a wide variety of stakeholders. Ability to prepare monthly finance and accounting reports to maintain program budget and grants. Ability to delegate work, set clear direction, and manage workflow. Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets. A degree is not required. However, at least 9+ years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. Individuals should have the ability to perform essential functions with or without reasonable accommodation. Supervisory Responsibilities/Direct Reports: This role may serve as a team lead for an assigned work group. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefit package for full-time employees which includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 on election years Education Reimbursement Program Group life insurance Referral Bonus program Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.

About the Company

S

State of Indiana

A State of Opportunities! Indiana State Government is a goal driven, performance oriented, customer focused workforce. If you are looking to advance your career in a dynamic and energized environment, then we welcome you to explore opportunities within state employment. In joining our workforce, you will gain a rewarding experience working on behalf of Hoosiers to build a better Indiana.

No other organization can offer the diversity of careers, the upward mobility or the ability to change disciplines like the State of Indiana. Plus you'll find that enhancing your job description is something that is actually encouraged throughout the organization.

Indiana State Government has more than 70 state agencies and approximately 31,000 Full-Time Employees located throughout the state. Within our agencies we are proud to offer a diverse workforce and a variety of job categories that include: Architecture & Engineering, Clerical & Office Support, Education, Training & Library Science, Executive, Health Care, Human & Social Services, Information Technology, Law Enforcement and Public Safety, Legal, Accounting & Finance, Human Resources, Environmental & Natural Resources, Animal Health, Maintenance Trades, Biologic & Scientific, Transportation, Food Service, Administrative & Managerial.

To search for your next career opportunity with Indiana State Government, please visit our website at www.in.gov/spd.

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COMPANY SIZE
10,000 employees or more
INDUSTRY
Government and Military
WEBSITE
http://www.in.gov/spd