Overview
Location: Remote (US)
This role supports Medicaid financial reporting and reimbursement processes for school-based Medicaid programs. Reporting to the Medicaid Services Team Lead, the Medicaid Financial Analyst I executes established Medicaid financial reporting and reimbursement workflows, including Medicaid Administrative Claiming, cost reporting, transportation and private transportation cost reporting, revenue analysis, and audit support in assigned states.
Responsibilities
- Meet quarterly and annual deadlines to produce assigned cost reports, transportation/private transportation cost reports, and administrative claims
- Manage Medicaid Administrative Claiming (MAC) and cost reporting work in at least one assigned state using established workflows and guidance
- Monitor Medicaid reimbursement reporting accuracy and revenue drivers for assigned clients or programs
- Analyze client financial information in Excel and proprietary reporting tools to support revenue recommendations
- Communicate regulatory updates and reporting needs to clients in a timely manner
- Support clients during state or federal audits by supplying required documentation and analysis
- Develop and submit annual cost reports and transportation/private transportation cost reports in assigned states
- Develop and submit quarterly administrative claims in assigned states
- Maintain participant lists and supporting data for administrative claiming
- Review Medicaid system reporting to ensure accuracy and identify anomalies that affect cost reporting or administrative claiming
- Coordinate with implementation consultants to onboard new Medicaid customers into established financial workflows
- Identify and escalate transaction, reporting, or data issues to the Team Lead
- Participate in client conversations as needed to clarify Medicaid reporting requirements, timelines, or supporting documentation
- Work with internal teams to communicate system or reporting needs related to regulatory requirements
- Other duties as assigned
Requirements
- Bachelor’s Degree required
- Ability to conduct financial analysis using Excel and proprietary reporting tools
- 1–3 years of relevant financial analysis, Medicaid or administrative claiming, healthcare reimbursement, or cost reporting experience
- 2+ years school-based Medicaid cost reporting and/or administrative claiming experience
- Ability to manage MAC and cost reporting work in at least one state with minimal supervision
- Proven strong written and verbal communication skills
- Adherence to documentation, tracking, and measuring requirements
- Ability to prioritize, multi-task, and perform effectively in ambiguous situations
Preferred Qualifications
- Working knowledge of school-based Medicaid reimbursement processes, including applicable state and district requirements, standards, and policies for assigned programs
Compensation & Benefits
- Base salary range: $70,000–$75,000
- This role is eligible for a comprehensive benefits package, including:
- Bonus eligibility
- 401(k) match
- Employee Stock Purchase Plan
- Comprehensive health benefits
- Personalized time off
- Paid sick time
- Tuition reimbursement for eligible coursework
Inclusion, Belonging & Equal Opportunity
Equal opportunity/affirmative action employer. Applicants are encouraged from a wide range of backgrounds.
Interview Process & Data Privacy
Video conferencing tools may include photo capture and may include automated transcription features. A screenshot or photo may be taken at the start of the interview for internal identification and record-keeping purposes only; transcription may be used to support notetaking and evaluation consistency. Materials are used solely by recruiting and hiring teams, stored securely, and not shared outside the hiring process. Candidates may opt out of transcription at any time by notifying their recruiter in advance. Processing is conducted in accordance with applicable data privacy laws for legitimate business purposes related to recruitment and hiring.