AddressJob Details
Description
Location Requirements: This role is Hybrid to Austin, TX or Wayne, PA. Working hours are based in the Eastern Time Zone.
Your role on the team:
Reporting to the Senior EDI Analyst, Team Lead, the Medicaid Financial Analystis a trusted partner to Frontline Educations Service Management and Medicaid clients. This role is central to all client Medicaid revenue streams, including Medicaid Administrative Claiming, Cost Reporting and Fee-For-Service EDI transactions. The successful candidate will utilize their strong Medicaid Cost reporting, administrative claiming, EDI knowledge, communication, analytical and critical thinking skills to manage client Medicaid revenue and reporting in multiple states. The Medicaid Financial Analyst must demonstrate a commitment to working through complex problems and complete tasks with a high level of accuracy and focus on satisfying the customer.
You can expect:
- Meet quarterly and annual deadlines to produce all client cost reports, and administrative claims.
- Develop success plans for clients that will result in revenue maximization and increased compliance. Define metrics for success, potential risks, and provide recommendations in line with client strategic revenue goals.
- Produce a trusted relationship with your clients while facilitating communications and interactions with Frontline Education at various levels of the business.
- Monitor and manage client Medicaid revenue health for assigned base of clients/region.
- Consult clients on potential Medicaid revenue and identify key areas for improvement.
- Communicate regulatory updates to clients in a timely manner.
- Support clients during state or federal audits to ensure all supporting documentation is supplied.
- Develop and submit annual cost reports and transportation cost reports in multiple states.
- Develop and submit quarterly administrative claims in multiple states. Analysis of client financial information in excel with ability to make recommendations on budgetary guidance to improve revenue.
- Maintenance of participatory lists for administrative claiming.
- Processes EDI transactions in assigned Medicaid states, including 270/271, 277/276, 837/835 and 999 files.
- Coordinate with implementation consultants to onboard new Medicaid customers.
What you bring to the role (nice-to-haves):
- Demonstrated capability of interacting at the highest levels of client organizations and increasing the levels of client interaction within the district, as appropriate.
- Ability to establish and maintain positive working relationships (internally and externally) that build Client trust and commitment.
- Skill to work across the company to resolve issues and improve Client satisfaction.
- Ability to anticipate client needs and adapt as needed to achieve mutually beneficial objectives and goals.
- Ability to identify and document exemplary use cases of Medicaid Revenue increases.
- Capacity to develop a clear understanding of the business needs and translate them into solutions.
- Demonstrated ability to target critical business problems and apply appropriate decision making, technology, and best practice methodologies to resolve.
- Be capable of explaining Medicaid announcements directly to clients regarding regulatory changes
- Ability to collaborate and develop effective working relationships with other Frontline Education staff or additional stakeholders on difficult issues as needed.
- Adapts well to change and demonstrates stability under pressure
- Embodies the company’s core values both internally and externally to Frontline Education.
This role requires (must-haves):
- Bachelor’s Degree required.
- Ability to conduct in-depth financial analysis using excel and proprietary reporting tools
- Advanced Excel skills including Power Query, formulas, and functions.
- 2+ years school-based Medicaid Cost Reporting and/or Administrative Claiming experience.
- Deep understanding of the state/district standards, policies, and processes.
- Possess the ability to work independently and be self-motivated in a fast-paced environment.
- Proven strong written and verbal communication skills.
- Adherence to Frontline requirements for documentation, tracking, and measuring.
Who we are:
Frontline Education is a pioneer of school administration software purpose-built for K-12 districts. We provide innovative, connected solutions for student and special programs, business operations, and human capital management with powerful data and analytics to empower educators and administrators. We earn the trust of K-12 leaders across the U.S. by serving as a consistently high-performing, forthright partner of school districts through every dimension of the company.
We're a group of unique and talented individuals that love what we do. We've been lucky enough to land jobs with a rapidly growing tech company that supports an appreciative and friendly customer base. We work hard to make our customers happy, but we like to have a good time in the process. We are a company that strives to think in terms of “we” instead of “me.” We believe in the philosophy of servant leadership and that it’s all about putting others first. We also value the balance between family and work.
Frontline embraces diversity, equity, and inclusivity. We are intentionally building a workplace that respects, supports, and values the identities of all our employees. We believe this to be foundational in developing a strong community in our company. Frontline Education is an equal opportunity employer and we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
The perks of being a Frontliner:
Frontline offers a competitive compensation package including a base salary, rewarding bonus structure, 401k match, and unlimited PTO! Our company growth has created a promising environment for career advancement and rewarding challenges. We offer a tuition reimbursement program for eligible college credit coursework available to employees depending on their status and length of employment.
