Medicaid Analyst

Stride, Inc.•US - VA - Remote, VA

23h•Remote

About The Position

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.

Requirements

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
Strong organizational skills, presentation skills, and the ability to work without direct supervision
Proficiency in Microsoft Office (Outlook, Word, Excel); Web proficiency
Ability to pass required background check

Nice To Haves

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

Responsibilities

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.
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.
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.
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.
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.