Medicaid Implementation Admin

Houston Independent School District • Houston, TX

112d • $51,500 - $84,988

About The Position

Serves as the e-SHARS System Application subject matter expert for client district customer support representatives and SHARS Clinicians. Provides training to HISD and client school districts on research, program development, implementation, and service provider licensure. Certifies Medicaid requirements for HISD and each client district’s Medicaid revenue programs. Responsible for managing HISD and client district accounts, by monitoring, analyzing, and coordinating on-going operations to maximize Medicaid revenue and meet state/federal Medicaid regulations and requirements.

Requirements

• Bachelor's Degree
• 1-3 years of work experience
• SAP-OneSource preferred
• Microsoft Office/365 Suite experience preferred
• Power Schools and Special Education Data Management System’s experience preferred
• Office equipment (e.g., computer, copier) experience

Responsibilities

• Monitors and ensures medical claiming and processing guidelines are followed.
• Analyzes day-to-day activities, solves and prioritize assignments.
• Trains client district administrators, clinicians, and health and related service providers on the e-SHARS system and Medicaid regulatory and audit compliance requirements.
• Routinely travels throughout the state of Texas to provide Medicaid program policy and regulations and eSHARS system training and support to our client districts.
• Meets with assigned client districts on infrastructure, on-going operations, cloud-based data systems, and other support services to ensure maximum Medicaid revenue and program compliance is achieved.
• Provides new client district programs with infrastructure development to implement new school-based Medicaid programs.
• Coordinates and supports the resolution of client district customer concerns and issues.
• Consults with client district’s school district administrators to establish monetary and regulatory compliant goals to achieve maximization for their district’s Medicaid revenue.
• Acquires, compiles, and maintains current program operations data and criteria to ensure infrastructure operations effectiveness to applicable policies.
• Performs client district program audits to meet state/federal compliance.
• Coordinates with the Technology team and outside contractors to upload data, analyze and resolve issues, and provide input for programming and system development of the on-line system application.
• Assists with system testing and quality assurance operations prior to system production releases of software.
• Prepares and files required reports to ensure client districts compliance with state and federal Medicaid requirements.
• Ensures that HISD’s contractual responsibilities and duties, pursuant to an executed Interlocal Agreement (Contract) with client districts, are being met.
• Performs other job-related duties as assigned.

What This Job Offers

• Education Level: Bachelor's degree