Job Title : Medicaid Program Coordinator
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Supervising Position : Director or designee
Pay Plan : Professional Technical
Pay Range : Range 03
Last Updated : 6/2024
Pay Information
Benefits Information
JOB SUMMARY : Manage and supervise the Cherry Creek School District’s (CCSD) Medicaid School Health Services (SHS) program participation to ensure compliance with federal and state regulations, including the Random Moment Time Study, transportation and provider documentation.
ESSENTIAL DUTIES AND RESPONSIBILITIES : Manage and supervise the Cherry Creek School District’s (CCSD) Medicaid School Health Services (SHS) program participation to ensure compliance with federal and state regulations. Act as a liaison between CCSD and various state and federal agencies. Develop and manage processes to ensure compliance with the the Random Moment Time Study, transportation, and provider documentation. Supervise Medicaid office personnel.
Job Task Descriptions
Frequency
Percentage of Time
1.
Develop and manage the CCSD’s Random Moment Time Study, to include the Staff Pool List, provider credentials and random moment surveys to ensure compliance with district policies and Colorado Health Care Policy and Financing program reporting requirements. Coordinate with the Office of Fiscal Services to maximize compliance with IDEAB and Medicaid funds.
Daily
30%
2.
Direct and supervise Medicaid Office staff, including training and onboarding.
Daily
20%
3.
Analyze SHS program regulations and HCPF requirements. Review and implement SHS program changes. Adjust Medicaid office systems to increase compliance.
Daily
10%
4.
Analyze and monitor the Medicaid office training program data. Develop and adjust training protocols to achieve compliance with HCPF regulations and to maximize revenue.
Daily
10%
5.
Collaborate with multiple departments to develop and maintain Medicaid Office systems to ensure compliance with district policies and HCPF regulations.
Daily
10%
6.
Analyze compliance of service providers to develop and update manuals and forms for Medicaid documentation and Random Moment completion, obtain provider licensure and adjust systems to meet regulatory changes.
Daily
10%
7.
Act as a liaison between the District and The Consortium. Attend area meetings to influence future process development and ensure CCSD procedures are consistent with program regulations and processes.
Monthly
5%
8.
Perform other duties as assigned or requested.
Daily
5%
TOTAL
100%
REPORTING RELATIONSHIPS : This job has supervisor responsibilities including, but not limited to, interviewing, hiring, directing work, assigning work, supervising work, training, evaluating, disciplining, and terminating. Direct reports:
Medicaid Trainers
Medicaid Office Assistants
MINIMUM QUALIFICATIONS : The minimum prerequisites of formal education, professional work experience, certifications, licenses, endorsements, designations, trainings, and other criteria that a candidate must fulfill to be considered for a position. It is essential that certifications, licenses, endorsements, designations, and trainings are fulfilled, valid, and not expired.
Criminal background check and fingerprinting required
Bachelor's degree
Three (3) years of professional work experience
Two years supervisory experience
Advanced knowledge of Microsoft Office
Advanced interpersonal relations and teamwork skills
Advanced verbal and written communication skills
Ability to apply regulations and policies
Ability to learn and use computer programs
Ability to manage multiple concurrent projects
Ability to work independently and collaboratively
Ability to establish and maintain effective relationships with diverse stakeholder groups
Ability to maintain confidentiality in all aspects of the job
PHYSICAL REQUIREMENTS AND WORKING CONDITIONS : The physical demands, mental functions, cognitive capacities, and work environment factors required to perform a position’s essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Light work strength level (lifting or carrying up to 25 pounds)
Primarily works indoors
Typically a quiet noise level
Work location is subject to change to meet the requirements of the organization
DESIRED QUALIFICATIONS : Formal education, professional work experience, certifications, licenses, endorsements, designations, trainings, and other qualifications relevant to the position that are strongly preferred but not mandatory for a candidate to be considered.
Experience working in the public sector
Experience working directly with people from diverse racial, ethnic, and socioeconomic backgrounds
Racially conscious and culturally competent with the skill, will, capacity, and knowledge to commit to a culture of continuous improvement
Two years’ experience working within a Medicaid School Health Services program .