Medicaid Analyst

Job Description

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.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Billing & Tracking:

·       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.

Forecasting & Collections:

·       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.

Process Improvement & Best Practices:

·       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.

Cross-Functional Partnership:

·       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.

Reporting & Analysis:

·       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.

Supervisory Responsibilities: This position has no formal supervisory responsibilities.

Minimum Required Qualifications:   

·       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

Certificates and Licenses: none

OTHER REQUIRED QUALIFICATIONS: 

·       Strong organizational skills, presentation skills, and the ability to work without direct supervision

·       Proficiency in Microsoft Office (Outlook, Word, Excel); Web proficiency

·       Flexible schedule with ability to travel up to 10% of the time for meetings, etc.

·       Ability to pass required background check

DESIRED Qualifications:  

·       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

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·       This is a home-based position.

Compensation & Benefits: Stride, Inc. considers a person’s education, experience, and qualifications, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee’s salary level. Salaries will differ based on these factors, the position’s level and expected contribution, and the employee’s benefits elections. Offers will typically be in the bottom half of the range. 

• We anticipate the salary range to be $57,384.00 - $75,000.00 per year. The upper end of this range is not likely to be offered, as an individual’s compensation can vary based on several factors. These factors include, but are not limited to, geographic location, experience, training, education, and local market conditions. Eligible employees may receive a bonus. Stride offers a robust benefits package for eligible employees that can include health benefits, retirement contributions, and paid time off.

The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.  All employment is “at-will” as governed by the law of the state where the employee works.  It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.  By signing below the incumbent acknowledges that she/he has reviewed and is familiar with the contents of this job description.

Job Type

The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works.  It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you can request the appropriate accommodation by contacting stridecareers@k12.com.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Stride, Inc. is an equal opportunity employer. Applicants receive consideration for employment based on merit without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other basis prohibited by federal, state, or local law. Stride, Inc. complies with all legally required affirmative action obligations. Applicants will not be discriminated against because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.