Manager of Medicaid Financial Policy jobs in United States
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Virginia Hospital & Healthcare Association (VHHA) · 1 week ago

Manager of Medicaid Financial Policy

The Virginia Hospital & Healthcare Association (VHHA) is seeking a Manager of Medicaid Financial Policy at their headquarters in Glen Allen, Virginia. This role provides technical, analytical, and operational support for the effective administration of Medicaid financial policy initiatives, focusing on data analysis, reconciliation, and policy support functions.

Health CareHospital

Responsibilities

Complete daily operations and management of the Virginia Hospital Mutual Assistance Program
Establish and maintain effective working relationships with DMAS, MAP Governance Committee, CFO group, and legislature as appropriate
Serve as secondary contact for annual accounting firm review of the MAP
Assume secondary responsibility for member communication relating to Medicaid policy issues that impact the MAP
Assume secondary responsibility for developing interpretation of financial policies, government legislation or regulatory proposals related to the MAP, including researching and preparing analyses of complex financial actions and preparing recommendations for policy, procedure or action
Assist with monitoring legislative proceedings related to the assessments
Serves as backup on committees and workgroups related to hospital reimbursement policy
Collaborate with the Senior Director on the reconciliation and verification of quarterly hospital assessment calculations performed by DMAS
Monitor MAP transactions and fund flows and perform reviews of the necessary calculations, processes, and procedures required for completing the quarterly evaluation of payments and ensuring their accuracy and completeness
Act on behalf of assessed hospitals and health systems to complete paperwork, gather information, and file required reports
Assist in the transfer of the appropriate funds to each hospital after the mitigation and administrative process in accordance with the MAP agreement, providing summary reporting as well as details of any mutual assistance adjustments and the reconciliation which took place
Work with DMAS, MCOs, or hospital finance staff to resolve any exceptions identified in the MAP funds flow processes
Analyze hospital financial data for accuracy and integrity to determine present and future financial performance and the impact of various policy changes

Qualification

Medicaid policyExcel modelingData analysisFinancial operationsHospital reimbursementLegislative analysisFinancial modelingAttention to detailCommunication skillsCross-functional collaboration

Required

Bachelor's degree in Accounting, Finance, Public Policy, Health Administration, or a related field, or a minimum of 3 years of relevant experience in health policy, Medicaid reimbursement, or financial operations required
Advanced analytical and Excel modeling skills (pivot tables, VLOOKUP, formulas)
Experience working with large datasets
Strong written and verbal communication skills
Strong attention to detail
Ability to collaborate with cross-functional teams
Ability to manage multiple projects and deadlines in a fast-paced environment
Demonstrated advanced proficiency in Microsoft Excel, including use of formulas, pivot tables, data manipulation techniques, and financial forecasting tools

Preferred

Knowledge of Medicaid policy, provider assessments, and hospital reimbursement systems
Experience working with hospital financial data or in a Medicaid policy setting
Prior participation in legislative analysis or financial modeling

Benefits

Competitive benefits package
Incentive plan opportunity

Company

Virginia Hospital & Healthcare Association (VHHA)

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The Virginia Hospital & Healthcare Association has 27 member health systems and hospitals, representing 110 community, psychiatric, rehabilitation, and specialty hospitals throughout Virginia.

Funding

Current Stage
Early Stage

Leadership Team

S
Sean Connaughton
President and Chief Executive Officer
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