Medicaid Program Coordinator - Student Achievement Resource Center

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 requi