Government Programs & Reimbursement Coordinator

Government Programs & Reimbursement Coordinator

CommonSail Investment Group

Position Summary:

The Government Programs & Reimbursement Coordinator is responsible for the coordination, research, application processing, compliance tracking, and billing oversight for Medicaid waiver participation across StoryPoint Group assisted living and memory care communities and CorsoCare Personal Care in multiple states.

This role serves as the internal subject matter resource for Home and Community-Based Services (HCBS) waivers, state-specific Medicaid programs, VA, GUIDE program and other government payor type programs. The Coordinator ensures timely enrollment, accurate documentation, regulatory compliance, and proper billing processes to support operational success and revenue integrity.

This position works cross-functionally with Compliance, Operations, Clinical, Finance, and Revenue teams to support sustainable waiver participation aligned with our Safety First commitment and regulatory excellence standards.

Required Experience for Government Programs & Reimbursement Coordinator:

• Education: Bachelor’s degree preferred (Healthcare Administration, Business, Public Health, or related field).
• Experience: 2–5 years experience in healthcare administration, Medicaid programs, senior living, or long-term care.
• Program Knowledge: Familiarity with Medicaid waiver or managed care programs preferred.
• Regulatory Knowledge: Multi-state regulatory exposure preferred.
• Billing Knowledge: Experience with healthcare billing processes strongly preferred.

Primary Responsibilities for Government Programs & Reimbursement Coordinator:

1. Research & Program Tracking

• Research state-specific Medicaid waiver requirements and program updates.
• Monitor changes to HCBS regulations and state waiver amendments.
• Maintain a multi-state waiver tracking matrix including:
  • Enrollment status
  • Renewal deadlines
  • Required documentation
  • Managed care participation
• Prepare summaries of regulatory updates for leadership review.

2. Application & Enrollment Coordination

• Coordinate and prepare Medicaid waiver provider enrollment applications.
• Collect required documentation from communities and corporate departments.
• Track submission timelines and follow up with state agencies and MCOs as applicable.
• Maintain organized records of:
  • Provider enrollments
  • Credentialing approvals
  • Attestations
  • Site readiness inspections
• Serve as point of contact for state Medicaid agencies during application processes.

3. Compliance Monitoring

• Maintain waiver compliance checklists for participating communities.
• Track required documentation such as:
  • Service plans
  • Eligibility verification
  • Staffing requirements
  • HCBS setting compliance attestations
• Support internal audits and assist with corrective action tracking.
• Coordinate documentation for state audits or desk review