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Acute Care Reimbursement Manager

Date Posted:  Aug 15, 2019
Requisition ID:  11639
Location: 

Indianapolis, IN, US, 46204

Work for Indiana

Grow your career with the State of Indiana! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities. As a State of Indiana employee, you impact the well-being of Indiana’s communities every day.

 

About the job:

The purpose of this position is to serve as the subject matter expert and key point of contact for acute care reimbursement policy, which represents nearly $600 million in annual Medicaid expenditures.

Summary/Objective:

This individual is involved with a variety of executive duties within a state agency or facility involving a high degree of discretion in interpretation, application and execution of all agency or department policies and programs.

Essential Job Responsibilities:

The essential functions of this role are as follows:

  • Provide leadership, day-to-day supervision, and development opportunities to the acute care reimbursement team; provide guidance for staff regarding project development and implementation.
  • Monitor and manage work of acute care rate setting contractor, maintain accountability, and ensure contractor performs in accordance with agency goals; coordinate with the Policy & Program Development Section to ensure alignment with coverage and benefits; seek opportunities for improvement
  • Ensure reimbursement methodologies are compliant and consistent with agency goals and objectives
  • Serve as key subject matter expect for acute care reimbursement; resolve reimbursement issues as identified; collaborate with the Provider Relations Section for provider-related concerns
  • Monitor emerging trends in acute care reimbursement, evaluate for applicability in Indiana, provide recommendations to the Section Director and OMPP leadership
  • Identify opportunities for training stakeholders on acute care reimbursement; work with Section Director to implement trainings/knowledge sharing activities
  • Assist with the monitoring of the State's fiscal agent for compliance with federal and state regulations related to reimbursement methodology; review and evaluate change requests for acute care reimbursement changes in the State's Medicaid Management Information System
  • Communicate complex information to staff, contractors, agency administrators, and others within expected guidelines and established timeframes
  • Assist and own other projects in support of the agency’s mission as assigned by supervisor, division executives, and agency leadership.
  • Represents agency, facility, or departments in a variety of situations with other departments, facilities, the general public and special interest groups;
  • Reviews total department or agency organizational structure and functions and prepares changes to promote efficiency and effectiveness;
  • Administers staff functions in support of program areas;
  • Prepares special reports on alternative methods of achieving new program responsibilities as related to the agency’s goals and missions;
  • Prepares administrative rules and procedures for executive administrator and/or board or commission;
  • Follows up on plans, programs and procedures to ensure progress and accomplishments;

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

Preferred Experience:

Bachelor's degree in a healthcare-related field, policy analysis, public administration or similar plus at least 3 years experience in healthcare required (Masters or Graduate experience helpful);

Requirements:
  • Extensive knowledge of source material and references; including federal and state laws governing Indiana Health Coverage Programs and acute care reimbursement
  • Proven ability to research, compile and present complex topics
  • Thorough knowledge of the theories, principles, practices and methodology of administrative management;
  • Through knowledge of department charge and programs;
  • Specialized knowledge of state government administrative structures;
  • Ability to coordinate and motivate diverse, professional and support personnel;
  • Ability to be creative in developing alternatives to meet department’s needs;
  • Effectively communicate, both orally and in writing;
  • Ability to maintain cooperative work relationships.
Supervisory Responsibilities/Direct Reports:
This role provides direct supervision for one or more staff members.

Hire Salary:   The annual minimum starting salary for this position is $ 47,476.00.

 

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

  • Four (4) medical plan options (including RX coverage) and vision/dental coverages
  • Wellness program (offers eligibility into a discounted medical plan)
  • Health savings account (includes bi-weekly state contribution)
  • Deferred compensation account (similar to 401k plan) with employer match
  • Two (2) fully-funded pension plan options
  • Group life insurance
  • Employee assistance program that allows for covered behavioral health visits
  • Paid vacation, personal and sick time off
  • Competitive leave policies covering a variety of employee needs
  • 12 company paid holidays, 14 on election years
  • Qualified employer for the Public Service Loan Forgiveness Program
  • New Parent Leave
  • Free Downtown Parking

If this is an Intermittent position, the position does not offer benefits and is limited to 180 working days in an eleven (11) month continuous period.

 

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer

Current Employee? Click here to apply.


Nearest Major Market: Indianapolis

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