Medicaid Systems Specialist (One Year Only)

Summary

Qualifications

Required

• Any combination of education and experience equivalent to an associate degree in computer science, information systems, or healthcare systems.
• One (1) year of experience in information technology support and/or utilizing systems in a health-related field.
  • Advanced degree(s) beyond the minimum degree requirement in a relevant field may be considered for some experience.
• Knowledge of principles, concepts, and methods of technology systems.
• Familiarity with health-related applicable regulations, legislations, and policies.
• Ability to apply knowledge to the needs and requirements of a public school system.
• Ability to gather, analyze, interpret, and reconcile data.
• Ability to develop and provide clear, concise reporting.
• Ability to establish and maintain collaborative working relationships with culturally diverse school-based personnel and central office staff.
• Ability to plan and conduct professional development activities.
• Ability to communicate effectively, both orally and in writing.

Preferred

• Medicaid or other health insurance billing experience.

Major Duties/Essential Functions

1. Provides for all system facets of the FCPSMED application and its interface with other computer applications required to support the Medicaid program.
2. Manages data; develops complex reports and ad hoc data queries.
3. Develops functional system requirements and performs acceptance testing for all FCPSMED upgrades and updates.
4. Reviews nightly data uploads and ensures the quality of data and data transfers are accurate and complete.
5. Oversees and maintains a support (help) desk for FCPSMED users such as speech and language pathologists, occupational therapists, physical therapists, audiologists, school social workers, and school psychologists; maintains user accounts and security.
6. Provides both formal and ad hoc professional development to end users.
7. Submits and reconciles Medicaid payments; audits data and resolves discrepancies.
8. Performs quality review of health-related student information and documentation.
9. Verifies Medicaid eligibility status of students.
10. Analyzes and monitors student health-related treatment plans, student health-related service logs, student educational records such as individualized education plans, 504 plans, and all student documentation related to Medicaid claim submissions to ensure compliance with state and federal Medicaid billing guidelines.
11. Confirms state licensure status of therapists and clinicians providing Medicaid services and ensures compliance with billing requirements.
12. May act as a liaison for internal technology activities.
13. Responds to internal and external requests related to the Medicaid program.
14. Performs related duties as required or assigned.

Work Environment/Physical Requirements

• Salary Grade
  [Salary Information]: Unified Scale-Schedule B/Grade 002-FEU-OP
• Office: Office Of Special Services
• Contract Length: 260-Day Contract
• Pay Frequency: Monthly
• Percent Full-Time: Full Time
• Closing Date: 20-Oct-2026
• Job Type: Special Services
• Open
  Until
  Filled: No
• Re-Adv.
  Position: No