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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
Medicaid - Analyst
(Jobs in Baltimore, MD)
 
Requirement id 62902
Job title Analyst
Job location in Baltimore, MD
Skills required Quality Assurance Analyst, Medicaid, -,
Open Date 27-Jul-2017
Close Date
Job type Not specified
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Analyst: Quality Assurance Analyst, Medicaid, -,

Submission Deadline : 08/08/2017 02:00:00 PM

Client : Maryland State Department of Education (MSDE)

Description :

This request is to procure services in support of the requirements of Marylands 1915(c) Home and Community Based Autism Waiver and the School-Based Medicaid Program such as:

1) Administer fiscal review of the implementation of the Medicaid Home and Community Based
Services Waiver for Children with Autism Spectrum Disorder (Autism Waiver) program, local
school system and non-public school based Medicaid reimbursement, and ensure compliance with all rules and regulations;
2) Using reports provided by DHMH, monitor the eligibility changes, and payment errors of children enrolled or due to be dis-enrolled from the Autism Waiver;
3) Provide expert consultation on compliance initiatives, performance indicators, implementation of the compliance work plan, and data collection strategies to enhance systems;
4) Support the addition of 100 additional Autism Waiver participants; and
5) Support the management of Autism Waiver program, local school system and non-public school Medicaid reimbursement through the use of: data analysis, information management, data interpretation, queries and report preparation.

Nature of Work:

The MSDE, DSE/EIS is seeking services for oversight and the expert review of administrative functions necessary for the implementation of the Autism Waiver and the School- Based Medicaid Program. Senior Analysts must be able to work up to a maximum of 400 hours during the one year period of the RFQ, attend on-site compliance reviews and be available for off-site training/technical assistance.


Scope of Work

Task 1: In collaboration with the Branch Chief, Section Chief, or designee, support the management of fiscal aspects of oversight in the implementation of the requirements under the Autism Waiver and the School Based Medicaid Program. Track all payment and eligibility through reports received by DHMH on the Autism Waiver. Ensure a minimum of monthly oversight of fiscal oversight protocols. Provide reporting on the status of the implementation.

Task 2: The contractor will review compliance with the provision of AW services and provide monthly reports; track eligibility and billing and bi-annually provide guidance reports on enrollment for children on the Autism Waiver and the Registry, and assist with the annual financial report and prepare projections.

Task 3: Manage and assure the accuracy of data supplied through the Autism Waiver monitoring system. Advise on revisions to the software and check accuracy of information including current enrollment and compliance with HCBS eligibility requirements.

Task 4: Support the delivery of services as required by Marylands 1915(c) Home and Community Based Autism Waiver through the review of electronic records and paper reports; prepare and provide a status report to the Branch Chief or Section Chief within the week of the review.


Task 5: Analyze and report on data tables provided through AW and School-based Medicaid programs and provide recommendations for further development of systems to ensure useful data to drive effective and efficient implementation of programs.


Bidder Qualifications:

A. Essential Qualifications:

1. Demonstrated knowledge and experience monitoring Marylands 1915(c) Home and Community Based Services Waiver and the HBCS Final Rule;
2. Experience monitoring compliance with COMAR 10.09.52, COMAR 10.00.56, COMAR
10.09.36, COMAR10.09.50, COMAR10.09.25, and COMAR 10.09.40;
3. Experience managing data collection, service tracking, financial system reviews, and end of year close out procedures for initiatives such as the Autism Waiver or School-based Medicaid;
4. Experi
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 62902 while calling.
 
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(Analyst: Quality Assurance Analyst, Medicaid, -, in Baltimore, MD)
     
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