Payment Recovery Specialist jobs in District of Columbia

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Medicaid Payment and Financing Principal Analyst
  • Medicaid and CHIP Payment and Access Commission...
  • Washington, DC FULL_TIME
  • Principal analysts are seasoned technical experts who lead MACPAC’s analytic work on key policy issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP). They work under the direction of the executive director and policy directors, but are expected to conceptualize and manage significant bodies of work, often involving other team members. Qualified candidates have knowledge and expertise in Medicaid payment and financing policies. This could include experience in policy areas such as fee-for-service base and supplemental payments, managed care capitation rates and directed payments, state approaches to provider payment, and payment and rebates for prescription drugs.

    Major Duties

    A principal analyst is expected, on a routine basis, to be able to:

    • conduct analytic work including:
    • designing, directing, and conducting rigorous research projects on Medicaid and CHIP topics;
    • playing a leadership role in development of MACPAC’s research agenda by identifying focused lines of inquiry related to areas of congressional or Commissioner interest;
    • applying subject matter expertise to the analysis of Medicaid and CHIP topics, including proposed policies and developing issues; and
    • preparing analyses for technical support of congressional staff.
    • communicate effectively orally and in writing by:
    • conceptualizing and developing content of MACPAC products (e.g., issue briefs, reports, comment letters) on increasingly complex issues, organizing information and translating technical content for lay audiences;
    • presenting the results of analytic and other work and leading issue-focused discussions and meetings on Medicaid and CHIP topics with internal teams, Commissioners, and external stakeholders including congressional staff;
    • structuring meeting materials and presentations to support decisionmaking by the Commission; and
    • responding to questions from Commissioners in real time on specific aspects of work and its implications.
    • ensure the quality of MACPAC work, including taking responsibility that a portfolio of work (including that conducted by external contractors and junior staff) meets organizational standards for being thorough, objective accurate, and nonpartisan;
    • represent and speak on behalf of MACPAC in meetings with stakeholder organizations, researchers, government agencies, and others interested in MACPAC’s work, including ability to speak on work beyond own portfolio; and
    • perform other duties as assigned.

    Knowledge and Skills

    In order to perform the major duties listed above, a principal analyst must:

    • demonstrate significant knowledge of state and federal Medicaid and CHIP policy and program issues;
    • demonstrate strong skills in critical thinking and policy analysis, including the ability to:
    • effectively construct arguments and use evidence to tell a story and translate findings and decisions into clear priorities and action;
    • apply subject matter expertise to the analysis of Medicaid and CHIP topics outside of main research portfolio;
    • recommend appropriate actions or next steps when analytic findings are ambiguous or contradictory; and
    • relate research and analytic findings to the broader Commission agenda in addition to the immediate policy question.
    • demonstrate project management tasks, including:
    • serving as a project team leader, including project planning for internal and extramural policy analysis and research and communicating with team members;
    • ability to balance multiple project responsibilities under various deadlines;
    • supervising (directing and providing feedback on) the quality, accuracy, and timeliness of work by others on team; and
    • serving as project officer for external research and policy contracts which may include major task order contracts.
    • engage in learning and development by:
    • continuing to develop new knowledge and skills; may seek opportunities to develop skills or specialize in a functional role (e.g., congressional affairs, data analysis, contracting); and
    • listening and responding to feedback from supervisor and colleagues.
    • demonstrate teamwork and accountability by:
    • playing an active role in identifying and filling gaps in staff knowledge and skills;
    • providing technical review of work plans and products;
    • providing guidance and constructive feedback to more junior staff to encourage learning and development; and
    • expanding productive working relationships with peers and external organizations.

    Position Summary

    Like all MACPAC employees, a principal analyst is expected to:

    • demonstrate and model commitment to team and personal success;
    • work collaboratively with others inside and outside the organization;
    • adapt behavior in response to feedback and experience;
    • contribute to the growth, expertise, and knowledge of colleagues;
    • hold self and others accountable for meeting expectations in a timely and professional manner; and
    • foster a culture of inclusivity and belonging.

    Experience and Education

    The minimum educational requirements for the principal analyst position include:

    • a graduate degree in health policy, health services research, public policy, public health, public health, statistics, economics or other related field;
    • expertise in a substantive area related to the Commission’s statutory authority;
    • at least seven years of experience in health policy analysis or research, and at least two years of experience planning and leading complex projects and translating results for lay audiences with minimal supervision.

    Salary

    $125,000-$160,000

  • 20 Days Ago

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Medicaid Payment and Financing Principal Analyst
  • US Medicaid and CHIP Payment and Access Commission
  • Washington, DC FULL_TIME
  • Duties Principal analysts are seasoned technical experts who lead MACPAC's analytic work on key policy issues affecting Medicaid and the State Children's Health Insurance Program (CHIP). They work und...
  • 12 Days Ago

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Peer Recovery Specialist (FT)
  • Prestige Healthcare Resources
  • Washington, DC FULL_TIME
  • Under the direct supervision of the SUD Clinical Manager, the Certified Peer Recovery Specialist role serves to support others in recovery from a substance use disorder (SUD, OUD, and alcohol use). Th...
  • 29 Days Ago

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Recovery Support Specialist
  • PRESTIGE HEALTHCARE RESOURCES INC
  • Washington, DC FULL_TIME
  • SUMMARYRecovery Support Specialists (RSS) assist clients in defining their goals for recovery and assist them in meeting those goals. The ACT Model involves an integrated, multi-disciplinary team appr...
  • 2 Months Ago

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Experienced Outside Sales Manager
  • AMP Payment Systems
  • Washington, DC FULL_TIME
  • Exciting Growth OpportunitiesAre you an accomplished sales expert with experience in merchant services? Are you seeking an opportunity to take your career to the next level and lead a team? We're look...
  • 4 Days Ago

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Medicaid/CHIP Payment Error Cycle Manager
  • Serco North America
  • Washington, DC FULL_TIME
  • Position Description : Serco is seeking several cycle managers to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement ...
  • 6 Days Ago

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Recovery Specialist
  • Beth Israel Lahey Health Behavioral Services
  • Danvers, MA
  • When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives. Job Type:...
  • 4/24/2024 12:00:00 AM

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Recovery Specialist
  • Spectrum Health Systems Inc.
  • Methuen, MA
  • Since 1969, Spectrum Health Systems, Inc . has been a leader in the field behavioral/mental health treatment. Our missio...
  • 4/24/2024 12:00:00 AM

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Recovery Specialist
  • High Point Treatment Center, Inc.
  • New Bedford, MA
  • Recovery Specialist Program & Location: SEMCOA's Harmony House, New Bedford Education: High School Diploma or equivalent...
  • 4/22/2024 12:00:00 AM

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Recovery Specialist
  • Behavioral Health Network, Inc
  • Greenfield, MA
  • Job Description Job Description Apply your experience with individuals working towards recovery from drug and alcohol ad...
  • 4/22/2024 12:00:00 AM

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Recovery Specialist
  • Centerstone
  • Carterville, IL
  • Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to d...
  • 4/22/2024 12:00:00 AM

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Recovery Specialist
  • Spectrum Health Systems, Inc.
  • Methuen, MA
  • Since 1969, Spectrum Health Systems, Inc . has been a leader in the field behavioral/mental health treatment. Our missio...
  • 4/21/2024 12:00:00 AM

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Recovery Specialist
  • Whetstone Management LLC
  • Doral, FL
  • Job Description Job Description We have immediate opportunities for highly qualified Recovery Specialists interested in ...
  • 4/20/2024 12:00:00 AM

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Recovery Specialist
  • THE CENTER FOR PREVENTION AND COUNSELING
  • Newton, NJ
  • Job Description Job Description On-call, Per-diem positions Provide non-clinical assistance and peer recovery support fo...
  • 4/20/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$53,827 to $70,822