Rate Analyst jobs in Rhode Island

GENERAL STATEMENT OF DUTIES:  To be responsible for conducting the more difficult and/or complex desk and field audits of the financial records of  community based providers of services such as convalescent, nursing and rest  homes, centers and services for individuals with substance use-related issues, and people with an intellectual and developmental disability to determine compliance with the provisions of the contract  with the state and the established rates of reimbursement included therein  and to identify any recoverable overpayments; to assist a superior in  carrying out several of its assigned areas of responsibility; as required, to  provide guidance and direction to rate analysts engaged in conducting routine  audits; and to do related work as required.

SUPERVISION RECEIVED:  Works under the general supervision of a superior with considerable latitude in the exercise of initiative and independent judgement; assignments are received in outline form and are reviewed upon completion through conferences and submitted reports for results obtained and conformance to laws, departmental policies, objectives, rules and  regulations.

SUPERVISION EXERCISED:  As assigned, may plan, supervise and review the work of a staff of professional and clerical subordinates.

KNOWLEDGE, SKILLS AND CAPACITIES:  A thorough knowledge of the principles and practices of accounting and auditing and the ability to apply such knowledge  in conducting audits of financial records of community based providers of  services and in providing assistance and guidance to such providers in  establishing and maintaining proper financial and other costs oriented  records; a working knowledge of the functions and operations of community  based providers of services such as convalescent, nursing and rest homes,  centers and services for individuals with substance use-related issues, and people with an intellectual and developmental disability; a working knowledge of the laws, rules and regulations  governing per diem rates paid to community based homes, centers and services  for patient and client care and treatment and the ability to apply such  knowledge in establishing appropriate principles of reimbursement, funding  principles and rate schedules; the ability to assist a superior in projecting  and establishing cost rates, collecting statistical and research data on  patient and client care costs, and preparing comparative studies and  analyses, projected costs of departmental programs, and rate schedule  adjustments; the ability to establish and maintain effective working  relationships with superiors, providers of community based services and/or  their representatives and their employees; the ability to provide guidance,  direction and supervision to rate analysts; and related capacities and  abilities.

 

EDUCATION AND EXPERIENCE:

 

Education:  Such as may have been gained through:  graduation from a college of recognized standing with specialization in accounting or business administration; and

Experience:  Such as may have been gained through:  employment in a responsible accounting or auditing position in a hospital, extended care facility, or centers for people with an intellectual and developmental disability including experience in a rate setting unit or involving rate analysis of patient care services.

Or, any combination of education and experience that shall be substantially equivalent to the above education and experience.

Reconciliation of RIFANS transaction data to prepare cost schedule workpapers, allocations & cost centers for the processing of financial reports including but not limited to the Medicare cost report for Eleanor Slater Hospital and the annual cost report for RICLAS. 

Development of journals to correct transaction data and/or charge other BHDDH divisions or state entities as needed Knowledge of Medicare Cost Report, Cost Allocations, Federal and State reimbursement principles are preferred.