Title: Healthcare Financial Specialist

State Role Title: Financial Services Spec II

Hiring Range: $78,645 - $92,700

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as a Supplemental Payment Analyst. The selected competitive candidate will provide exceptional delivery of services to the agency's Provider Rate Development Division.

Job responsibilities will include, but are not limited to:

Develop and implement healthcare supplemental payments and assessments, which include but are not limited to, Indirect Medical Education (IME), Graduate Medical Education (GME), supplemental payments for non-state government owned nursing facilities (NSGO NF), state government owned nursing facilities (SGO NF), physicians, Intermediate Care Facility – Individuals with Intellectual Disabilities (ICF-IID) assessments, and all directed payments.

Must complete accurate and timely calculation files, comprehensive analysis of calculations that includes the current file and prior period files, completion of add pay files, and uploads of the add pay file for payment processing.

This position is responsible for communicating with provider representatives, managed care organizations, and contractors to provide information and solicit feedback as appropriate.

Work with other divisions and departments within the agency to provide and obtain needed information related to supplemental payments and will keep management informed of issues that may arise along with recommendations on how to resolve the issues and special projects as needed by management.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Considerable experience in Finance, specific to analyzing data to draw conclusions and recommendations, and reporting.

Considerable work-related knowledge of non-claims provider payment methodologies used by government and private purchasers of health care services.

Considerable experience in developing processes and procedures for complex financial analysis.

Considerable ability to research issues and understand public policy analysis and interpretation, with specific focus on health policy and budget issues.

Considerable experience using Microsoft Excel for healthcare financial analysis, project management, and aggregating data.

Considerable experience interpreting and applying state and/or federal regulations to financial model development.

Considerable experience adhering to meeting stringent deadlines.

Considerable experience communicating with both, internal and external stakeholders.

Additional Considerations

Competitive candidates should meet these additional considerations:

Experience with Medicaid claims and/or Medicaid supplemental payments.

Experience with claims data or processing of claims data.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth’s Department of Human Resource Management Policy 1.61 Teleworking.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume
submitted before the closing date.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804-225-4407

Email: askhcdtalentacq@dmas.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.