Health Operations Analyst

Location: Austin, TX (location is non-negotiable)

Key Responsibilities are as follows:

• Perform investigative activities in the pursuit of Medicaid provider overpayment recoveries on behalf of the Health and Human Services Commission (HHSC), HHSC Office of the Inspector General (OIG) and the Children with Special Health Care Needs Services Program (CSHCN).

• Ensure collection activities meet client due diligence requirements by reducing debt aging and maximizing recoveries by assembling detailed resolution data while maintaining an amicable relationship with the client and providers.

• Coordinate across multiple operations/teams to apply recovered funds and accomplish data collection relevant to the recovery process.

• Prepare routine reporting using intermediate Microsoft Excel skills to identify providers with outstanding receivables linked with other Medicaid provider processes such as enrollment, sub owner selection, audits, state payment holds and other quality control activities.

• Possess a comprehensive knowledge of the Medicaid program and broad understanding of provider receivables in relation to claims processing, bankruptcy and state/federal audits.