Medicaid Program Specialist (40 hrs​/wk, 260 days

medicaid program specialist summary description

• medicaid program specialist (mps) provides complex clerical, administrative, and technical support related to medicaid services.
• mpss work under general direction and apply detailed knowledge of medicaid laws, rules, and regulations.
• responsibilities include:
• reviewing and processing technical documents.
• validating service logs to ensure maximum medicaid revenue.
• preparing reports and training materials.
• advising on policy changes and program improvements.
• collaborating with district personnel, service providers, and vendors.

• review and process medicaid-related documentation with accuracy and compliance.
• research and analyze data from various sources to support medicaid claims.
• validate service logs and prepare statistical and narrative reports.
• develop and facilitate medicaid training guides and staff meetings.
• monitor program activities and recommend improvements.
• advise on legislative and policy changes affecting medicaid operations.
• may supervise clerical staff as needed.

education and experience: any combination of education and experience that could provide the required knowledge and skills is qualifying. A typical way to obtain knowledge and skills would be:

• three (3) years of experience in a public or private agency performing duties related to medicaid or similar administrative functions such as medical claims processing, provider billing, public health program (wic or snap) coordination, or worker's compensation administration.
• licenses/certificates: none required.

• knowledge of medicaid laws, regulations, and procedures.
• proficiency in report writing, data analysis, and office systems.
• skilled in using software such as infinite campus, excel, word, and data management tools.
• ability to work independently and collaboratively.
• strong organizational, communication, and problem‑solving skills.
• capable of managing multiple tasks and maintaining confidentiality.
• comfortable with statistical reporting and mathematical computations.

other job requirements: none

• exposure to weather: occasional exposure to outdoor weather.
• exposure to loud noises: occasional exposure to loud noises.
• working in confined spaces: occasional work in confined spaces.
• working at heights: rarely working at excessive heights
• working with hazardous materials: rarely working with hazardous materials.

• lifting/carrying: occasionally lifting to 25lbs, rarely lifting over 25lbs.
• standing/walking: requires prolonged standing and walking throughout the workday.
• bending/stooping: occasional bending and stooping to retrieve items.
• reaching: occasionally reaching above shoulder level.
• pushing/pulling: occasionally moving objects by pushing or pulling.
• climbing: may rarely need to climb stairs or ladders to access equipment.
• fine motor skills: requires dexterity for handling small parts and tools.

• never: the activity or condition does not occur.
• rarely: the activity or condition occurs less than 10% of the time.
• occasionally: the activity or condition occurs 10-30% of the time.
• frequently: the activity or condition occurs 30-60% of the time.
• continuously: the activity or condition occurs more than 60% of the time.

this job specification should not be construed to imply that these requirements are the exclusive standards of the position.? Incumbents may be required to follow any other instructions, and to perform any other related duties as may be required by their supervisor.

washoe county school district fosters a safe, respectful environment for all. Discrimination, harassment (including sexual harassment), bullying, and cyberbullying are prohibited. The district ensures equal opportunity in education and employment regardless of legally protected characteristics. It also grants equal facility access to patriotic youth groups under title 36, such as the boy scouts of america.

washoe county school district is proud to be an equal opportunity employer. The washoe county school district is committed to providing all…