Position Summary

The Specialized Funding Analyst (SF Analyst) is responsible for overseeing and managing the Medi-Cal Administrative Activities (MAA) and the Local Education Agency (LEA) Medi-Cal Billing Option Programs within the Humboldt County Office of Education (HCOE). This position also plays a key role in management and oversight of the Children Youth and Behavioral Health Initiative (CYBHI) multi payer fee schedule. Reporting to the assigned administrator, the SF Analyst provides training and technical support in person and online to HCOE and district/charter personnel regarding MAA/LEA and CYBHI multi payer fee schedule fiscal and reporting requirements. This role involves program oversight and compliance, training and support, data reconciliation and reporting, collaboration and outreach. 

Distinguishing Characteristics

The person performs a variety of complex technical and program coordination duties in connection with HCOE administration, HCOE program and division leaders, and district administration. The contributions from this position will directly impact students’ access to essential health services, making a difference in their overall well-being.

Supervision Received and Exercised

This position is under the supervision and general direction of the Assistant Superintendent of Student Programs and Services or their designee. This position serves under limited supervision, subject to organizational and program policies and procedures.

Examples of Duties and Responsibilities

Duties and responsibilities may include, but are not limited to, the following:

• Managing federal and state Medi-Cal reimbursement and evaluating Medi-Cal Administrative Activities Local Education Agencies (MAA/LEA) and CYBHI multi payer fee schedule programs;
• Planning for short and long-term administration and evaluation of MAA/LEA/CYBHI billing activities;
• Representing HCOE and division programs in relevant MAA/LEA/CYBHI fee schedule related organizations and agencies;
• Collaborating with the LEA Re-Investment Committees and integrating across disciplines and departments;
• Compliance with federal, state and county mandates for MAA/LEA/CYBHI fiscal services;
• Facilitating accurate accounting activities in collaboration with other districts and departments;
• Providing effective training and timely submission of reporting;
• Participating in meetings, conferences and internal audits related to MAA/LEA programs;
• Providing training and technical support to district personnel performing data reconciliation, auditing and generating necessary reports;
• Maintaining accurate records to support program evaluation;
• Conducting internal audits and work with outside agencies conducting audits;
• Collaborating with community agencies to enhance Medi-Cal outreach activities;
• Working closely with other departments at HCOE, such as Business and Prevention & Intervention, to ensure program compliance;
• Supporting a variety of meetings, staff development, committees, trainings, workshops and/or conferences;
• Monitoring internal and contracted services databases for accuracy and data integrity;
• Managing and manipulating large amounts of data for fiscal program management.

Management reserves the right to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.

Qualifications

Knowledge of:

• Pertinent federal, state and local laws and regulations;
• Budget preparation;
• Business telephone etiquette;
• Legislation specific to the California School-Based Medi-Cal Administrative Activities Program, the LEA Direct Billing Option Program, CYBHI multi payer fee schedule, applicable sections of the State Education Code and other applicable laws;
• MAA/LEA program administration;
• Medi-Cal eligibility requirements and covered services;
• State and Federal health mandates, including MAA/LEA;
• Planning, organization and coordination needed for assigned program;
• Correct English usage, grammar, spelling, punctuation and math;
• Excel spreadsheets and data entry;
• Budget tracking, preparation and oversight;
• Financial or statistical records and systems;
• Modern office methods and procedures.

Ability to:

• Perform multiple, highly complex, technical tasks with a need to periodically upgrade skills in order to meet changing job conditions;
• Plan, set agendas and coordinate/conduct meetings and trainings;
• Maintain the security of sensitive, confidential and privileged information;
• Plan and conduct clerical operations involving transactions requiring accountability and accurate controls;
• Establish and maintain cooperative working relationships;
• Communicate and interact effectively and professionally under pressure with staff, public and external agency personnel;
• Flexibility to work both independently and with a diversity of individuals and/or groups;
• Independently problem-solve and develop and implement relevant training programs;
• Understand and explain a variety of policies, laws, rules and regulations;
• Work efficiently with frequent interruptions;
• Perform mathematical calculations using addition, subtraction, multiplication and division;
• Compile and maintain accurate and complete records and reports;
• Understand and carry out oral and written instructions, policies and procedures;
• Communicate effectively in both oral and written forms;
• Learn and follow the operations, procedures, policies and requirements of the Human Resources Department;
• Handle all matters in a tactful, courteous and confidential manner;
• Work independently and maintain high standards of workmanship;
• Access and use district-adopted web-based systems;
• Speak and hear sufficiently to utilize a telephone and carry on complex conversations.

Education and Experience

Minimum Required:

• Bachelor of Arts or Bachelor of Science degree from an accredited college or university OR

Equivalent to graduation from high school AND four (4) years of increasingly responsible experience in informational technology involving educationally related platforms (e.g. CALPADS, Aeries, TOMS, SEIS, California Schools Dashboard, DataQuest, CARS/ConApp, Core Growth, etc) AND experience with various software products used for data analysis, integration and reporting (e.g. Excel, MS Access and financial systems);

• Two years of work experience in management of California School-Based Medi-Cal Administrative Activities Program and the LEA Direct Billing Option Program, medical billing or school related billing.

Working Conditions

Must be able to work within a flexible schedule in order to meet the operational needs of the department.

Environmental Elements

• Work is performed in a busy, sometimes noisy, office environment.
• Positions in this classification work indoors and may sit for long periods of time.
• The position requires daily oral communication in person and on the telephone, frequent use of email and messaging communication systems.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Ordinary ambulatory ability to retrieve work materials, intermittent walking, standing, stooping, carrying and lifting of light- to medium-weight materials (under 30 pounds).
• Hand-eye-arm-finger dexterity to use a personal computer keyboard, ten-key and other common office equipment.
• Visual acuity sufficient to read manuals, video display screens and other related material and work at a computer screen frequently and throughout the day.

Other Requirements

• Must be fingerprinted and a satisfactory Department of Justice records check must be received by HCOE prior to employment.
• TB testing and/or risk assessment will be required upon employment.
• Must pass a pre-employment physical (if applicable).
• May be required to obtain first aid and CPR certificates within the first 6 to 12 months of employment.
• May be required to drive with or without students; some positions may require a California driver’s license, proof of insurance and possible participation in the DMV PUll Notice Program once employed.

Range 18

04/01/2024

PC Approved: 04/09/24