Medicaid Federal Reporting Manager – Hybrid

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Medicaid Federal Reporting Manager is responsible for overseeing the preparation, submission, and accuracy of federal reports related to Medicaid programs. This role ensures compliance with federal regulations and guidelines and collaborates with various departments to gather necessary data and information. This role works directly with State Medicaid Agencies using both MMIS and data warehouse solutions.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Report Preparation and Submission: Manage the preparation and timely submission of all required federal reports, including but not limited to CMS-64, CMS-21, CMS-372, monthly TMSIS extracts and other Medicaid-related financial and statistical reports
• Compliance and Accuracy: Ensure all reports comply with federal regulations and guidelines. Verify the accuracy and completeness of data submitted
• Data Analysis: Analyze financial and programmatic data to identify trends, discrepancies, and areas for improvement. Provide insights and recommendations based on data analysis
• Collaboration: Work closely with internal departments, such as finance, IT, and program management, to gather necessary data and ensure accurate reporting. Serve as the liaison between FSSA and the EDW development team for financial data analysis and federal reporting of Medicaid program expenditures
• Policy Updates: Stay informed about changes in federal reporting requirements and Medicaid policies. Update reporting processes and systems as needed to comply with new regulations in conjunction with the State
• Training and Support: Provide training and support to staff involved in the data collection and reporting process. Ensure all team members understand reporting requirements and procedures
• Audit Support: Assist with internal and external audits related to Medicaid reporting. Provide documentation and explanations as required

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 5+ years of experience in Medicaid reporting, financial analysis, or a related field
• 3+ years of Cognos, SQL (Oracle/Teradata) and Power BI experience
• Proficiency in data analysis tools and software
• Proven in-depth knowledge of Medicaid regulations, federal reporting requirements, and financial management principles
• Legally authorized to work in the US without any restrictions. Proof will be required

Preferred Qualifications:

• 2+ years of managing a team
• Reside local to Indianapolis, IN with the ability to go into the office as needed

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.    

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.