Duties involve the operation of the Medicaid Management Information system, payment authorization for the fiscal agent and other Medicaid contractors, assignment of proper codes, and authorization of services.
Supervision is exercised over professional, technical and clerical employees.
Work is performed under the general direction of a Social Welfare Administrator. Interprets Medicaid policy and procedures, State Plan, and federal requirements to staff, fiscal agent, providers, central office, district offices, and other agencies. Hires, trains and supervises professional, technical and clerical personnel. Designs, develops and implements quality control procedures for monitoring of fiscal agent performance. Coordinates development of systems and program documentation for both Operations Division and fiscal agent functions.