Position Summary

The Health Finance Policy Oversight Specialist plays a pivotal role in supporting both financial operations and policy initiatives. This position ensures accuracy in health finance processes while providing expert guidance on state- and federal-level policy matters. The specialist serves as a key resource for internal teams, member organizations, and committees, balancing quantitative analysis with exemplary customer service and strategic policy oversight.

Key Responsibilities

Prepare and deliver timely hospital rate adjustment (HRA) schedules for Michigan Association of Health Plans (MAHP) and Community Mental Health Association of Michigan (CMHAM) members, ensuring compliance and accuracy.
Manage all aspects of PNC banking information related to financial transactions.
Complete quarterly payment reconciliations for managed care organizations (MCOs).
Serve as staff liaison for annual review of HRA, GME and other similar activities
Lead the association’s efforts on Medicare area wage index initiatives.
Update the HRA/graduate medical education (GME) database and generate hospital reports required for Medicaid cost reporting based on fiscal year end data.
Respond promptly and professionally to diverse internal and external requests, including those related to Medicaid and Medicare.
Review proposed and final Medicare rules and Medicaid policies, assisting hospitals and staff in understanding their impact.
Assist communications on Medicare and Medicaid policy issues, ensuring clarity and relevance.
Support advocacy projects by providing data and insights on Medicaid budgets, auto no-fault initiatives, and other similar projects.
Provide policy updates and analysis at MHA committee meetings, contributing to informed decision-making.

Required Skills

Demonstrated expertise in quantitative analysis and financial modeling.
Strong customer service orientation with the ability to respond to complex requests efficiently.
Comprehensive understanding of state- and federal-level healthcare policies, including Medicare and Medicaid regulations.
Excellent communication skills for leading policy discussions and member outreach.
Detail-oriented approach to financial reconciliation and database management.
Other duties as needed or assigned.

Reporting Structure

This position collaborates closely with accounting teams, hospital administrators, and policy committees, including participation in MHA committee meetings. The specialist acts as a primary liaison between health finance, advocacy, and policy teams to ensure cohesive strategies and informed reporting.

Qualifications

Bachelor’s degree in finance, healthcare administration, public policy, or a related field; advanced degree preferred.
Minimum of three years’ experience in health finance and/or healthcare policy oversight.
Proven track record of managing complex financial processes and policy initiatives within a healthcare organization.
Proficiency in financial software, database management, and Microsoft Office Suite.

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