Medicaid & IDEA Compliance Manager

KUNA JT. SCHOOL DISTRICT NO. 3

POSITION VACANCY ANNOUNCEMENT

JOB STATUS: All Applicants

JOB TITLE: Medicaid & IDEA Compliance Manager

LOCATION: District Office

REPORTS TO: SPED Director

CALENDAR: 215 Days (Full time)

SALARY: $20.39 - 24.09/hr depending on experience

BENEFITS: Medical, life, dental, vision, Public Employees Retirement System, and Employee Assistance Program

JOB SUMMARY:    

The Medicaid and IDEA Compliance Manager is a classified district office support position  responsible for organizing, tracking, and maintaining records related to the Individuals with Disabilities Education Act (IDEA) and school-based Medicaid reimbursement programs. This role ensures that student documentation meets strict federal, state, and local regulatory guidelines. The manager serves as a key administrative liaison between district staff, clinicians, and billing platforms to ensure timeline compliance and optimal, compliant reimbursement.

Essential Duties & Responsibilities

1. IDEA & Special Education Document Tracking

• Timeline Management: Monitor and track regulatory timelines for Individualized Education Programs (IEPs), 
• Record Coordination: Ensure all completed special education files are accurately processed, uploaded, and organized within the district's compliance software.
• Meeting Support: Assist in gathering data for State reporting purposes.

1. Medicaid Billing & Data Maintenance

• Service Log Tracking: Review and verify provider service logs (Speech, Occupational Therapy, Physical Therapy, Nursing, and Psychology) against IEP mandates for accuracy and complete documentation.
• Billing Administration: Input and submit compliant claims into the electronic school-based Medicaid billing system.
• Internal Auditing: Conduct routine, proactive audits of service logs to verify correct billing codes, signatures, and credentials ahead of state reviews.
• Liaison Support: Act as the primary technical point of contact for the district's Medicaid billing platforms and external service vendors.

1. District Staff Support

• Administrative Training: Provide troubleshooting assistance and workflow training to certified teachers and therapists regarding the use of compliance and billing software.
• Documentation Guidance: Send reminders and technical feedback to staff to resolve formatting errors or missing log entries before deadlines.

Qualifications & Skills

Education & Experience

• Required: Associate’s degree or equivalent post-secondary college credits/professional certification
• Preferred: Two or more years of experience handling records in an educational, legal, or medical setting. Experience specifically with school district billing or special education software is a strong plus.

Knowledge, Skills, and Abilities

• Familiarity with general student data privacy rules (FERPA) and an understanding of special education and medical log documentation.
• High technical proficiency in using database software, spreadsheet programs, and general data management platforms.
• Exceptional attention to detail with the ability to identify missing data or formatting errors across vast sets of records.
• Strong interpersonal skills to collaborate productively with various school nurses, psychologists, therapists, and administrative staff.

Physical Demands & Work Environment

• Environment: Standard district office environment with secondary travel to local school buildings as needed.
• Demands: Prolonged periods of sitting at a desk and working on a computer; occasional lifting or moving of physical record files up to 20 lbs.