Revenue Administrator Analyst

Key Responsibilities: 1. Authorization Management:

• Submit and track new and extended authorization requests via DASH/Salesforce.
• Maintain logs of missing or expired authorizations and initiate corrective actions.
• Liaise with HCS program team and AAH weekly to troubleshoot and resolve authorization-related issues.
• Ensure alignment between subcontractor services and current member eligibility and authorization status.

1. Revenue and Payments Oversight:

• Analyze and reconcile monthly subcontractor invoices with authorizations and Housing Support Plans.
• Validate invoice submissions for compliance with Medi-Cal billing policies.
• Implement quality assurance (QA) procedures to prevent overpayments and identify ineligible claims.
• Coordinate with finance to track revenue and expenditures for HCS, using Salesforce reporting tools.

1. DASH/Salesforce Enhancements:

• Partner with ITD and Salesforce consultants to:
• Automate authorization workflows and extensions.
• Develop standardized financial and operational reports.
• Integrate HMIS Housing Support Plan data into DASH.
• Update subcontractor invoice logic to align with updated program policy.

1. Process Improvement:

• Assess current operational inefficiencies and recommend streamlined solutions.
• Document revised workflows for staff and provide training/support as needed.
• Collaborate on the implementation plan for broader quality oversight initiatives.

1. Compliance and Quality Oversight Support:

• Support early review of Housing Support Plans.
• Assist in preparing for audits, re/credentialing of subcontractors, and maintaining compliance records.
• Support monthly meetings and documentation for each subcontractor as part of enhanced quality review.

Minimum Qualifications:

• Bachelor's degree in Public Administration, Business, Health Policy, or related field (Master s preferred).
• Minimum 3 years of experience in Medi-Cal billing, health services administration, or related fields.
• Experience working with Managed Care Organizations (MCOs), particularly in Medi-Cal or CalAIM programs.
• Proficiency in Salesforce, Microsoft Excel, and large-scale data management.
• Strong analytical, organizational, and project management skills.
• Experience in interpreting program policies and aligning administrative systems accordingly.
• Ability to work collaboratively across multidisciplinary teams, including IT and program staff.