Medicaid Compliance & Accountability Lead

SPECIAL EDUCATION OFFICE; Martinsburg (WV); On-site; USD 70,000 - 100,000; Full time

Job summary

Berkeley County Schools in West Virginia seeks a Supervisor of Medicaid Compliance and Accountability to lead district-wide Medicaid participation, compliance, and documentation. The role oversees audits, reporting, and continuous improvement across schools and departments, coordinating with transportation, nursing, therapy, and finance teams.

The incumbent chairs the Medicaid Team, ensures training, monitors billing trends, and communicates requirements to affected staff while upholding

Qualifications

• Master’s degree in Special Education, Educational Leadership, School Administration, Healthcare Administration, Nursing, or a related field is preferred.
• Minimum of three years of successful experience in special education, related services, school-based Medicaid, educational administration, healthcare administration, finance, auditing, or regulatory compliance is preferred.
• Demonstrated knowledge of IDEA, school-based Medicaid, related services, documentation, billing, reimbursement, and regulatory compliance.
• Ability to analyze data, conduct compliance reviews, develop procedures, identify trends, and implement continuous improvement strategies.
• Strong leadership, organizational, communication, training, problem‑solving, and interpersonal skills.
• Ability to work collaboratively with district personnel, families, healthcare providers, consultants, and external agencies.
• Ability to maintain confidentiality and exercise sound professional judgment when handling protected student, personnel, medical, and financial information.

Responsibilities

• Provide district-wide oversight of Medicaid participation, service delivery, documentation, billing, reimbursement, and compliance activities.
• Develop and update district Medicaid procedures, manuals, handbooks, forms, and guidance.
• Ensure compliance with federal/state Medicaid requirements and IDEA.
• Conduct internal audits and compliance reviews of provider records and billing practices.
• Develop annual Medicaid audit schedules and respond to external audits and program reviews.
• Maintain licenses, certifications, credentials, and enrollment status for Medicaid providers.
• Establish procedures for accurate data across district systems and monitor participation and billing.

Skills

Data analysis

Leadership

Communication

Problem-solving

Education

Master’s degree (Special Education / Educational Leadership / School Administration / Healthcare Administration / Nursing)

Job description

Berkeley County Schools in West Virginia seeks a Supervisor of Medicaid Compliance and Accountability to lead district-wide Medicaid participation, compliance, and documentation. The role oversees audits, reporting, and continuous improvement across schools and departments, coordinating with transportation, nursing, therapy, and finance teams.

The incumbent chairs the Medicaid Team, ensures training, monitors billing trends, and communicates requirements to affected staff while upholding