Medicaid Compliance & District Programs Lead

Young World Physical Education; Martinsburg (WV); On-site; USD 70,000 - 100,000; Full time

Job summary

Berkeley County Schools in Martinsburg, WV is seeking a Supervisor of Medicaid Compliance and Accountability. The role oversees school‑based Medicaid participation, documentation, and reporting to improve compliance and reimbursement across multiple departments.

The position chairs the Medicaid Team, alignswith federal and state Medicaid requirements, and leads continuous improvement efforts in related services, nursing, transportation, and RMTS programs.

Qualifications

• Master’s degree preferred in Special Education or related field.
• Minimum of three years of experience in special education, school‑based Medicaid, or regulatory compliance.
• Knowledge of IDEA, school‑based Medicaid, related services, documentation, billing, and compliance.
• Ability to analyze data, conduct compliance reviews, develop procedures, identify trends, and implement improvements.
• Strong leadership, organizational, communication, training, problem‑solving, and interpersonal skills.
• Collaborative work with district personnel, families, providers, consultants, and external agencies.
• Integrity and professional judgment in handling protected information.

Responsibilities

• Act as the district Medicaid Manager and primary contact for schools and external agencies.
• Chair and facilitate monthly Medicaid Team meetings.
• Coordinate representatives from relevant departments for Medicaid activities.
• Lead reviews of participation rates, services, billing trends, and audits.
• Develop and monitor Medicaid procedures, manuals, and guidance.
• Provide monthly Medicaid reports to district leadership.

Skills

Data analysis

Leadership

Communication

Interpersonal skills

Problem-solving

Education

Master’s degree in Special Education

Tools

WVEIS

E‑School Docs

EPIC

Medicaid billing systems

Job description

Berkeley County Schools in Martinsburg, WV is seeking a Supervisor of Medicaid Compliance and Accountability. The role oversees school‑based Medicaid participation, documentation, and reporting to improve compliance and reimbursement across multiple departments.

The position chairs the Medicaid Team, alignswith federal and state Medicaid requirements, and leads continuous improvement efforts in related services, nursing, transportation, and RMTS programs.