Financial Process Manager

Job Posting Important Recruitment Information for this vacancy Job Posting closes:October 18 th , 2026 Required documents uploaded by: October 18 th , 2026 Kansas Department of Health and Environment: Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans. Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9 . KDHE does not provide sponsorships for this position. If you are an OPT or STEM OPT applicant, please note that all individuals must maintain valid employment authorization and an unexpired EAD. E-Verify: Kansas Department of Health and Environment (KDHE) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here . For additional information regarding Immigrant and Employee Rights (IER) please click here . http://www.kdhe.ks.gov/ About The Position Who can apply: KDHE (Agency Only) Classified/Unclassified Service: UnclassifiedFull-Time/Part-Time: Full-TimeRegular/Temporary: RegularWork Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)Eligible to Receive Benefits: YesVeterans' Preference Eligible: YesSponsorship:KDHE does not provide sponsorship for this position. Compensation: Hourly Pay Range: $25.94 - $28.59 Salary can vary depending upon education, experience, or qualifications. Employment Benefits Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the STAR Program Retirement And Deferred Compensation Programs Visit the Employee Benefits page for more information… Position Summary & Responsibilities Position Summary: The position (K0247914) Financial Management Processes: Responsible for managing, analyzing, and overseeing financial and claims-related processes to ensure accurate payment, regulatory and contractual compliance, effective internal controls, and appropriate resolution of complex financial and claims issues. Serves as a subject matter expert and provides research, analysis, recommendations, and coordination related to financial transactions, accounts receivable, claims processing, system changes, audits, and process improvement. Coordinate and participate in meetings and activities involving financial processes and collaborate with Finance, Claims, Program, MCOs, the Fiscal Agent, and other stakeholders to research, resolve, and communicate financial issues and recommendations. Review and analyze financial reports, including the Monthly Recoupment Cap Report, FIN-AR07 Report, and AR12 Report, as well as payment data, expenditures, and financial trends to identify outstanding accounts receivable, discrepancies, recovery opportunities, potential risks, and financial impacts. Oversee the research and processing of Accounts Receivable, Debt Set-Off, Direct Refund Checks, expenditures, payments, recoveries, recoupments, refunds, and other financial adjustments, including evaluation of transfer and write-off eligibility, recovery potential, and required documentation. Research, analyze, resolve, and validate financial transactions and issues, including discrepancies, variances, exceptions, overpayments, underpayments, duplicate payments, adjustments, payment information, financial calculations, and supporting documentation. Develop, document, maintain, and improve financial processes, procedures, workflows, and internal controls while monitoring financial activities for compliance with applicable policies, contracts, regulations, and established procedures. Identify and communicate financial and operational risks, potential financial impacts, and opportunities for process improvement and provide recommendations to management to support effective decision-making. Support audits, financial reviews, corrective actions, and information requests by conducting research, preparing analyses, and supporting documentation, maintaining appropriate audit trails, and providing recommendations for resolution. Provide training and technical guidance to Claims Research Managers on fee-for-service financial processes and coordinate and assign financial activities to ensure adequate backup coverage, appropriate completion, and continuity of financial operations. Managed Care: Claims and Encounter Data Management, Oversight and Compliance Monitoring: Provide guidance and direction on the submission of claims and encounter data processing by performing the following: Provide guidance and direction on the submission of claims and encounter data processing between contractors. Perform reviews of managed Care claims and encounter data activities to ensure that all contract (state and federal) requirements are met. Track and manage all findings and observations resulting from the review. Review reports to ensure claims and encounter data is valid, accurate, complete, and submitted timely and in compliance with state and federal regulations Attend, participate in or facilitate various meeting involving claims processing or encounter data. Review publications and contracts as necessary. Work with the contractors on remediation or corrective action plans when necessary. Review processes to ensure they are in compliance with their contract, including but not limited to Front End Billing. Direct the activities related to the management of the claims, corrected claims, claims reprocessing and encounter claims inventory. Work with KDHE, sister agencies or KDHE contractors in monitoring contractors. Audit Activities: Attend entrance/exit conferences and other meetings (as needed) with auditors. Review and respond to audit findings. Track and follow-up on all corrective action plans. Coordinate with all contractors on all state or federal audit. Track all correspondence and maintain procedures and timeline (if needed). Fee for Service - Claims Sub-system and Policy Development: Provide guidance and direction on the submission of claims and encounter data processing between contractors. Perform reviews of Fee for Service claims and encounter data activities to ensure that all federal requirements are met. Review reports to ensure claims and encounter data is valid, accurate, complete, and submitted timely and in compliance with state and federal regulations. Attend, participate in or facilitate various meeting involving claims processing or encounter data. Review publications as necessary. Work with the contractors on remediation or corrective action plans when necessary. Review processes to ensure they are in compliance with their contract, including but not limited to Front End Billing. Direct the activities related to the management of the claims, corrected claims, claims reprocessing and encounter claims inventory. Responsible for oversight of the Timely Filing activities: Research, review and approve timely filing requests Review and approve timely filing reports Responsible for the oversight of the Tuberculosis Non-Inpatient Claims/Expenditures. Responsible for the oversight of Title 21 Retro -Eligibility claim expenditures. Direct the activities related to the Document Imaging and Mailroom Services. contractor Review the processes of the mailroom contractor to ensure contract compliance, state and federal regulations Job Responsibilities may include but are not limited to the following: Claims and Encounter Data Projects: Review all project related documents. Review, provide input, works with sister agencies, make decisions regarding changes and design specifications that would affect claims and encounter data Processing Attend and participate in all project related meetings Customer Service: Reviews, research and responds to questions using email, phone, and written correspondence regarding claims processing claims payments and accounts receivable issues submitted by various parties. Coordinates claims manual processing activities. Functions as the liaison with the Utilization Review Contractor, providing ongoing claims research support. Miscellaneous Tasks: Document/Review and update applicable Business Practice Manuals, policies, and change orders. Attends meetings, participates on Project Teams and works with other KDHE and Fiscal Agent departments, sister agencies and other contractors when necessary. Track problems and issues and provide a weekly status report. Track and retain documentation in the designated repository. Qualifications Education:High School, GEDLicensing & Certification:Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.Minimum Qualifications: Four years of experience working in government programs/health care or health insurance such as Medicaid, Medicare or commercial insurance industry.Word, Excel, PowerPoint, AccessProofreading, editing, attention to detailWritten and verbal communication skillsSubject Matter Expert or Team Lead ExperiencePreferred Qualifications: General knowledge of federal and state laws and regulations regarding health insurance claims.Ability to conduct formal presentations or negotiate and persuade to settle issues.Advanced problem solving and analytical skillsExperience in providing Customer ServiceAbility to interpret and apply policies affecting agency program operations.Ability to gather relevant information and ability to provide concise and accurate reports.Experience preferred includes filing or billing Medicaid or commercial insurance claims, or processingAnalytica review / troubleshooting skillsPost-Offer, Pre-employment Requirements: Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions Recruiter Contact Information Name: Whitney Uthe Email: whitney.uthe@ks.gov Mailing Address:1000 SW Jackson St. Suite 580 Topeka, KS 66612 Job Application Process First Sign in or register as a New User.Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications.Upload required documents listed below for the Careers> My Job Applications page. *This information is included on all your job applications.Start your draft job application, upload other required documents, and Submit when it is complete.Manage your draft and submitted applications on the Careers> My Job Applications page.Check your email and My Job Notifications for written communications from the Recruiter.Email – sent to the Preferred email on the My Contact Information pageNotifications – view the Careers> My Job Notifications page Helpful Resources at jobs.ks.gov : “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions" Required Documents For This Application To Be Complete Upload these on the Careers - My Job Applications page Transcripts DD214 (if you are claiming Veteran’s Preference) Upload these on the Attachments step in your Job Application ResumeCover Letter Helpful Resources at jobs.ks.gov : “How, What, & Where do I Upload Documents” How To Claim Veterans Preference Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager. Learn more about claiming Veteran’s Preference How To Claim Disability Hiring Preference Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager. Learn more about claiming Disability Hiring Preference PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to: ATTN: Disability Hiring Preference Coordinator Office of Personnel Services Landon State Office Building 900 SW Jackson, Rm 401 Topeka, KS 66612 Equal Employment Opportunity The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job. If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.