UNLESS REQUIRED BY LEGISLATION OR UNION CONTRACT, STARTING SALARY WILL BE SET AT STEP 1 OF THE PAY RANGE
Bureau: Behavioral Health Policy
Classification: Medicaid Health Systems Administrator 1 (PN 20093477)
The Ohio Department of Medicaid is seeking an experienced professional to be a part of our Behavioral Health Policy unit. As a Behavioral Health Policy Administrator, your responsibilities will include:
- working alongside a team of dedicated staff engaged in policy development and implementation
- assisting in the development and design of Medicaid Behavioral Health policies and initiatives
- evaluating and directing organizational compliance of Behavioral Health policies
- researching and analyzing the impact of state and federal legislation on Medicaid service delivery systems
- coordinating and directing the implementation of Behavioral Health policy and compliance initiatives in the fee for service and managed care delivery systems
- coordinating the review, preparation, clearance and filing of program rules, manuals and handbooks
- ensuring that policies and procedures comply with federal and state regulations
- participating in the coordination of policy development teams involving the delivery of services and access to care for individuals with behavioral health needs
- assisting in the development of state plan amendments and communicating policy changes to the Centers for Medicare and Medicaid Services
- providing technical assistance to managerial and supervisory personnel involved in the implementation of improvements or new programs
The preferred candidate will have a passion for learning, collaborating and contributing to the development of policies and programs that help improve the lives of Medicaid enrolled individuals with behavioral health conditions.
Under general direction, serves as agency manager of Medicaid program(s), &/or initiatives to research, analyze & evaluate the ongoing implementation of one statewide component of Medicaid health systems (i.e., substance use disorder services): Plans, manages, evaluates & directs organizational compliance of rules, policies & regulations related to behavioral health services (e.g. development & design of initiatives regarding Medicaid policies & procedures for substance use disorder services); directs & coordinates interoffice teams assisting with the organizational development & design of operational processes; researches, evaluates/analyzes state & federal legislation impacting Medicaid service delivery systems; monitors status of pending legislation; develops, drafts & defends program rules, policies, & procedures for delivery system; participates in the development of response to legislative issues; recommends legislative changes.
Coordinates & directs the implementation of departmental policy & compliance initiatives involving behavioral health policy; assists in the development & implementation of benefit plan policies & initiatives in both the fee for service & managed care delivery systems (e.g., initiatives which may include utilization management & care management strategies); coordinates review, preparation, clearance & filing of program rules, manuals & handbooks, ensures that policies & procedures comply with federal & state regulations by researching applicable regulations & working directly with appropriate federal & state agencies; participates in the coordination of policy development teams involving the delivery of services & access to care for consumers with behavioral health conditions; assists in the development of state plan amendments communicating policy changes to the Centers for Medicare & Medicaid Services (CMS) in order to receive federal matching funds for the Medicaid program(e.g., formulation & coordination of research documentation supporting the state plan amendment); advises supervisor regarding issues & problems; provides technical assistance to managerial & supervisory personnel involved in the implementation of improvements or new programs (e.g., researches & evaluates health care market developments & trends, analyzes value purchasing strategies involving fee for service & managed care delivery systems).
Prepares comprehensive written reports summarizing findings & recommendations of program policies; speaks to community groups, advocacy organizations, legal community, provider associations federal staff &/or public; responds in writing & verbally to sensitive inquiries & contacts from public, providers & government officials; provides assistance to teams to research, develop, analyze & evaluate strategic policies regarding the purchasing of services for Medicaid consumers (i.e., assists in the development & design of utilization management & quality assurance activities including the development & design of prior authorization of medical services for Medicaid consumers); writes requests for proposal & assists in the management of contractor activities).
Performs other related duties as assigned (attends staff meetings & training, coordinates & conducts public presentations, provides advice to public officials, maintains logs, records & files; travels to meeting sites).
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis).
Or 12 months experience as a Medicaid Health Systems Specialist, 65293.
Note: education & experience is to be commensurate with approved position description on file.
- Or equivalent of Minimum Class Qualifications for Employment noted above.
Clipped from: https://helponebillion.com/job/2ef01f979aa714f429f322f7fc4497a9/Behavioral-Health-Policy-Administrator-Medicaid-Health-Systems-Administrator-1?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic