Dept of Health and Human Services

Government

HumanServicesProgramManager(NS)

$64–112k North Carolina, United States FULL TIME
The Brief

“Human Services Program Manager (NS) at Dept of Health and Human Services. Skills: Managed care administration, Contract management, Medicaid coordination. Manage DMH/DD/SUS Managed Care Administration Team. Oversee contractual administrative functions”

Industry & Context.

Government

What They're Looking For.

Must Have

Master's degree or equivalent combination of education and experience, Three years of experience in a closely related field, Bachelor's degree or equivalent combination of education and experience, Five years of experience in a closely related field

Nice to Have

Demonstrated understanding of managed care operations, Demonstrated understanding of Tailored Plans, Demonstrated understanding of managed care policies, Demonstrated understanding of managed care procedures, Demonstrated understanding of managed care funding mechanisms, Demonstrated understanding of managed care in North Carolina, Demonstrated skill in contract monitoring, Demonstrated skill in contract planning, Demonstrated skill in contract communication

What You'll Do.

Manage DMH/DD/SUS Managed Care Administration Team

Oversee contractual administrative functions

Oversee cross-division administrative functions

Oversee Tailored Plans

Oversee Prepaid Inpatient Health Plans

Oversee Standard Plans

Oversee Child and Family Specialty Plan

Manage contract amendment processes

Monitor contractual requirements

Communicate with NC Medicaid

Coordinate with NC Medicaid

Communicate with relevant DHHS section

Coordinate with relevant DHHS section

Communicate with respective Plans

Coordinate with respective Plans

Provide technical assistance to DMH/DD/SUS staff

Assist staff in understanding Plan functions

Assist staff in understanding Plan requirements

How You'll Work.

Team & Collaboration

Cross-division coordination; Coordination with NC Medicaid; Coordination with DHHS sections; Coordination with Plans

Communication Scope

Contract communication

Process & Methodology

Contract amendment processes

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