Dept of Health and Human Services

Government

HumanServicesProgramManager(NS)

$64–112k North Carolina, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

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

Full Job Description

**Agency** Dept of Health and Human Services **Division** Mental Health **Job Classification Title** Human Services Program Manager I (NS) **Position Number** 60043379 **Grade** NC18 **About Us** The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. **Description of Work** This position will manage the DMH/DD/SUS Managed Care Administration Team (“Managed Care Admin Team”). The Managed Care Admin Team oversees the contractual and cross-division administrative functions related to overseeing Tailored Plans for the Division, and where applicable Prepaid Inpatient Health Plans, Standard Plans, and the Child and Family Specialty Plan. These functions include management of contract amendment processes, monitoring of contractual requirements, communication and coordination with NC Medicaid (and other relevant DHHS section) and the respective Plans, and providing technical assistance to DMH/DD/SUS staff in understanding Plan functions and requirements. **Knowledge Skills and Abilities/Management Preferences** Salary Range: $63,927 - $111,871 Recruitment Range: $63,927 - $96,493 _Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement._ _The Knowledge Skills and Abilities/ Management Preferences are not required. Applicants who possess the following skills are preferred._ * Demonstrated understanding of managed care operations, Tailored Plans (formerly LME/MCOs) * Demonstrated understanding of the policies, procedures, and funding mechanisms of managed care in North Carolina * Demons

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