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State of Montana Medicaid Reform Initiative Specialist Supervisor (07044) in Helena, Montana

The Health Resources Division (HRD) administers Medicaid primary care services, Healthy Montana Kids, Children's Health Insurance Plan, and Big Sky Rx. The purpose of the division is to improve and protect the health and safety of Montanans. The division reimburses private and public providers for a wide range of preventive, primary, and acute care services. Major Service providers include: physicians, public health departments, clinics, hospitals, dentists, pharmacies, durable medical equipment, and mental health providers.  The Medicaid Reform Specialist Supervisor will work across four divisions, HRD, Senior and Long Term Care (SLCT), Addictive and Mental Disorders (AMDD) and Developmental Services Division (DSD) to propose and implement Medicaid Reform in the agency.

Work in HRD can be challenging but very rewarding as we work to improve the health and welfare of Montana. 

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Key responsibilities include:

  • Develop initiative ideas by conducting research of other states, other health insurance models and best practices in the field. Some initiative ideas will come from management and others from collaboration with stakeholders.

  • Assess current Montana Medicaid programs to determine feasibility of implementation of Medicaid reform initiatives.

  • Serve as DPHHS point of contact with Center for Medicare and Medicaid Services (CMS) to ensure Medicaid reform initiatives comply with federal requirements.

  • Work collaboratively with Tribal Governments when assessing Medicaid reform impacts.

  • Partners with other management staff to identify project deliverables, create staffing plans, and build schedules.

  • Design a plan to evaluate the Medicaid reform initiatives relative to goals. Identify specific elements (quality, cost, and utilization), processes, and outcomes and how leadership can ascertain success.

  • Lead discussions and analysis of issues regarding state plan amendments, waivers, or program policies.

  • Develop necessary administrative rules.

  • Handles performance appraisals, hiring/interviewing, disciplining, termination when necessary.

Physical and Environmental Demands:Work takes place in a typical office environment during regular business hours. On rare occasions, workdays may exceed eight hours.

Required for the first day of work:

  • Knowledge of program development and evaluation.

  • Knowledge of the principles of supervision and management.

  • Knowledge of Medicaid and/or healthcare programs.

  • Strong analytical and critical thinking skills.

  • Ability to be detailed-oriented yet recognizes the big picture.

  • Ability to interact with diverse groups, federal officers, staff, and subject matter experts.

  • Ability to research and interpret federal and state health care regulations.

  • Skill in technical writing and verbal communication.

  • Skill in managing competing timelines and deadlines and managing the logistics of numerous

  • complex projects.

  • Ability to operate a personal computer and general office equipment as necessary to complete essential functions, including using spreadsheet, word processing, database, email, internet, and other computer programs.

Required Minimum Education and Experience:

  • Bachelor’s degree in health care, human services, business, or public administration.

  • Four years’ experience in health insurance, Medicaid, or health care programs. Must include technical writing experience with state plan amendments, waivers, program policy or similar documents and experience interpreting state and federal laws, rules and regulations.

  • One year of supervisory experience.

  • Other combinations of education and experience may be considered on a case-by-case basis.

  • Project Management experience is preferred.

  • Experience with Medicaid or CHIP programs, rules and regulations is preferred.

/Women (and/or) minorities may be under-represented in this position and are encouraged to apply./

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For a full copy of the job description, please contact Tiffany Thornton at 406-444-0656 ortthornton@mt.gov.

In order to be considered for this position, you must submit a cover letter, resume, and supplemental question(s) at the time of submitting the online application.

  1. Please tell us about your experience with Medicaid, project management, and supervising a team.

  2. If you could reform one Medicaid policy, what would it be and why?

The State of Montana offers a comprehensive benefits package, which includes:

  • 15 paid vacation days

  • 12 sick days

  • 10 paid holidays a year

To view State of Montana’s medical, dental, vision coverage, and other offerings, you can visit our Health Care and Benefits website at,https://benefits.mt.gov/

This is an open until filled position, first initial review of applications will be August 7, 2020.

/Successful applicant(s) are required to successfully pass all DPHHS specific background check(s) relevant to each position./

Job: *Project/Program Management

Title: Medicaid Reform Initiative Specialist Supervisor (07044)

Location: Helena

Requisition ID: 20141751

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