Director, Bureau of Managed Care Oversight
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01-Apr-2022 to 01-May-2022 (EST)
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44 Holland Avenue Albany, NY, USA
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93,027.00 Salary Full Time Full Benefits package based on percentage of full-time effort.
The Research Foundation for Mental Hygiene, Inc. is seeking a qualified candidate to fill the full-time, salaried position of Director, Bureau of Managed Care Oversight at the New York State Office of Mental Health, Division of Managed Care. The position will report to the Deputy Director of the Division of Managed Care.
FUNCTION AND SCOPE
The mission of the OMH Division of Managed Care is (1) to ensure that recipients and providers of behavioral health services transition effectively from Medicaid fee-for-service to Medicaid managed care; (2) to develop and implement Medicaid behavioral health managed care policy with partner agencies; (3) to monitor Medicaid Managed Care Organization (MCO) performances; and (4) to engage stakeholders including consumers, families, counties, and providers in Plan oversight and program development.
The Managed Care Oversight Bureau is tasked with overseeing the implementation and ongoing performance of Medicaid managed care programs for individuals with behavioral health conditions; monitoring MCO compliance with managed care behavioral health requirements and working with various stakeholders serving behavioral health agencies and recipients with behavioral health needs to successfully navigate Medicaid managed care. The position may require travel throughout New York State.
The successful candidate will have superior analytical and communication (both written and verbal) skills with the ability to present information to interested parties with varying backgrounds. This includes the ability to think creatively and strategically; strong internal and external oral and written communications skills, including experience with editing and public speaking; the ability to engage diverse audiences and communicate complicated concepts; the ability to work independently and take initiative, as well work in a team environment; the ability to create timelines and meet deadlines. This includes the ability to prioritize and be responsive to rapidly changing priorities; the ability to simultaneously manage multiple tasks and projects; strong attention to detail and problem-solving skills; proficient in the use of standard office technology and Microsoft applications, including Excel, Word and PowerPoint.
RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:
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Oversee compliance of Managed Care Organizations as it relates to behavioral health requirements and coordinate with partner agencies to develop an integrated approach to addressing compliance issues.
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Oversee the Managed Care Organization readiness review process for any Behavioral Health transitions into Medicaid Managed Care or for new MCOS entering the Medicaid market.
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Direct staff to swiftly address managed care concerns related to managed care implementation and on-going operations.
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Represent OMH as main interface with numerous Managed Care Organizations.
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Monitor and respond to State and federal regulatory changes affecting behavioral health in Medicaid managed care and Health and Recovery Plans (HARPs).
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Direct staff in planning for, coordinating, participating in and/or leading public meetings/forums held throughout the State on current and long-range behavioral health program and policy issues.
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Oversee and coordinate various technical assistance contracts held by the Division of Managed Care.
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Facilitate the development of long-range and strategic plans, policy analysis, financial plans, needs methodology, etc.
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Direct and coordinate several aspects of project development across multiple state agencies.
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Manage Bureau priorities and convey policy and procedural guidance to staff.
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Other duties as assigned.
QUALIFICATIONS
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A Master’s in Social Work, Mental Health Counseling, Business Administration, Public Administration, Public Policy, Public Health, Juris Doctorate, or related field is required.
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At least five (5) years of experience in behavioral health, managed care and/or public policy.
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2+ years of content/subject-matter experience in health care transformation, New York State public health insurance programs, and/or behavioral health or health care policy.
In accordance with NYS Office of Mental Health regulations, RFMH employees are required to be fully vaccinated.
Work Location: NYS Office of Mental Health Central Office, 44 Holland Avenue, Albany, NY 12229.
To Apply: Submit an application by May 1, 2022, on the RFMH website at https://rfmh.applicantpro.com/jobs/. Please note only applications submitted through our website will be considered.
The Research Foundation is a private not-for-profit corporation and is not an agency or instrumentality of the State of New York. Employees of the Research Foundation are not state employees, do not participate in any state retirement system, and do not receive state fringe benefits. Excellent Benefits Package. Employer/Minority/Women/Disabled/Veteran Employer. VEVRAA 41 CFR 60-300.5(a) compliant.