Medicaid Managed Care Transition Consultant
|February 27, 2013 - March 03, 2013|
|Benefits:||Full Benefits Package|
|Employment Type:||Full Time|
|Division/Department:||44 Holland Avenue|
|Description:||Medicaid Managed Care Transition Consultant
Salary Grade 25
The Research Foundation for Mental Hygiene, Inc. (RFMH) is currently seeking a Medicaid Managed Care Transition Consultant with Medical Health Plan and/or Behavioral Health Organization experience to support the development and implementation of a Medicaid Managed Care model and Health Homes for children with behavioral health concerns, those in foster care, and potentially those who also have chronic medical conditions.
The current full-time opportunity encompasses design phase, procurement, and post-implementation activities. The position will also work in conjunction with various OMH Project Managers and will serve as a key part of the overall success of the implementation of Medicaid Redesign.
Location: 44 Holland Avenue, Albany, NY
To Apply: Submit an application and cover no later than March 3, 2013, through our website at http://corporate.rfmh.org - click on Employment Opportunities. Only applications submitted through our website will be accepted.
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. AA/EEO Employer.
Work with OMH/OASAS/DOH/OCFS leadership to develop and execute an integrated Medicaid Managed Care service model as well as Health Homes for children;
Work with Mercer consultants on service model to include:
research on Medicaid initiatives that will leverage existing state resources to improve processes and systems
ensuring sustainable and integrated statewide and community-based design
infrastructure development, including policies, contracts, and quality assurance
Interact with internal and external organizations (i.e. vendors, other NY State government agencies, and various stakeholders);
Apply excellent written and oral communication skills, give presentations to executive management team as needed;
Translate highly complex concepts in ways that can be understood by a variety of audiences;
Perform basic financial and quantitative analyses on managed care models as needed;
In cooperation with other OMH project managers and administrators, plan, organize, coordinate, and monitor large-scale, multi-functional project activities;
Be able to translate essential core values into contract language which will form the foundation of contractual agreements between OMH/DOH and managed care organizations; and
Assist in creation of continuous quality improvement processes, performance expectations, and accountability metrics that can be applied to MCOs.
Excellent oral and written communication skills
Highly organized and able to work within deadline constraints
Excel/ Word/ Power Point proficiency
Understanding of managed care and insurance concepts
Understanding of healthcare payment methodologies
Knowledge of health care reform
Knowledge of state agencies
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