Assistant Program Director Medicaid Managed Care - Bronx, United States - Good Shepherd Services

Good Shepherd Services

Verified Company

Bronx, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

About Us:

Good Shepherd Services is a leading multi-service agency with more than 85 programs that serve over 30,000 youth and families each year - and builds on their strengths to help them gain skills for success.

At Good Shepherd we respect the dignity and worth of every person and reject intolerance, inequity and injustice in whatever form it may take.

Voted one of the top 100 places to work in NYC by Crain's New York, Good Shepherd Services offers a fantastic work environment, a collaborative team dedicated to fulfilling our mission, and an amazing array of benefits.

Join our team and help make a difference

Benefits:

For Full Time Employees Benefits/Perks:

Tuition Assistance Program
Generous paid time off (Including 5 Self-Care Days/Floating Holidays, 12 Sick Days, 15 Vacation Days, and 11 Holidays)
Healthcare Plans (Medical, Dental, Vision, and Pet Care)
403(b) Plan (GSS contributes 3% of your salary to your 403(b) plan after 3 years of service, with contributions increasing over time)

Overview:

Under the supervision of the Vice President of Health Services and in cooperation with all other agency personnel, the Assistant Program Director of the Medicaid Managed Care Unit will provide oversite in the coordination with the Medicaid Managed Care Plans (MMCPs) and participant programs.

Primarily the role is to ensure that there is a highly-coordinated approach between Good Shepherd Services and the Medicaid Managed Care Plans.

Reports to:
Vice President of Health Services

Location:
Various Locations, New York City

Hours:35 Hours, Exempt

Salary:
$70,000 - $80,000

Major Duties:

Provide overall leadership and supervision to the Medicaid Manage Care Liaisons' (MMCL).
Responsible for program function and staff scheduling.
Develop and facilitate weekly staff meetings.
Committed to providing high quality training with a coaching and growth mindset.
Develop linkages with external community providers who participate in Medicaid Manage Care Plans (MMCPs) for services to participants.
Maintain confidentiality of participants
Create and promote communication between MMCU and participants' programs to provide information and feedback from the Medicaid Manage Care Plans.
Attend all MMCP meetings and required professional development activities.
Monitors assigned Medicaid Manage Care Liaisons' work activities with programs and MMCPs through team meetings and regular individual meetings
Complete and conduct monthly and random reports to monitor the efficiency of billing and communicate with the MMCP and program to address eligibility issues.
Provide individual and group supervision to the Medicaid Manage Care Liaisons.
Coordinates and conducts plans for audit preparation and audit execution.
Collects, analyzes, and reports data in the area of supervision to assist the Division Director.
Oversees the identification of eligible members from other agency programs and MMCPs enrollment.
Works collaboratively with all teams throughout agency programs.
Completes special projects and assignments as needed or identified by the Division Director.
Ensure appropriate utilization of internal and external databases.
Ensure program's compliance with MMCPs requirements.
Perform other duties as assigned

Qualifications:

Bachelors' degree in medical or mental health or child development, or relevant field. Master's degree preferred.
Minimum of 2 years of experience in child welfare with supervisory experience.
Experience, Expertise, and Knowledge of the child welfare system, foster care healthcare requirements, the unique complex needs of foster care population, and Medicaid Managed Care policies and operations
Ability to clearly communication both in writing and verbally
Proficient in Microsoft Office and Evolv

Additional Information:

Good Shepherd Services is an equal opportunity employer that is proudly committed to becoming an anti-racist and multicultural organization that stands up for justice and equity.

We welcome prospective employees from diverse backgrounds, for administrative support and direct service and leadership roles, who will join us on that journey, uphold our values and approach, and believe in our mission.

Additionally, we aim to have a racially representative leadership and workforce that is reflective of the communities we work in partnership with.

Good Shepherd Services is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors.

We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations.

These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services.